Occupational Therapy Commons^™

Healing Horses: An Occupational Therapy Approach In An Equine Environment, Ashlyn Renee Yoder

Occupational Therapy Capstone Presentations

Aim: This project focused on the development of advanced clinical skills of OT-based hippotherapy in a pediatric setting and program development of the Genesis Therapeutic Riding Center. Information was gathered from primary and secondary sources to promote student skill acquisition, client goal progress, and parent-caregiver education of at-home interventions.

Objective: Goals focused on gaining knowledge and competencies of OT-based hippotherapy, key clinical information, and interdisciplinary roles. The purpose of this project was to highlight the impact of staff responsibilities and OT-based hippotherapy on physical and cognitive deficits.

Method: OT hippotherapy session observation and facilitation, extensive literature review, and multidisciplinary interviews …

Exploring Occupational Therapy’S Role In Childcare Settings, Makayla Hamling

Occupational Therapy Capstone Presentations

This study focused on exploring the occupational therapist's role in childcare settings. The program development, observations, and hands-on activity allowed for first-hand experience of the role occupational therapists could play in a daycare setting. Incorporating meaningful participation, education, and environmental modifications were a part of this study. The study was conducted in Northeast Nebraska, with a total of 31 participants.

Early detection is key to addressing developmental delays in many areas (play, social, leisure, dressing, eating, etc). Developmental screenings can assist caregivers and specialists in knowing and understanding how a child is developing compared to his or her same-aged peers. …

Sensory Food Aversions: Therapeutic Feeding Strategies For Children, Laureen Giles

MOT Student Capstones

Raising a child with selective eating habits is a common concern among many parents. By the age of two years old, 50% of children will develop selective eating habits which is a typical stage of development in young childhood. However, if a child is avoiding certain kinds of food due to sensory characteristics than skilled sensory intervention by an occupational therapy practitioner may be warranted. Research shows that children with "sensory" aversions to food between the ages of0-8 years old are more likely to develop long term selective eating patterns. Long term food aversion impacts nutritional intake which may affect …

The Sensory Library: Facilitating Opportunities For Success At Bellevue Elementary School, Reagan M. Trussell

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Lamar County School District near Hattiesburg, Mississippi. This school district has eight elementary school campuses. The purpose of this project is to provide teachers with tools to improve focus, learning, and participation to facilitate opportunities for success in the classroom. A “sensory library” was created at two elementary school campuses to service grades prek-5 to accomplish this goal.. Faculty was also provided deliverables including rules of the sensory library, instructions to access and use the sensory library digital QR checkout system, the basics of sensory processing, sensory guidebook, contents of …

Supporting Adolescent Parents Involved In Younglives, Rachel Fister

OTD Capstone Projects

This doctoral capstone project focused on creating educational tools and resources for adolescent caregivers, volunteer mentors, and staff associates involved in YoungLives. YoungLives is a branch of the non-profit outreach organization YoungLife, that supports adolescent/teen parents and expecting mothers worldwide. The goal of this project was to supply accessible and user-friendly resources for the population to gain knowledge on pediatric topics such as child development, age appropriate milestones, sensory processing, as well as activities to promote occupational skills. The project outcomes resulted in a guidebook and deliverables for education and training purposes, a social media platform for nationwide connection and …

Providing Sensory Integration Education And Transition Tools For The Tennessee Baptist Children’S Homes, Thuy-Duong D. Huynh

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with the residential department of the Tennessee Baptist Children’s Homes, a state-wide ministry that cares for children whose families are in crisis. There were two primary focuses for this project: (1) providing sensory integration education to house parents and (2) creating tools to ease transitions. Outcomes included a presentation and training on sensory integration, a booklet with easily accessible sensory integration information, a local activity guide for day visits with families, and a routine schedule of home visits to ease transitions.

Investigating How Children With Autism Respond To Virtual Environments, Mykaela Naragon

Occupational Therapy Doctoral Student Capstone Posters

Over 90% of individuals diagnosed with autism spectrum disorder face sensory processing challenges. Virtual environments can trigger adaptive sensory responses akin to real-world experiences. This preliminary study explored how students with autism interact within virtual settings. Conducted at Julie Billiart Schools, where over 75% of students have autism and sensory differences, the project involved 35 participants aged 6-14 in six VR sessions. Data on Zones of Regulation, affect, and behaviors were collected. Results showed VR was enjoyable, with highly significant post-VR changes in Zone of Regulation (p<0.001). This suggests VR holds promise as a therapeutic tool for self-regulation in children with ASD.

