OTD Capstone Projects

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2012

    Providing Authentic Occupational Therapy for the Rehabilitation of the Injured Worker

    Published Year: 2012
    Program: Doctor of Occupational Therapy

    Meyers, Patricia A

    Occupational therapy’s historical roots are firmly steeped in work or occupation. In the past one hundred years, the concept of work has been the corner stone of our profession. While occupational therapy encompasses wide and varied employment opportunities and specialty areas, occupation is the constant component of this profession. By understanding where we come from as a profession, and embracing occupation, we will enhance our future professional growth. Though the method of using occupation and work has evolved in or profession, “the therapeutic use of work has remained a central tenet and is derived from two basic assumptions-the human need for mastery and self-actualization, and the occupational need of the individual”. This paper will attempt to correlate occupational therapy’s historical connection and the value of work to the specialty of industrial rehabilitation. It is my belief that because of this perspective the profession of occupational therapy is a perfect fit for not only treating the injured worker but for addressing the critical components of the worker’s jobs. The evolution of work hardening, work conditioning and job simulation in occupational therapy treatment will be described. Evidence for post operative occupational therapy, work conditioning and job simulation when treating patients who have undergone a rotator cudd repair following a work related shoulder injury will also be presented.

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    Outcome Measures

    Published Year: 2012
    Program: Doctor of Occupational Therapy

    Schulz, Katherine

    Our goals are to increase knowledge on evidence-based practice and give the basic tools to use to find the evidence to answer basic clinical questions.

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    Autism-Occupational Therapy Evidence-Based Evaluation and ntervention Process

    Published Year: 2012
    Program: Doctor of Occupational Therapy

    Olshansky, Inna

    The scope and parameters of my proposal for this Capstone project will be designing and presenting an 8-hour seminar on the epidemic that Autism has become and evidence based research, in particular, to highlight the culmination of my experiences as a doctoral student. This seminar will target occupational therapy (OT) students overseas in 2013.

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2013

    A Program for the Adult Population with Osteoarthritis of the Hand to Promote, Health, Wellness and Self Management

    Published Year: 2013
    Program: Doctor of Occupational Therapy

    Nolan, Jerilyn A.

    This Capstone Project will provide the aging population with an evidence-based Occupational therapy (OT) program fro those with Osteoarthritis (OA) of the hands. This project will be delivered to the community in a series of four educational classes designed to optimize the quality of life for those with this chronic condition. The content will include the following: an overview of the etiology of OA, risk factors for developing OA, signs and symptoms of OA, and maintaining and active lifestyle through non-pharmacological treatments including adaptive equipment, exercise programs, joint protection education, pre-fabricated splinting and custom orthotics.

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2014

    Cognitive Aim

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Asao, Whitney-Reigh

    Working in an inpatient rehabilitation setting, I have experienced obstacles with scoring communication and cognition using the Functional Independence Measure (FIM). The FIM relies heavily on observations over a three day period, however in an inpatient setting, it is difficult to observe a person for this amount of time and scoring using the FIM is completed by multiple assessors. With many persons scoring any given area of the FIM, discrepancies are likely to occur. Cognitive AIM: Assess, Improve, and Maintain Cognition for Persons Post-Orthopedic Surgery (Cognitive AIM) was created to offer occupational therapy (OT) cliniciancs an opportunity to assess a person’s cognition using various types of tools as a supplement to the FIM. When cognition changes post-orthopedic surgery, it can often lead to limitations for safe discharge home. After a person’s occupational profile is obtained, OT clinicians will be able to use the Cognitive AIM manual to select an appropriate assessment to meet the needs of the person and his or her goals. The manual will also include various cognitive interventions that can be used to elicit improved cognitive function, as well as home exercise program handouts to provide a better understanding of cognition and ideas for improving and maintaining cognition after discharge.

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    Occupational Therapy Interventions Following Prenatal Drug Exposure

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Ayo, Cindy

    The incidence of prenatal drug exposure in the United States of America has elevated significantly over the last decade, resulting in an increased incidence of neonatal abstinence syndrome. Children exposed to drugs in utero experience both short- and long-term medical and developmental complications. Short-term complications often experienced while in the hospital include gastointestinal difficulties and central and autonomic nervous system dysfunction. Children exposed to drugs prenatally demonstrate an increased risk of cognitive difficulties, behavioral issues, emotional development, motor performance and attention. Based on current evidence, a variety of occupational therapy treatments have proven to be effective in addressing the array of problem areas associated with prenatal drug exposure. Developing an appropriate client-centered OT treatment intervention for children prenatally exposed to drugs can be challenging for Level I and Level II occupational therapy students. This project is designed to educate future occupational therapists in how prenatal drug exposure impacts a child’s development as well as to introduce clinical presentation and evidence-based treatment interventions designed to enhance the child’s occupational performance.

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    Active Responsive Interactions Safeguarding the Elderly (ARISE)

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Banks, Tamika

    Falls are an alarming trend within various populations that could lead to serious injury or death. Research studies suggests that clients demonstrated fewer falls when they received some form of fall preventative measures as compared to no intervention. Fall related injuies result in profound financial implications to institutions warranting the need of some method of intervention. Research implies that individuals with varying levels of cognition experience a reduction in fractures through preventative measures. The goals of the falls prevention program is to demonstrate that through the application of a program utilizing a multidisciplinary approach, clients may exhibit reduced falls, reduced injuries, reduced hospitalizations, and improved safety. Occupational therapy’s contribution is to incorporate intervention approaches to enhance an individual’s quality of life and promote meaningful occupations. The goal of this paper is to describe how the implementation of a falls prevention program in a skilled nursing setting can be beneficial to both the client and facility.

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    OT Interventions in Mild Cognitive Impairment

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Chio, Choi I.

    The capstone paper of Occupational Therapy (OT) Interventions in Mild Cognitive Impairment (MCI) provides the purpose, background, and implication for occupational therapy clinical practice to promote meaningful engagement in occupational performance and improve quality of. The capstone project covers the background and symptoms of mild cognitive impairment, theoretical models, available cognitive assessments for practice, case studies discussion, resources, occupational therapy skilled interventions with literatures, and recommendations for other rehabilitative health care providers. It increases the awareness of the health care professions to utilize evidence-based clinical practice in MCI management. The 4-hour in-service will take place in the rehabilitative department at the Skilled Nursing Facility. The rehabilitative team members will complete anonymous course evaluation for course reflection.

