Occupational Therapy Commons^™

An Academic Self-Regulation Program For First-Generation Students In Occupational Therapy: A Preexperimental Study, Pola Ham

The Open Journal of Occupational Therapy

First-generation students at U.S. universities have lower academic performance than their continuing-generation counterparts. They also have a lower level of academic self-regulation and academic self-efficacy. Bandura’s social cognition theory and Zimmerman’s self-regulation theory were used as theoretical frameworks to guide an intervention program relating to self-efficacy and self-regulation. A pretest and posttest survey measured changes in the participants’ use of the academic self-regulatory strategies and level of confidence in using those strategies. An open-ended questionnaire provided a detailed account of the participants’ lived experiences of the program. The researcher-facilitator designed an academic self-regulation program using Zimmerman’s (1998) self-regulated learning framework …

Comprehensive Breast Cancer-Related Lymphedema Management Programs Addressing Both Psychosocial And Physical Needs: A Scoping Review, Amanda Wheeler, Claudine Campbell, Chenchen Cui

The Open Journal of Occupational Therapy

Background: Breast cancer is the leading cause of female cancer worldwide, which can lead to many negative sequelae, with up to a third of women developing breast cancer-related lymphedema. Breast cancer-related lymphedema requires chronic maintenance and is associated with worse physical and mental health outcomes compared to women without lymphedema. Occupational therapists are well-positioned to address the complex needs of women with breast cancer-related lymphedema. This review aimed to identify existing research that reports outcomes of lymphedema management programs addressing both physical and mental health needs of women with breast cancer-related lymphedema.

Method: A scoping review was conducted …

Linking The International Classification Of Functioning, Disability And Health (Icf) To Occupational Therapy Skilled Nursing Home Interventions, Janel Anne Belarmino, Laura Novak, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: Rehabilitation practitioners use the ICF as a framework to guide clinical decision-making, demonstrate the focus of interventions, and bridge interprofessional communication. The aim of this study was to examine occupational therapy interventions implemented with older adults for short term rehabilitation in skilled nursing facilities and link the interventions to the ICF.

Method: Through secondary analysis of previously collected field notes of skilled nursing facility occupational therapy interventions, the researchers linked 60 interventions to 133 third level ICF categories.

Results: Of the 133 categories, 62% (n = 82) were linked to Activities and Participation, 23% (n = 31) were …

The Lived Experience Of Therapists During The Covid-19 Pandemic: A Qualitative Study Using Photovoice Methodology, Alison De La Montaigne, Catana Brown, Sarah A. Anderson, Tamara Turner

The Open Journal of Occupational Therapy

Background: The purpose of this study was to explore the experience of therapists during the COVID-19 pandemic.

Method: A qualitative phenomenological design using photovoice methodology for collecting data was used (Wang & Burris, 1997). The study participants included twelve therapists. Using photovoice methodology, the participants used a picture to represent their experience and wrote an accompanying narrative to address the question, “How has COVID-19 impacted your life?” Thematic analysis was used to code and develop themes for the participant photovoices and the virtual focus group transcripts (Braun & Clark, 2006). Zoom was used as the virtual platform for the virtual …

An Occupational Therapy Work-Self-Efficacy Intervention For Lgbtq+ Young People In Transitional Housing, Emily K. Simpson, Monika I. Robinson

The Open Journal of Occupational Therapy

Background: Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) young people who are unhoused experience barriers transitioning into adult roles and responsibilities which negatively impacts workforce participation.

Methods: The purpose of this pilot study was to examine the impact of a work self-efficacy intervention on self-efficacy and goal attainment in LGBTQ+ young people at a transitional living facility (TLF). Nine residents and three staff participated in this convergent mixed methods design investigating a work intervention.

Results: The total median score on the General Self-Efficacy Scale (p = 0.042) and the Work Self-Efficacy Scale (p = 0.043) …

How Acute Care And Inpatient Occupational Therapists Describe Their Experiences With Secondary Traumatic Stress, Julie Suto, Ashley E. Lane, Rocio Torres, Emily K. Simpson

The Open Journal of Occupational Therapy

Background: The primary purpose of this research was to explore how occupational therapists in acute care and inpatient rehabilitation settings describe their experiences of secondary traumatic stress (STS).

Methods: Researchers used a convergent parallel mixed methods design. Electronic surveys (n = 181) and qualitative data collection through interviews (n = 6) and a focus group (n = 3) were used. Qualitative data were analyzed with content analysis, and quantitative data were analyzed using descriptive statistics. Both data sets were compared to identify patterns.