Identifying And Referring Patients For Occupational Therapy Services In Developing Countries, Rachel Pudlik

MOT Student Capstones

Objective: Developing nations lack the resources and trained professionals on a local level to provide healthcare services. Medical mission organizations host trips in developing nations to provide short term medical care to bridge the gap in services. However, Occupational Therapy (OT) services are underutilized within these organizations. This capstone project explores the expansion of OT services within one medical mission organization, specifically with their school based population, by using a sensory based lens to identify students that would benefit from OT services. Methods: The methodology portion of this project includes reviewing evidence based research articles. conducting needs assessment. completion of …

Management Of Sensory Processing Challenges In The Classroom: An Educational Video Series For Teachers., Jasmine Guerrero, Steven M. Gerardi

Spring 2024 Virtual OTD Capstone Symposium

An educational video series for teachers on sensory processing and how to manage students with sensory processing challenges in the classroom. The video series includes evidence-based supports and strategies that may be utilized in the classroom to improve students' occupational performance.

Occupational Therapists' Role In Sexual Education For Teens And Young Adults Living With Autism Spectrum Disorder, Taylor M. Urban, Reeti R. Douglas

The Open Journal of Occupational Therapy

Teens and young adults living with autism spectrum disorder (ASD) do not have equal access to sexual education, thus having lower sexual awareness, little knowledge of preventative sexual health care, and having a more difficult time reading sexual body language (Hannah & Stagg, 2016; Holmes et al., 2019; Mogavero & Hsu, 2020). Deficits in these and many other skills may make it more challenging for teens and young adults living with ASD to engage in an intimate or sexual relationship with a consenting partner. Skilled intervention on the occupation of sexual activity and its related dimensions, such as communication and …

Response To Intervention: The Effect Of Sensory Processing Tier 1 And Tier 2 Occupational Therapy Intervention, Workshops & Consultation On Kindergarten Students, Kieran Bolger, Cindy Zhang, Julia Dariychuk, Janine Yu, Zuriel Chester

Master's Projects

Sensory modulation is critical for self-regulation in learning environments where children may experience unexpected or atypical sensory stimuli leading to disruptive behaviors often misunderstood or misinterpreted by teachers (Mac Donald & Baist, 2021; Smith & Douglass, 2022). Teachers often lack understanding of sensory processing and evidence-based strategies to address the behavioral challenges related to sensory processing (Cahill et al., 2014; Gee & Nwora, 2011; Mac Donald & Baist, 2021). Occupational therapists practitioners (OTPs) are beneficial team members that are skilled in addressing sensory processing (Cahill, 2010) and can partner with teachers to increase their understanding and utilization of sensory processing …

A Occupational Therapy Guidebook For Teachers On Sensory Processing And Sensory Integration, Kaitlyn Stanley, Keisa Boykin, Heidi Woolley

Fall 2023 Virtual OTD Capstone Symposium

Children with sensory processing (SP) challenges find simple classroom tasks overwhelming and can present with deficits in behavior management, emotional regulation, and occupations due to the inability to self-regulate the sensory input from their environment. In addition, deficits in SP may impact a child's ability to maintain engagement and participation in the learning process. If these SP needs are not met through the school, the child lacks the adequate tools to be successful in learning, which is considered occupational injustice (AOTA, 2020). By providing teachers with the adequate educational tools to understand sensory processing and sensory integration (SP-SI), identify and …

Is College Liberating For All Students? The Impact Of Sensory Challenges On Participation Of Students On The Autism Spectrum And With Other Neurodivergent Diagnoses, Sophia Starvaggi, Mary Smith Otr/L, Phd

Spring 2023 Virtual OTD Capstone Symposium

Neurodiversity describes unique ways in which an individual's brain works, impacting skills such as executive function, social interaction, communication, and sensory processing. Sensory processing describes the system which receives, processes, organizes, and responds to sensory information received in several environments throughout the day. Sensory sensitivity involves both over- and under-responsiveness to sensory information received, both causing an impact on one’s participation. An occupational area that seems to lack support for sensory challenges is that of postsecondary, or college, settings.

Several policies exist to protect the right to equal education for students with disabilities, however, these protections only last until students …

Sensory Integration: Improving Participation, Behavior, And Learning In Individuals With Sensory Processing Disorder, Brooklyn K. Osborne

Occupational Therapy Capstone Presentations

This capstone project encompassed a two-fold focus on advanced clinical practice in the area of sensory integration and research on the effect of sensory integration on the family dynamic. Ayres Sensory Integration was implemented in clinical practice in order to enhance learning, behavior, and participation in individuals with sensory processing disorder and sensory concerns. The research study examined the lived experiences of parents/caregivers of children with sensory processing difficulties to understand how sensory integration has impacted their family dynamic. Qualitative phenomenological methodology was used for data collection and analysis. Sixteen parents were interviewed, and four major themes emerged including family …

The Relevance Of Sensory-Based Intervention In Improving Occupational Performance In Pediatrics, Jasmine M. Fritzemeier

Occupational Therapy Capstone Presentations

The present capstone experience highlights sensory processing differences in relation to occupational performance. Current literature suggests varying evidence on sensory processing differences and effective interventions. This capstone utilizes GAS to measure progress toward functional goals with sensory-based intervention. Results indicate improvements for all five clients in at least one area after 5 to 8 sessions of sensory-based intervention. Improvements noted on GAS demonstrate the effectiveness of sensory-based intervention to address functional differences. The scope of practice for occupational therapy practitioners, therefore, includes sensory-based intervention to improve functional performance and well-being across several settings.