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    Empowering Occupational Therapy Off-Road Driving Assessments for Older Adults

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Dvorak, Melanie A.

    According to the American Occupational Therapy Association, OT practitioners possess the skills to identify underlying impairments, investigate functional deficits, and assess clients at risk for injury and hindrance to their occupational success. Therefore, this workshop’s focus is to empower general OT practitioners to identify the concerns and address the needs of the older adults wanting to engage in the occupation of driving. This empowerment can be achieved by enhancing professional clinical growth, fostering confidence and proficiency in conducting off-road driving assessments, utilizing best evidence-based practices, and exuding the capacity to identify intervention opportunities for clients versus cessation or discontinuation of driving for our aging clients. This workshop will use the combined efforts of the OTs and OT assistants to identify and evaluate client factors, performance skills, and environmental and contextual barriers to driving in accordance with the AOTA’s scope of practice and OT Practice Framework III.

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    Work, the Forgotten Occupation?

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Ehrenfried, Holly L.

    Work and Industry has been identified as an emerging niche in the Centennial Vision and as a key practice area of the 21st century. Despite this emhasis, the Work and Industry Special Interest Section of the American Occupational Therapy Association has the lowest membership of all eleven special interest sections. When contemplating the occupation of work, it is well-known that work has been a part of the occupational therapy profession since its founding days. Work is a part of most adults’s lives and when illness or injury is encountered, work is most likely affected. Occupational therapists who practice in work and industry have a unique view of returning a client back to work after illness or injury and assisting employers in the prevention of injuries in the workplace. Work and Industry practitioners can become a role model for occupational therapists in other practice areas to facilitate the integration of work into daily care of clients. In addition, many practice areas are suitable for asserting the occupation of work, but practitioners do not move beyond activities of daily living or instrumental activities of daily living. Occupational therapists must not forget to include work into the treatment of clients and we must educate our students about the importance of this occupation.

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    Bridging the Gap

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Escovedo, Ernie

    There is a recognized gap in knowledge between the academic and research world and that of the practicing clinician. This gap serves as a barriers to moving foward in today’s healthcare environment, which increasingly demands evidence-based interventions and outcomes. The demands on today’s clinician include increased productivity requirements, reduced treatment frequency and duration, and expectations to maximize available reimbursement levels. These demands all contribute to a workig environment that does not support clinical practice in accordance with occupational therapy or evidence-based principles. This project is designed to provide today’s clinician with a re-orientation to, and a working knowledge of principle American Occupational Therapy Association (AOTA) documents such as the Centennial Vision, Occupational Therapy Practice Framework: Domain & Process 3rd Ed., Standards of Continuing Competence, Occupational Therapy Standards of Practice, and the Code of Ethics and Ethics Standards as a means to refocus practice with philosophy. This is a necessary step towards a return to occupational performance directed care. The workshop will also address three specific models of practice which possess easy to interpret concepts that ca be easily applied to practice. These documents and models or practice are valuable resources to support the clinician in providing occupation-based, client-centered care which reflects the authenticity and uniqueness of occupational therapy practice. The second component of this workshop will address the issues related to knowledge translation, and the issue related to integrating evidence-based practice into the clinic. Clinicians are expected to utilize evidence in practice, though there is common reference in the literature regarding the difficulty clinicians have with achieving this, which include a lack of skills, confidence, and tools. This workshop will explore the barriers and strategies to evidence-based practice, and provide strategies that will support the novice evidence-based practiioner in accessing and interpreting research.

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    Educating and Advocating for Occupational Therapy in the School-Based Setting

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Hellmann, Megan

    The following capstone project is an educational presentation designed to advocate for occupational therapy (OT) in the school-based setting by increasing the understanding of OT and promoting collaboration with the educational team. The presentation is based on research confirming the limited understanding of the role of OT in the school-based setting and the importance of collaboration among school professionals to reinforce recommended interventions and improve student outcomes. A PowerPoint slideshow and lecture presents the information and evidence, along with an opportunity for interactive discussion between between participants to initiate the collaborative process. The project aligns with the initiatives of the Centennial Vision, OT Practice Framework: Domain and Process, the Person-Environment-Occupation model and the Four Quadrant Model of Facilitated Learning frame of reference.

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    Evidence-Based Practice for the Occupational Therapy Assistant

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Jones, Joanne S.

    The purpose of this capstone project is to provide occupational therapy assistant (OTA) students and course instructors with an on-line educational tool to guide the development of evidence-based practice (EBP) skills. The project is the result of an extensive literature review identifying optimal methods of teaching EBP as well as how to promote EBP and critical thinking skills throughout OTA curricula. The chapter describes the five-step process of EBP to the “application” level of Bloom’s taxonomy, considers threats to EBP, and provides additional resources for students and instructors. Utilizing scaffolded instruction, a theoretical case study (vignette) guides the student through the EBP learning process. Links to multiple learning activities offer opportunities to refine skills and clarify difficult concepts. The project speaks to multiple initiatives and directives within occupational therapy, including the Centennial Vision, and the Occupational Therapy Practice Framework, 2nd Edition, the Occupational Therapy Code of Ethics and Standards, and the standards outlined by the Accreditation Council for Occupational Therapy Education (ACOTE). Fulfilling the profession’s holistic perspective, instruction in the EBP process also includes the importance of client preferences threaded throughout the project.

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    Utilizing Graded Motor Imagery for Upper Limb Dysfunction

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Krumm, Kimberly

    The use of Graded Motor Imagery (GMI) for patients who have upper limb dysfunction due to stroke or chronic pain is becoming more utilized as a therapeutic intervention. This capstone project focused on the implementation of a four-hour continuing education course on GMI and how it can be used in the practice of occupational therapy. This capstone project presented many different aspects of pain interpretation and how the central nervous system reacts to injury. Several research studies on the effectiveness of GMI and how it has been used for the treatment of chronic pain and post-stroke were also presented. The implications for occupational therapy and how this project applies to the Scholarship of Application as well as the Scholarship of Teaching and Learning were also discussed. One implication in particular was presented for the professionals in attendance on how this project is meeting the goal of the American Occupational Therapy Association’s Centennial Vision of being a “powerful, widely recognized, science-driven, and evidence-based profession” (AOTA, 2007, p. 614).