Results: Five main categories were identified: (a) supports to worker role, (b) barriers to worker role, (c) …

A Multisensory, Interdisciplinary Approach To Visual Neglect For Enhancement Of Visual Attention Following Basal Ganglia Hemorrhage: A Case Report, Leah G. Allan

The Open Journal of Occupational Therapy

Background: This case report provides a review of the medical background and inpatient rehabilitation course of a 41-year-old female presenting with right basal ganglia hematoma in the setting of hypertension and polysubstance use. Emphasis is placed on analysis and discussion of the interdisciplinary, multisensory therapy approaches used to address her visual neglect and homonymous hemianopia.

Method: Single-patient case report

Results: On the Disability Rating Scale, the patient’s score improved from a Day 16 score of 10 to a Day 58 score of 7. On the Modified Barthel Index, her performance improved from a Day 16 score of …

Psychosocial Occupational Therapy Interventions For Pediatric Traumatic Brain Injury: A Scoping Review, Sabina Khan, Christianah Edema

The Open Journal of Occupational Therapy

Background: We aimed to examine the psychosocial interventions used by occupational therapists in managing pediatric TBI, and to identify unique psychosocial needs in this population.

Methods: The scoping review was guided by Arksey and O'Malley's framework. Four databases were searched for relevant studies namely: Embase (Elsevier), Medline (PubMed), Cochrane Library, and PsycNet. Included studies were studies written in English reporting on psychosocial interventions for pediatric TBI by occupational therapists and/or the psychosocial needs of children with TBI.

Results: The search identified 13 relevant studies published from 2006 to 2020. Multiple psychosocial interventions were pinpointed in these studies, …

Exploring The Relationship Between Handwriting Legibility And Praxis In Third And Fourth Grade Students, Denise K. Donica, Larymi Beck, Kathryn Mumford

The Open Journal of Occupational Therapy

Background. Research suggests praxis and sensory integration contributes to handwriting legibility in primary students. However, little research has demonstrated performance-based measures of praxis and its relationship to handwriting legibility. This study examined performance-based praxis skills of third and fourth grade students with and without handwriting difficulties (HD).

Method: Handwriting legibility and praxis were examined in 33 third and fourth grade students at a local primary school using the Handwriting Legibility Scale and five praxis tests from the Evaluation in Ayres Sensory Integration. Participants were categorized into two groups based on their handwriting legibility scores: students with HD (n = 6) …

State Of The Journal: The Importance Of Human Occupation, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Optimizing Long Covid Outcomes: Insights From A Survey Of U.S. Occupational Therapists, Malachy J. Clancy, Phd, Otr/L, Bcpr, Robert Dekerlegand, Pt, Mpt, Phd, Ccs

Department of Occupational Therapy Posters and Presentations

Background & Purpose

• Upwards of 15% of individuals infected with SARS-CoV-2 may develop “Long COVID” with persistent physical, cognitive, and/or mental symptoms potentially amendable to occupational therapy.
• Variability exists in the rehabilitation approach for individuals receiving occupational therapy for this novel condition.
• Clinical practice guidelines (CPGs) and other evidence-based resources exist to help standardized rehabilitation; however, it is unknown if occupational therapists (OTs) are aware of these resources and applying them in the management of individuals with Long COVID.
• We surveyed OTs in the contiguous United States (U.S.) to explore their awareness and application of Long COVID CPGs along with …

Effects Of Push-In Occupational Therapy Services In Kindergarten On Writing Foundations, Heather A. Hyndman

Occupational Therapy Doctorate Capstone Projects

Background: According to the Compensation & Workforce Survey, 24.89% of occupational therapy practitioners (OTPs) work in schools (AOTA, 2023). This researcher has worked in a public-school setting for over 20 years, and her caseload continues to grow each year, doubling in the past 10 years. Handwriting difficulties account for most referrals for this researcher.

Purpose: The purpose of this research was to determine if an occupational therapy (OT) led fine motor intervention small group along with push-in occupational therapy services during literacy instruction would improve kindergarten students’ handwriting.