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Deepak Dale, Brinda Saini, Zoe Peters, Amanda Laccone

Occupational Therapy | MSOT Capstone Projects

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

Occupational Therapists’ Role In Educating Caregivers On Pediatric Sensory Interventions Guided By Neurodiversity Principles, Deanna Bourgeois

Student Capstone Papers

Background: Neurodivergent children often experience differences in sensory processing and self-regulation. Traditional sensory-based interventions are frequently used by occupational therapy practitioners (OTP) and caregivers to address dysregulation. However, sensory-based interventions, while often strengths-based, are not always neurodiversity-affirming.

Problem: There are minimal educational resources available to both OTP and caregivers that promote neurodiversity-affirming sensory interventions to support neurodivergent children.

Methods: The purpose of this project was to create self-paced educational modules to teach neurodiversity-affirming sensory interventions that promote children's self-regulation. To achieve this goal, the student investigator developed virtual educational modules and piloted them with OTP, occupational therapy …

Training Program For First Responders On Autism Spectrum Disorder, Danielle Giles

Occupational Therapy Doctoral Student Capstone Posters

In collaboration with the Cuyahoga Board of Developmental Disabilities, this capstone expanded and updated the current autism training program for the Cleveland Police Department. The goal of the capstone was to use best research and practice to promote more positive interactions between law enforcement and autistic members of the community.

Mealtime Experiences Of Children With Autism Spectrum Disorder From The Perspectives Of Filipino Occupational Therapists In Cebu: Implications For Practice, Blaise Audre V. Barrientos, Alyanna Freyse T. Badajos, Erika Faye M. Bucog, Rosse Velle C. Mauro, Paolo Miguel P. Bulan

Internet Journal of Allied Health Sciences and Practice

Purpose: Occupational therapists (OTs) handle children diagnosed with autism spectrum disorder (ASD), and a common concern is how their sensory processing issues affect their feeding habits. There is limited information regarding interventions about this issue both locally and internationally. This study aims to know the experiences of OTs providing feeding interventions associated with sensory issues for children with ASD. It will also describe what approaches they used for these interventions. Method: Qualitative phenomenology using in-depth interviews with nine OTs in Cebu, Philippines was conducted, and data underwent thematic analysis. Results: Five themes emerged: 1) a family that feeds together, stays …

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Zoe Peters, Brinda Saini, Deepak Dale, Amanda Laccone

Occupational Therapy | Graduate Student Research Posters

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

Response: Commentary: Evaluating Sensory Integration/Sensory Processing Treatment: Issues And Analysis, Sarah A Schoen, Roseann C. Schaaf, Zoe Mailloux, Anita Bundy, Shelly Lane, Teresa A May-Benson, L Diane Parham, Susanne Smith Roley

Department of Occupational Therapy Faculty Papers

No abstract provided.

Promoting Engagement In A School Setting, Jordyn M. Sippel

Occupational Therapy Capstone Presentations

The sensory system influences development and an individual’s ability to participate in their daily occupations, like education. Many students have difficulty participating in their school environment because they have difficulties processing or integrating sensory stimuli. These children may be hypersensitive or hyposensitive to sensory stimuli which may impact their ability to participate in the classroom. An occupational therapist can implement a sensory integrative approach to enhance the student’s ability to process the incoming information. The purpose of the capstone experience was to develop sensory-based strategies and implement the Stimulating Maturity through Accelerated Readiness Training (SMART) program to improve participation in …

The Aquatic Environment As A Tool For Facilitating Sensory Processing And Regulation, Christian Schneider

Occupational Therapy Capstone Presentations

Sensory processing disorder makes it difficult for children to maintain a state of regulation and function in everyday life (Kranowitz, 2005). The aquatic environment possesses multiple properties that can aid in providing the sensory input required for regulation (Becker, 2009). This capstone project addressed the use of the aquatic environment as a regulating tool for children with a sensory processing disorder. This project followed four learning objectives with the production of deliverables including sensory-based aquatic therapy manuals, case studies, presentations, and an outcomes report showing the achievement of the learning objectives. The project resulted in showing that the aquatic environment …

Therapeutic Rock Climbing And Its Impact On Children And Adolescents With Autism Spectrum Disorder (Asd), Abigail S. Miller