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    School to Life Academy

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Moise, Veronique

    The School to Life Academy (SLA) is a program that provides occupational therapy services to young adults with high functioning autism spectrum disorder (ASD). In marrying the triad of person, environment, and participation in activities (occupations), SLA aims to provide clients with an opportunity to participate in establishing their own life plans upon, or just prior to, high school exit. In a collaborative effort clients and SLA will work together to identify individual goals and pathways to achieving independent living. The purpose of SLA will be to utilize evidence-based treatment approaches to facilitate independent living. Services will be provided in a safe supportive environment that considers contextual factors that may impact independence.

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    Autism Get Your Moves

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Morejon, Elizabeth O.

    Both the diagnosis of autism spectrum disorder (ASD) and obesity among children with ASD are on the rise. A growing body of evidence indicates a concern about the health consequences of obesity and improving with ASD. Physical activity is well known as a means for reducing the risk of obesity and improving quality of life. Many studies have been conducted over the years to address the effectiveness of physical activity for children with ASD. However, although community programs exist to get children involved in physical activities, few of them meet the needs of children with ASD. For this project, an in-depth review of the literature was conducted with the purpose of identifying the effectiveness of physical activities for children with ASD and determining what hinders their participation, as well as what would make physical activity programs viable for this population.

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    An Occupational Therapy Pilot Program for the Primary Care Setting

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Mott, Cheryl R.

    This capstone project intends to demonstrate that OT is ideally suited to be on the primary health care team. Addressing the complex needs of the elderly in the primary care setting requires an integrated approach that includes OT. This Capstone proposes an occupational therapy pilot program for community dwelling elderly to increase the wellness and health management skills of this population as evidenced by their engagement in occupations and a decreased utilization of health care resources. The pilot program will be embedded in an interdisciplinary geriatric consult team addressing the needs of the at risk frail elderly in a primary care setting.

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    Teaching Novel Treatment Techniques in Hand Therapy to Improve Patient’s Participation in Occupation

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Olson, Kellye W.

    This capstone project outlines the need for a four-hour continuing education course (CEC), which includes novel treatment techniques to be utilized by occpational therapists (OT) who are new to the practice of hand therapy (HT). This CEC will be provided to OTs who work in an outpatient setting and are interested in beginning a hand therapy program at their clinic location. It includes foundational treatment techniques specific to HT and identifies how to incorporate those techniques into therapy to improve a patient’s participation in their chosen occupation. Theories, foundational principles, and novel treatment techniques utilized in this capstone project are evidence-based practice (EBP) supported. This capstone project reviewed several quantitative articles of all levels, as well as qualitative studies to support its inclusions of novel treatment techniques and the rationale for the need of the project. The American Occupational Therapy Association’s (AOTA) Centennial Vision, as well as the Framework – III are also referenced to support this capstone’s use specifically to support the practice of OT in HT.

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    The Role of the Occupational Therapist in Response to Intervention

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Osborne, Doris E.

    Changes in federal legislation require public education education to provide early intervening services such as Response to Intervention for all students. There is a need for clarification on the role and responsibilities of the occupational therapist in school-based practice based on the evidence in the literature. This program supports the occupational therapist with a clear understanding of their role and provides an outline of responsibilities in supporting all students in the educational environment. The provision of services to support students’ participation of activities throughout the school day includes the occupational therapist as a collaborative member of the educational team. In addition to collaboration, the occupational therapists can provide universally designed strategies for the whole classrooms or schools. Additionally, the occupational therapists can provide targeted strategies for implementation with individual students or groups of students. In a large school district, there is a need to formalize a process for school-wide initiatives to ensure consistency of services across the district. This guidance maintains the fidelity of the implementation plan across the district.

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    Occupational Therapy’s Role in the Healthy Brain Initiative

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Patterson-Anslinger, Gayle

    With the aging United States (U.S.) population and prevalence of Alzheimer’s disease, older adult cognitive health is quickly becoming a national public health concern. Holistic occupation-based evaluation and intervention in the right place, at the right time in the health care process, are vitally important to improve the well-being and quality of life for older adults with Alzheimer’s disease and their family caregivers at home. In the U.S., several federal initiatives including The Healthy Brain Initiative: A National Public Health Road Map to Maintaining Cognitive Health discuss the economic strain and social impact of Alzheimer’s disease which demands the attention and involvement of occupational therapy. Evidence-based practice requires use of empirically studied performance assessments and multicomponent interventions for people with mild or early-stage Alzheimer’s disease within context of everyday living environments for optimal client role participation to intervene successfully with this population.

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    Integrating Occupational Therapy in the Florence County Again and Disability Resource Center

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Sonkowsky, Tina

    Again and Disability Resource Centers in the State of Wisconsin have been directed to increase and enhance services within the state for older adults. Measures may include screenings, outreach programs, and other services designed for the promotio of independence within the community. This is an essential step in promoting the quality of life amongst older adults in a community. Occupational therapists can be the vital part in this new excursion by providing screenings, health-management and maintenance plans, prevention assistance, as well as cost-effective solutions to enhance a person’s quality of life in their daily occupations. Using models such as the Canadian Model of Occupational Performance and Engagement (CMOP-E) will allow for the improvement and enhancement of the environment for community-dwelling older adults. Furthermore, engagement in these meaningful activities is essential to the overall health and wellness of the older adult population within the community. Their increased participation in meaningful activities will improve their overall health and well-being, enhance their quality of life, and vastly increase their independence.

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    Proprioception Activities to Encourage Participation in Activities of Daily Living in Patients with Upper Extremity Orthopedic Injuries

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Toreno, Aimee Hightower

    The central nervous system relies on proprioceptive feedback for body awareness, motor planning, and joint stability. When proprioceptive organs are not functioning properly, significant limitations in function can occur. Use of proprioceptive input is an important part of rehabilitation programs. It has been well established as a component of therapeutic interventiosn for stroke, sensory integration, and orthopedics. Therapists routinely use proprioceptive activities for the wrist and hand is an emerging area of practice. Dr. Elizabeth Hagert’s work on the proprioceptive function of the writst serves as a theoretical foundation for this project. The American Occupational Therapy Association’s Centennial Vision calls for occupational therapy to be a science driven and evidence-based profession. Sharing evidence-based continuing education with practicing hand therapists regarding the value of proprioceptive activity for patients with wrist and hand injuries is an excellent way to help fulfill this vision.