Theoretical Framework: Motor learning theory is applicable to teaching handwriting. This …

Occupational Therapist's Role In Sensory Inclusive Space Design, Colleen Mcgill

SURF Posters 2025

The rise in individuals experiencing sensory processing difficulties has revealed the challenges they face in regard to engagement in different environments and social participation. Sensory processing difficulties can impact the individual's social connectedness to entertainment venues that confine larger crowds and overwhelming stimuli, causing a form of occupational deprivation. This form of occupational deprivation can not only affect the individual, but can also impact family interactions at social events. Occupational therapists have proven highly skilled when assessing and treating clients with sensory processing difficulties, as well as evaluating and adapting environments to promote successful participation. With that, there is a …

The Impact Of Moral Injury On Veterans' Occupations, Sydney Santora

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Occupational therapy has been working with veterans since its origin. Once labeled as shell shock, occupational therapists addressed and continue to address veteran’s mental health, specifically Post Traumatic Stress Disorder (PTSD). While PTSD still affects veterans, there is another emerging phenomenon that is affecting veterans called moral injury. Moral injury (MI) is a condition resulting from “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations” (Litz et al., 2009, p. 697). There is currently limited literature regarding occupational therapy’s treatment of moral injury. This study aimed to fill the gaps …

The Phenomenon Of Sports As An Occupation, Christopher G. Cercone

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The “Phenomenon of Sports as an Occupation” is a mixed-methods, survey and interview-based research study that examines the impact of sports participation on occupational performance, identity, and routines. Findings highlight the value of recognizing sports in occupational therapy and may guide future practice and professional development. The study involved three groups of participants, including college athletes, occupational therapy practitioners, and adults involved in sports activities. Each group completed different surveys based on what sports mean to them and how sports have influenced their lives. Occupational therapy practitioners were asked about their feelings regarding increased involvement in sports rehabilitation. An interview …

Promoting Caregiver-Child Attunement: Social Emotional Wellness Through Yoga, Gianna R. Delfino

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This doctoral capstone program, Social-Emotional Wellness Through Yoga: Promoting Caregiver-Child Attunement, aimed to develop, implement, and evaluate a family-centered occupational therapy (OT) program designed to enhance emotional connection, co-regulation, and wellness in caregiver-child dyads at a pediatric outpatient clinic. This project was guided by a systematic review of literature on the effects of yoga on the mental health of children 3-10 years old, which suggests that yoga has positive outcomes on the mental health and wellbeing of children (Khunti et al., 2022). Grounded in neurodiversity-affirming, trauma-informed, and strengths-based care, the 10-week group was designed for children ages 3–11 and their …

Open Doors Rehab: Student-Led Courtesy Occupation-Focused Stroke Rehabilitation Clinic, Caitlin Scully

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Experiencing a stroke is a life altering event. Effects range from minimal to severe, but nonetheless survivors are put in a position where they need to understand their health and how to move forward (Wolf et. al., 2009). Nagaraja et. al. (2022) draws attention to the issue that survivors who are not eligible for inpatient services are often discharged home with a home exercise program and no clinical or therapy follow- up. This creates a gap in the stroke recovery continuum of care, putting survivors at even more risk for additional health risks and complications. The need for stroke rehabilitative …

Caregiver Resources For Aging With An Intellectual And/Or Developmental Disability (Raidd), Lena M. Conway

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Caregivers of individuals with intellectual and/or developmental disabilities (IDD) are essential in supporting health, well-being, and aging in place; however, they are often overlooked in policy and occupational therapy (OT) practice. Caregivers frequently experience heightened levels of stress, anxiety, depression, physical fatigue, and social marginalization. Adults with IDD face disproportionately high rates of chronic disease and mental health conditions, and despite the development of resources to support this population, caregivers report barriers to locating, understanding, and utilizing these assets. A scoping review was conducted to determine and explore the needs of caregivers and the systemic challenges they face, including fragmented …

Holistic Health: A Psychosocial Health And Wellness Program For College Students, Elizabeth C. Fasti

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Holistic Health program is a doctoral capstone quality improvement project that aims to increase the quality of life (QoL) and well-being for higher education students and increase staff and faculty knowledge of college students' mental health. Driven through education and program development, the program includes four key action plans. The first action plan was an in-person mindfulness-based program for college students. The second action plan includes a proposal for environmental adaptations to foster a safe and supportive campus environment for students. The third action plan includes expanding ready-to-use wellness and mindfulness resources for higher education students. The fourth and …

Parkinson’S Optimal Wellness And Educational Resource (Power) Project, Christina Mcfadden

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

By 2030, over 1.3 million adults in the U.S. are predicted to be diagnosed with Parkinson’s disease (PD), with Pennsylvania exhibiting a notably high incidence (Parkinson’s Foundation, 2023; Willis et al., 2022). Despite this prevalence, non-specialist clinicians, policymakers, and the public generally remain poorly informed in adequately supporting PD (World Health Organization [WHO], 2022). There is a gap within the literature regarding occupational therapy’s (OT) role in community-based PD programming in the U.S. The Parkinson’s Optimal Wellness and Educational Resource (POWER) Project addresses this through a tertiary health approach as identified in the WHO’s Parkinson’s technical brief (2022). Informed by …