MOT Student Capstones

Rock climbing is an activity that incorporates physical, mental, social, and emotional abilities due to the environmental and personal components involved with each climbing challenge. The aspects of this sport support the development of foundational skills essential for independent living and occupational engagement. This research suggests that participation in therapeutic rock climbing is effective in improving motor planning, social engagement, sensory processing, and self-regulation skills for children and adolescents with autism spectrum disorder (ASD). An educational in-service was implemented to 14 professionals including occupational therapists, speech pathologists, and adults who engage daily with children and teens with ASD. Each participant …

Sensory Preference And Learning Preference In Children With Attention Deficit/Hyperactivity Disorder And Dyslexia, Jennifer Gomez, Hope Mccarroll, Lisa Griggs-Stapleton

Spring 2022 Virtual OTD Capstone Symposium

Is there a connection between a child’s sensory preferences and their learning preference? Sensory processing disorders are a heavily researched topic in current literature and many children with sensory differences present with learning disabilities, but research is lacking concerning any connection between sensory processing and learning. This research study examines children’s sensory preferences and learning preferences and denotes trends between these two variables. 15 participants were recruited from the Accommodated Learning Academy in Grapevine, Texas, a private school for students 1st-12th grade with learning delays. The sample of 15 participants consisted of 12 females and 3 males, aged 11-15 years …

Identifying An Association Between Sensory Processing And Food Sensitivities, Taylor Tonks

OT Student Capstones

Introduction: Feeding difficulties are quite common in children and can lead to a multitude of poor health outcomes. Children with sensory processing difficulties can present with feeding difficulties. The relationship between sensory processing and feeding difficulties in children has been previously researched. However, most of the existing research focuses on children diagnosed with autism spectrum disorder. Methods: The purpose of the present study was to identify the association between sensory processing and food sensitivities in children of varying diagnoses using retrospective data. In the study, the researcher included 47 children who presented to an outpatient pediatric clinic for a feeding …

Performers' Experiences Of Participation In Sensory Friendly Performances, Molly M. Vilaithong, Brooke E. Grupe, Lucy Chen, Andrea N. Wurster, Carleigh J. Robinson

Occupational Therapy | MSOT Capstone Projects

Background: Individuals with disabilities have decreased levels of community social participation and encounter environmental barriers that limit access to community participation in cultural arts, which negatively impacts quality of life. Existing literature on sensory friendly theatre focuses on parent and organizational stakeholders and supports the promise of sensory friendly programming designed with occupational therapy consultation to increase access for individuals with sensory processing challenges.

Purpose: This study explored the lived experiences of youth performers in a sensory friendly performance The research examined youth performers' sensory friendly participation experiences, including their perceptions of sensory friendly program components and their preparation and …

Inter-Rater Reliability Of Goal Attainment Scaling With Children With Sensory Processing Disorder, Teresa A. May-Benson, Sarah A. Schoen, Alison Teasdale, Jane Koomar

The Open Journal of Occupational Therapy

Background: Goal Attainment Scaling (GAS) is advocated as a meaningful outcome measure for parents and clinicians using an Ayres Sensory Integration^® Intervention (ASI) approach. Although used in several treatment effectiveness studies, reliability of therapist goal writing and scoring has not been established in this area.

Method: Ten occupational therapists and 40 parents of children receiving ASI participated across two clinical sites. The interview therapists and inter-rater therapists wrote GAS goals based on the same goal-setting interviews conducted with parents. Follow-up parent interviews were conducted post-ASI intervention, and the GAS goals were rated by both the interview therapists …

The Impact Of The Sensory Form On Confidence And Competence In Occupational Therapy Students: A Quasi-Experimental Study, Elisabeth Michail, Caroline J. Mills, Kristy Coxon

Journal of Occupational Therapy Education

The Sensory Form is a new assessment and intervention planning tool utilized with occupational therapy students to teach and guide their professional reasoning amidst limited evidence. This study aimed to determine the impact of the use of The Sensory Form on student competence and confidence in assessment and intervention planning for children with atypical sensory processing (ASP). A quasi-experimental study was conducted with 84 third-year undergraduate occupational therapy students from a large multi-campus university in New South Wales, Australia. Tutorial classes were allocated to The Sensory Form or usual teaching conditions. Participants completed pre-class and post-class self-reported confidence rating scales …

Demystifying Sensory Processing To Promote Effective Interprofessional And Caregiver Collaboration, Janis Leinfuss, Erin O'Hara

Student Journal of Occupational Therapy

Research shows collaboration and coaching with caregivers and educators positively impacts growth in occupational performance. Better understanding of this additional role that occupational therapy practitioners play; when working with children with sensory processing challenges, is vital to properly advocate for strategies and resources to help them reach their personal trajectory.

This article offers insight into the importance of removing professional jargon to facilitate effective interprofessional collaboration. Specific strategies for making coaching and training sessions for sensory processing content relatable and meaningful to educators and caregivers are also provided.