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    The Abilities Care Approach

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Tucker-Roghi, Gina C.

    The Abilities Care Approach is an evidence-based program designed to meet the occupational needs of clients with dementia living in skilled nursing facilities (SNFs). Participation in the Abilities Care Approach level II psychosocial fieldwork experience has required additional training and support for students. To date this training and support has occurred during live sessions in the local region where the program was developed. The Abilities Care Approach online training program will be made available to occupational therapy (OT) practitioners and students in the 204 Ensign affiliated SNFs throughout the United States. The training program utilizes evidence-based, effective teaching methods to deliver content through a corporate learning management system. The program includes opportunities for student reflection, interaction with content, self-assessment of learning, and application. The program is designed to provide a strong foundation for OT practitioners and students using the Abilities Care Approach, and includes a review of the releevant evidence. The Abilities Care Approach is supported by recent evidence and provides critically needed OT services within an emerging practice area. Level II Abilities Care Approach fieldwork experiences have been successful and rewarding for students as well as the patients and staff of the skilled nursing facilities. The online training program will create additional opportunities for OT students to participate in the Abilities Care Approach fieldwork experiences.

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    An Evidence-Based Occupation Driven Educational Program on the Clinical Assessment of the Upper Extremity for General Medicine Practitioners

    Published Year: 2014
    Program: Doctor of Occupational Therapy

    Wagner, Jim

    The employment of provacative testing and differential diagnosis in the assessment of an individual with musculoskeletal dysfunction is essential for focused intervention. Valdes & LaStayo state “Hand Therapists often couple the results of provacative tests with other clinical indicators to determine whether a specific pathological condition of the hand, wrist, or elbow exists”. Ludvigsson & Enthoven report “Physiotherapists can be considered primary assessors of patients with musculoskeletal disorders in primary care…”. This Capstone project will provide an evidence-based education package on musculoskeletal assessments of the upper extremity that will help educate medical residents serving in community settings.

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2015

    Developing Instructional Scholars

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Bales, Erin I.

    One issue facing occupational therapy education programs is recruiting and retaining potential faculty. The American Occupational Therapy Association (AOTA) advises educational programs to “…develop a plan and strategies on how to recruit, develop, mentor and retain OT educators”. Literature shows faculty fellowship to be an effective strategy to improve proteges preceived self-efficacy in teaching and helps build proteges credibility to others. Formal faculty mentorship is also shown to contribute to mentee’s productivity and tenure or promotion. Drawing on experiential and transformative learning theories and the role acquisition from of reference, students who participate in faculty fellowships can potentially increase their perceived self-efficacy for future faculty careers through active participation in the roles, routines and daily occupations of higher education faculty. Thus, the proposition of a faculty fellowship between experienced faculty and proteges in the education (EDU) track of the post-professional occupational therapy doctorate program at Rocky Mountain University of Health Professions (RMUoHP) will be discussed.

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    A Level II Fieldwork Manual for the Hand Therapist

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Chism, Tracy

    This capstone project is a fieldwork (FW) manual for use with level II occupational therapy students entering the practice area of hand therapy. Its contents explore the issues and attitudes seen today as a result of generation gaps and enlist strategies for the fieldwork educator to utilize to bridge the gap between generations. The manual provides information on understanding student learning styles and strategies to implement that can reduce challenges in the FW setting. Its purpose is to educate clinicians and ease the perceived burden that clinicians feel regarding taking on a level II FW student by providing a process through the use of a FW manual that will create a systematic approach to fieldwork education. There is currently a shortage of fieldwork sites, thus in order to facilitate the growth of occupational therapy and align ourselves with the American Occupational Therapy Association’s Centennial Vision, clinicians must step outside of their comfort zone and change their beliefs about the perceived increase in work demand that taking a FW II student presents. The use fo the biomechanical frame of reference and occupational adaptation model are referenced and linked to the Framework: Domain and Process as an important component of providing hand therapy interventions that are client centered and occupation based. Practice areas, such as hand therapy, are needed to provide diverse experiences for future occupational therapists.

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    Your OT Mentor

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Czech, Kaley

    Utilizing a web-based resource for occupational therapists in school-based settings will aid in developing consistent practice across school-based therapists. The creation of a web-based resource for school-based therapists will incorporate an evidence-based Person-Environment-Occupation (PEO) model of occupational therapy. This web-based resource will provide school-based therapists with education on important foundational concepts of the occupational therapy profession. This resource will include the Occupational Therapy Practice Framework: Domain and Process, 3rd edition and common frames of references used within the school-base practice. By utilizing the web-based resource, school-based therapists can learn how to implement evidence-based research into their practice. Along with reminding school-based therapists about the foundational concepts of occupational therapy, information will be provided on occupation-based measures and interventions. This web-based resource takes a step forward in helping achieve the American Occupational Therapy Association’s Centennial Vision.

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    Increasing Awareness and Acceptance of Children with Disabilities Through Children’s Picture

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Dobyns, Karen

    Children with disabilities often demonstrate reduced participation in social occupations such as recess play, due to exclusion by others. Children without disabilities are often lacking understanding or awareness about a child’s disability and are therefore less likely to be accepting. Disability awareness simulation programs are often helpful in increasing level of inclusion and accpetance, but are costly and time-intensive. Children’s picture books can serve as educational tools to increase awareness and acceptance that are cost and time efficient. However, picture books features children with disabilities are vastly underrepresented, and there is a push within the publishing field to increase diversity. Occupational therapists, due to their expertise in analyzing needs and barriers, their skills in knowledge translation, and ability to promote health and wellness, are well equipped to write, publish, and/or disseminate children’s books about children with disabilities. Such books can promote wider recognition of occupational therapy, furthering the goals of the Centennial Vision. There is also a multitude of non-traditional entrepreurial possibilities possibilities and marketing opportunities associated with the writing or distribution of children’s books featuring children with disabilities. In addition to such books helping promote awareness and acceptance of children with disabilities, occupational therpists and clinics could directly and indirectly profit from the selling or distribution of these books.

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    A Flipped Course on the Flipped Model

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Dulek, Jennifer

    This paper details the development and implementation of a flipped course for occupational therapy assistant (OTA) faculty detailing the use of the flipped classroom model with adult learners. Evidence supporting the flipped classroom model is presented, as is research supporting the introduction of the flipped model to educators using an online platform and face-to-face learning activities. The constructivist learning approach is also described in its relation to the instructional design of online lessons as well as active learning activities used in the classroom setting within this model. The relevance to the future of the occupational therapy profession and the implications for occupational therapy education are discussed, and recommendations regarding occupational therapy instruction are included.

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    The Hand Therapist’s Role in Pre- and Post-Natal Care

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Fernandes, Julie

    This paper establishes and examines the hand and occupational therapist’s (HT/OT) role in pre- ad post-natal (perinatal) care and proposes a health promotion program for this population. Using evidence-baseed research drawn from orthopedic and HT/OT literature, the author plans to demonstrate the importance of maintaining meaningful occupational engagement during this critical life stage. New and expectant mothers are at high risk for upper extremity (UE) conditions such as carpal tunnel syndrome (CTS) and De Quervain’s Tendinitis. The HT/OT is well prepared to manage both of these conditions conservatively. An occupation-based model and framework are presented to ensure a holistic view of the target population considering important practice terminology found in the OT literature. Proposal implementation is discussed based on a pilot lecture at a large urban hospital with plans for the outpatient orthopedic hand therapy facility to host topics covering postural techniques, repetitive tasks, patient education and strengthening related to the pre and post-partum period. Finally, program goals, deliverables, possible risks and solutions and learning objectives are presented in order to consider the program with as much anticipation and realism as possible.

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    Occupational Therapy’s Role with the Aging Oncology Population

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Heess, Christine

    The Capstone project will address the important role of occupational therapy and the aging oncology population. Clinical scholarhsip will be addressed as the profession of occupational therapy continues to grow and strive towards the Centennial Vision with the focus on addressing and meeting the needs of our growing agin oncology population. This Capstone project will highlight the need and important role occupational therapy can provide with innovative interventions, utilizing standardized assessments, implementing treatment through evidence-based practice with the use of the Occupational Therapy Practice Framework-III terminology, and the person-environment-occupation model implemented with the rehabilitative frame of reference. The outcome goal is to present a holistic, client-centered approach to optimal care for the aging oncology population with emphasis on promoting quality of life while managing cancer and the after effects of cancer treatments.

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    Educating to Meet the Needs of Society

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Heinz, Amy

    Shifting healthcare paradigms demand new delivery models and intervention methods. Recent healthcare reform raises the bar for clients’ ability to manage their health and wellness. Coaching is gaining attention and showing positive outcomes as a method for assisting clients with self-management (SM). The domain and process of occupational therapy (OT) makes it an ideal fit for assisting clients with managing their health, and the philosophies of coaching and OT are well-aligned. Practitioners’ with knowledge and skills in coaching may be better prepared to assist clients in managing their health and wellness. Yet, education in coaching tools and techniques for entry-level OT practitioners is lacking. This project aims to heighten the awareness of the profession, especially educators, on the benefits of coaching and provide an argument for the value of training entry-level practitioners in coaching. Training the next generation of OT practitioners in skills that are proven to promote occupational performance within emerging healthcare systems is vital. Integrating coaching into curricula has potential for the OT profession to better enable clients in achieving their health related goals, show its distinct value, and make OT a powerful and widely recognized provider in meeting the needs of society.

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    Relationship-Based Feeding

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Henton, Patricia

    Feeding is a primary occupation of children that is necessary for their growth and development. Parents often seek the assistance of health professionals due to poor weight gain and feeding concerns. Occupational therapy addresses feeding, swallowing and eating difficulties within its scope of practice to improve a child’s occupational performance in activities of daily living and participation within daily family routines. Family-centered practice is necessary to address feeding difficulties within the family’s unique social-cultural context and natural environment. Parental involvement in ongoing assessment, goal setting, and feeding interventions builds self-efficacy in families while addressing specific feeding challenges. Without this intervention, caregiver stress due to unresolved feeding difficulties may lead to coercive feeding practices and negative mealtime behaviors. Although many therapists work directly with children on eating and feeding skills, it is imperative to communicate knowledge of evidence-based strategies for caregivers to make informed decisions and to integrate chosen strategies into the daily routine. Feeding intervention that supports family relationships builds positive social emotional development in children, reduces caregiver stress, and enhances the child’s daily participation in positive feeding experiences at home. Current pediatric feeding courses for practitioners focus on the developmental, physical, behavioral, and sensory components of feeding yet minimize the social-emotional aspect. This gap in knowledge impacts professional practice and affects child and family outcomes. This education workshop supports the American Occupational Therapy Association’s Centennial Vision by addressing the need for evidence-based education to empower practitioners to meet the occupational needs of children and their families in the area of feeding.

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    Occupational Therapy in the Workplace

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Hudgins, Ellen

    The purpose of this paper is to provide an evidence-based business plan for the implementation of an innovative delivery of occupational therapy services in the workplace. The name of the proposed business is Occupational Therapy at Work. This paper highlights the background and rationale for developing this business, implications for the occupational therpa profession, and it includes an overview of the business planning process. This document includes a financial analysis, target market analysis, competition analysis, marketing plan, a human resource plan, and conclusions for implementing this evidence-based plan into practice. Furthermore, the description of services include high levels of evidence to support occupation-based intervention methods in the workplace. This paper utilizes evidence to support the efficacy of providing work-related occupational therapy services in the natural environment versus the clinical setting.

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    Occupation-Based Foundations in Hand Therapy Education

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Jewell, M. Colette

    This capstone project designs a 30-credit elective course syllabus in hand therapy practice using a hybrid/blended learning approach. The course teaches occupational therapy (OT) students clinical reasoning, assessment and occupation-based and evidence-based practice assessments and interventions that pertain to hand therapy. It builds on the student’s core knowledge of OT and includes learning activities that build performance skills. It incorporates evidence-based practice and interventions that follow the American Occupational Therapy Association’s (AOTA) Practice Framework. The paper provides evidence that supports incorporating occupation-based assessments and interventions in hand therapy education.

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    The Olivia Project

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Johnson, Michele Karen

    Adolescents with mental health disorders often struggle with engagement in daily occupations. Traditional therapy for mental health disorders focus on cognitive-based approaches. Occupational therapy is in an excellent position to bridge the fap between congitive-based therapy and participation in daily occupations. Evidence support engagement in purposeful activity as a means to improve mental health and overall daily functioning. An occupation-based program with a focus on participation and engagement in meaningful activities for promotion of self-esteem and self-efficacy was designed using current evidence. The purpose of The Olivia Project (TOP) is to provide after-care that support engagement in occupations following partial hospitalization at community based mental health centers. This program promotes the use of skills learned during partial hospitalization through engagement in daily occupations while transitioning the adolescent back to their previous routine.

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    Driving Post-Stroke

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Kangas, Sandra

    Driving is a valued occupation and occupational therapists have a key role in determining fitness to drive for individuals suffering a stroke. Inpatient hospital stroke clients often ask the question, “When can I drive again?” This paper will review evidence-based predriving assessment tools to determine fitness to drive in the post-stroke population. People suffering a stroke may experience deficits in motor, visual-perceptual, and cognitive domains, which can lead to inability to drive safely. Assessment tool selection will focus on the visual-percetual and cognitive domains. An algorithm will provide a step-by-step process to ensure a transition plan is developed in collaboration with the individuals’s care team prior to discharging from the hospital. Providing the appropriate assessment tools defined for the post-stroke population will help determine one’s ability to resume driving and reintegrate in the community.

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    Occupational Therapy Residency Program in Hand Therapy at Mayo Clinic, Rochester

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Kannas, Stephanie

    A program proposal for an occupational therapy residency program in hand therapy was presented to the Physical Medicine and Rehabilitation Leadership Team at Mayo Clinic, Rochester. This program plan includes a manual detailing the yearlong program with expectations for the resident and mentor. This program will include didactic learnging, mentorship, and scholarly activities within the occupational therapy practice setting of hand therapy. The program will allow the resident to have interdisciplinary learning experiences with the orthopedic surgical fellows and residents through education sessions and observations in the surgical suite. This program will focus on anatomy, biomechanics, preparatory activities, orthotic fabrication, and occupation-based interventions for clients with upper extremity conditions. Official American Occupational Therapy Association documents will be referenced throughout the program to promote advanced clinical reasoning, ethical practice and support the Centennial Vision. At the completion of the program, the resident will demonstrate advanced clinical skills for common upper extremity conditions, evidence-based practice, and scholarship to promote the profession of occupational therapy.

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    Proposal to Include Occupational Therapy in Age-Friendly New York City Working Groups

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Kardachi, Julie

    This capstone project presents an evidence-based proposal to Age-Friendly New York City (NYC) to include occupational therapy (OT) involvement in the Age-Friendly Working Groups. Age-Friendly NYC’s goal is to create a more inclusive city that is sensitive to the needs of older New Yorkers. Currently, working groups with topics of specific focus are convened to develop actionable goals for Age-Friendly NYC to implement. Background and evidence for age-friendly initiatives demonstrate the need to include input from older adults in the community, be multi-disciplinary and address a number of factors. There is evidence to demonstrate that occupational therapists (OTs) possess the knowledge, skills, and person-environment-occupation-performance (PEOP) models of practice that provide the link between the target population of older adults, their environment, and their occupational participation. By including OT in future working groups, Age-Friendly NYC will have access to the unique occupational perspective of OT. The addition of this perspective will enhance and expand the ideas, problems, solutions, and strategies identified by the working groups, with a focus on occupational participation. This proposal addresses the Centennial Vision’s goal of OT being widely recognized, evidence-based, and meeting society’s occupational needs. The proposal was presented to the Age-Friendly team at Age-Friendly NYC, self-reflection highlights the transformative experience of this project.

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    Occupational Therapy’s Role in the Veteran Suicide Crisis

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Kashiwa, Amy

    Death by suicide is preventable. Suicide in the U. S. military veteran population is a national epidemic with a wide-ranging impact on individuals, families, and society. The purpose of this project is to ignite a professional dialog on suicide, a serious mental health issue – absent in the profession’s research and literature. Occupational therapy’s emphasis on holistically viewing a client’s intrinsic factors, social and cultural environment, and facilitation of meaningful participation in occupation, naturally positions the profession to address the psychosocial risk factors associated with veteran suicide. The author explores the intersection of the profession’s theoretical foundation, scope of practice, and suicide theory, demonstrating a distinct professional role in suicide prevention. The author presents a case for the inclusion of suicide training as a professional competency, supported by evidence and legislation. Appraising evidence-based interventions from other disciplines the author translates evidence to the scope of practice. Articulating the profession’s value in mitigating veteran suicide risk through the utilization of occupation-based interventions for posttraumatic stress disorder (PTSD), combat stress, and depression – adds to the knowledge base of the profession. The author discusses the advantages of peer support and client-centered interventions for illness self-management with veterans. Due to the paucity of the topic of suicide in the professional literature, professional implications include education, dissemination, and future research.

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    Fostering Self-Efficacy in Combat-Injured Veterans Through Community-Based Occupational Therapy

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Lucht, Susan

    This capstone project is a program proposal outlining an evidence-based, client-centered, occupation-based, community-based occupational therapy (OT) program that supports combat-injured veterans’ and their families’ participation in health “roles, habits, and routines” in their communities and neighborhoods. The program uses two client-centered goal-based assessments, the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS), to support veterans in identifying their most important daily challenges in the occupationals performance areas of “self-care, productivity, and leisure” and to provide “a framework for documenting individualized goals in a quantifiable manner”. The program paradigm steps outside the traditional medical model to network with community providers to identify settings that foster self-efficacy in areas of occupational performance deemed important by the veteran. The alignment of this community-based OT program with key themes outlined in the Department of Veterans Affairs (VA) guiding document, Blueprint for Excellence, is addressed.

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    Staying in Tune

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Masker, Kimberly A.

    The problem of musicians’ play-related-injuries has been explored, but the majority of the literature addresses remediation versus prevention, and is largely limited to the treatment of body structures and functions. Few address the personal or contextual factors of these injuries, and fewer still examine the musicians’ own perceptions of their conditions and the impact on their occupational performance. The experiences of this population can be deeply emotional, as the music and performance may encompass multiple aspects of the person, context, tasks, and performance. This program proposes to provide holistic educational instruction to musicians on the prevention and remediation of these injuries while promoting the role of occupational therapy and contributing to the Centennial Vision. The importance of context and meaning for the musicians will be maintained throughout the presentation.

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    Back to Basics

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Mayer, Kathleen

    Child-directed, spontaneous, developmental play is being replaced with adult-led academically focused activities with potentially negative short- and long-term implications related to school readiness. Increased screen time spent engaged in television, video, or computer activity is contributing to sedentary lifestyles affecting health, well-being, and motor development and motor learning. Increased incidence of childhood obesity resulting from time spent in play which lacks physical activity impacts foundational gross motor skill development with additional social implications. This interactive presentation explored changes in the occupation of early childhood play, factors affecting play skills, and the relationship of changes in play to school readiness. The concepts of school readiness and attitudes, skills, and behaviors were discussed. A task analysis of toys and play activities was included, highlighting the sensory, motor, and social components of play. Techniques to adapt and create developmentally engaging toys was be explored in a group format.

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    Advocacy to Increase Community Access Through Vehicle Adaptation

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    McDonald, Christy A.

    The Americans with Disabilities Act of 1990 (ADA) dramatically changed our country, by creating an accessible environment in which individuals with disabilities have the same opportunities to participate in the mainstream of American life. Research indicates the lack of accessible transportation is one of the top barriers to employment, accessing community resources, retaining medical assistance, accessing secondary education, as well as spending time with friends and families. The Americans with Disabilities: 2010 study indicates that 2.2 million people in the United State use wheelchairs for mobility. Out of this population less than one out of five report active employment, and four out of five express difficulties utilizing or locating accessible local transportation in their community. The lack of accessible transportation prevents individuals with mobility impairments from participating in community-based activities. Transportation impacts their ability to make a valuable contribution to America as individuals, workers, consumers, and taxpayers. Occupational therapists work diligently to help individuals reach independence in their home and community setting. Advocating for accessible transportation through vehicle adaptations will improve community access, quality of life, and participation in desired occupations of individuals with disabilities.

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    Blue University : A Support Program for Students with Autism

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Mike, Emily

    Thousands of students with Autism Spectrum Disorder (ASD) across the country graduate high school each year with the intention of continuing their education at a postsecondary institution. Many of these students are highly intelligent and have no academic deficits, yet they are unable to complete their postsecondary studies due to high levels of stress and anxiety caused by a characteristic lack of basic life and social skills which are required in this more independent environment. Research has shown that students who receive continued support in life and social skills are more successful in postsecondary education than students who receive no support. The proposed program will provide ongoing life skills and social skills training and mentorship for students with ASD so that they can continue to fuction in a highly dynamic and demanding environment.

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    A Preparatory Cognitive-Behavioral Pain Management Program for Work Rehabilitation

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Miles, Francine E.

    This paper proposes a cognitive-behavioral pain management program that would bridge a gap between traditional therapy and work rehabilitation for injured workers with chronic pain. The main purpose of the program is to address psychosocial issues of injured workers with moderate to severe chronic pain using a cognitive-behavioral approach to enable them to particiapte in further work rehabilitation programs such as work hardening or work conditioning. The supporting current evidence for this program comes from multiple discuplines and best practices from cognitive-behavioral pain programs and work hardening/functional restoration programs. Research indicates that a cognitive-behavioral approach to pain management is beneficial in managing psychosocial factors such as depression, fear avoidance, kinesiophobia, anxiety and pain catastrophizing by altering the clients’ perception of pain. In turn, the clients regain function, specifically gainful employment. This program would be held at an outpatient clinic and would incorporate cognitive-behavioral education and functional occupational tasks. The program proposal was presented to the administration of the clinic.

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    Evidence-Based Practice Concordance

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Murphy, Nancy A.

    Evidence-based practice is an essential competency for successful entry-level occupational therapy practice transitions, and provision of accountable and efficacious evidence-based client-centered services. Currently, professional dissention exists regarding the consistency of evidence-based practice and presence of generated practice-based research evidence informing the Accreditation Council for Occupational Therapy Education standards, entry-level master’s degree in occupational therapy education curricula, and National Board for Certification in Occupational Therapy exam content. Given the potential implications of this purported discord, this evidence-based project aimed to employ a SWOT analysis exploring the concordance of evidence informing the evidence-based practice content amongst the key stakeholders entities, and identify and synthesize current strengths, challenges, and emerging opportunities. Resulting synthesized actionable recommendations offer contributions for advancing scholarly dialogue and fostering collaborative strategies aimed to enhance concordance of EBP alignment amongst the occupational therapy education curricula, education standards, and professional certification. These ensuing opportunities ultimately support the American Occupational Therapy Association Centennial Vision’s strategic initiative for enhancing the consistency of education and practice competencies, and promoting the enduring advancement of a “…science-drive, and and evidence-based…” profession.

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    An Occupation-Centered Level II Fieldwork Syllabus for Master’s Degree Occupational Therapy Students

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Nader, Fadia

    Level II fieldwork experience is an essential factor in preparing a student for clinical practice as an entry-level occupational therapist. While many fieldwork educators readily take on the supervising and mentoring role for the student, there exists a gap between the students’ book knowledge and applying their skills into clinical practice. In accordance with the Accreditation Council for Occupational Therapy Education, a primary purpose of fieldwork is to disseminate students’ clinical reasoning through occupation-centered, evidence-based practice, and cultivate proficient entry-level occupational therapy practitioners. This evidence-based project guides the fieldwork student and fieldwork educator through a level II syllabus, encompassing the Centennial Vision and the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition, while integrating the student’s learning style to effectively enhance the fieldwork experience in preparation for clinical practice.

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    The PEARL

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Rainelli, Gina

    Emotional-behavioral disorder (EBD) educational labels are on the rise within the public school system. Children are labeled earlier due to community programs and preschools idenifying the unique needs of these children. Special education strategies are needed to support children in the early education years. Yet, many children are still failing as they have difficulty handling frustration, cannot make their needs known without violence, and have trouble with simple rules, playing with others, regulating emotions, and asking adults for help. Occupational therapists have a unique set of skills to address children with an EBD label in the school system. Introducing structured yet fluid activities that are based on a child’s occupations can develop appropriate social skills in chlldren with a EBD label. The Program for the Development of Self-Esteem, Self-Advocacy, Self-Regulation, and Life Skills (The PEARL) will address the need for suitable social skills introduction at school by embedding skills into daily routines in school and at home. The PEARL will address the need for children wit an EBD label to build proper social skills, thereby influencing their lives in school and the community.

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    Golden Apples

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Renshaw, Jennifer K.

    Technology just like human development is ever changing. As individuals age, it seems that a divide begins to occur in technology use and older adults populations. In the 21st century, technology is used in a variety of ways that aligns with opportunities for engagement in occupations. These uses may include: appointment reminders, banking, tracking physical activities, virtual games, social networking, leisure exploration, continued education opportunities, and calming applications for relaxation to sleep. Many factors may influence an older adult’s ability to engage in technology use. With this in mind, occupational therapy practitioners can utilize their skills to develop meaningful technology experiences to enhance personal aread of occupational performance in the older adult population. The fulfillment of this societal need can be accomplished through development of evidence-based technology enrichment programming that focuses on increasing performance in meaningful occupations.

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    Teacher’s Reflex Integration Curriculum – Movement for the Primary Grades

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Robinson, Phillipa

    The Teacher’s Reflex Integration Curriculum – Movement for the Primary Grades is an evidence-based program that informs teachers of the effects of retained primitive reflexes and provides lesson plans for classroom and Response to Intervention (RTI) sessions. The program aims to address neuro-motor maturity in all primary grade students proposed as a result of several factors: infant sleep position, children’s time usage, poverty, increased incidence of childhood diagnoses, and learning difficulties. Following appraisal of existing programs, and considering play as a childhood occupation, neuroplasticity, the concept of dissolution, the theory of replication, and school readiness skills, the T-Rex program content was developed. The program consists of movements and games, lesson plans, lesson links, and a data collection sheet. The program’s implementation includes a presentation to four primary grade teachers, and demonstration of a lesson plan. Following the presentation and lesson demonstration, teachers respond to a questionnaire. This information guides the program’s editing, further development, and piloting.

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    A Sensory Integration Intensive Treatment Program for an Outpatient Hospital Setting

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Schaeffer, Melissa

    The proposed program consists of an intensive delivery model of Sensory Integration therapy, geared to children between the ages of three and eleven years, with a confirmed sensory processing disorder. The program consists of twice weekly forty-five minute therapy sessions, for a period of ten consecutive weeks, using a manualized protocol for delivery of Ayres Sensory Integration therapy. Pre-test and post-test measures will be used to determine the effectiveness of the program, and adherence to the Ayres Sensory Integration fidelity measure will be mandated. This intensive therapy proposal can serve as a model for future programs.

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    The Classical Academy Charter Schools Motor Lab Manual

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Six, Holly Ann

    Evidence shows that the use of movement can improve that ability of students to focus and function within the classroom environment. This manual was developed to provide a program guidelines for a before-school Motor Lab program at the Classical Academy Charter Schools. The program incorporates activities designed to take advantage of movements with which students may have difficulty. Evidence shows this may create a lack of focus and poor academic performance. The manual provides an overview of the rationale behind the program. It includes the characteristics of students who might benefit from inclusion in the program and definitions of the types of movement targeted in the activities. It also includes program logistics, descriptions, poster diagrams of twenty-five Motor Lab activities, and a list of needed supplies.

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    Entry-Level Occupational Therapy Doctoral Experiential Component

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Stephenson, Sara

    The entry-level occupational therapy doctorate (OTD) is one of two degree entry points for occupational therapy (OT). OTD programs require additional clinical experience beyond what clinical sites usually provide. OTD students must complete a 16-week doctoral experiential component and meet the requirements for level II fieldwork, which differs in nature and scope from what clinical sites are accustomed to. Clinical sites need to understand: students’ basic requirements; clinical sites’ responsibilities; how to maximize gains for te OTD student and clinical site; how to effectively mentor students; and the steps to develop programs that advance clinical practice and scholarship. Forming a unique partnership betwee OTD students and clinical sites, offers scholarship opportunities to clinical sites through mutually beneficial, in-depth experiences. These opportunities can be focused to meet the needs of the site, which may benefit from participating in publications, and initiating or completing research designs – providing optimal doctoral experiential component experience for the student and clinical site.

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    Occupation-Based Intervention in Acute Hand Rehabilitation

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Taft, Michele

    Though there is a gradual increase in research evidence supporting the benefit of occupation-based care in the general rehabilitative setting, little is available in the hand therapy literature. Hand therapy, much of which is based in the biomechanical approach of the medical model, poses particular difficulty for the occupational therapist (OT) to incorporate occupation into patient care. However, when looking at the patient holistically, the greatest need and opportunity for an occupation-based approach occurs during the first encounter with the patient.

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    The Missing Piece

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Tanish, Kimberly

    The increasing number of aging adults in the United States population calls for an increased number of caregivers. Post-acute care settings are confronted with changes in reimbursement structures which have led to decreased lengths of stay within an institution with skilled caregivers and a discharge to home with informal caregivers; hence, there is a need for improved training of caregivers and family members in order to effectively manage the care of their loved ones at home. The quality of life of caregivers also needs to be considered in order for them to maintain their caregiving role. Therapists will be trained in a four-hour continuing education course regarding the family-centered care model and its implications to practice in a geriatric setting. The effects on the patients when caregivers are incorporating into treatment will be analyzed and effective communication strategies to use with adult caregivers and family members will also be discussed in order to improve carryover of therapy recommendations.

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    A Level II Fieldwork Program for Occupational Therapists in Hand Therapy

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Washington, Latisha

    In the past decade, there has been an increase in demand for occupational therapy (OT) fieldwork placements secondary to increased student enrollment in master’s degree in occupational therapy (MOT) programs. Unfortunately, the establishment or availability of fieldwork sites is not growing as fast as student enrollment and the result is a shortage of fieldwork placements. This level II fieldwork program strives to help alleviate the shortage of fieldwork placements by introducting and evidence-based clinical education program to be used by clinicians interested in participating in the role of fieldwork educator (FWE) and establishing the hand therapy clinical as a fieldwork site. To achieve this goal, the best available evidence is used to help determine what factors are needed to ensure a quality fieldwork experience and reveal clinicians’ perceived barriers and facilitators to taking on the role of FWE. The proposed program will help occupational therapists employed in the hand therapy clinic implement and facilitate a meaningful, effective, and structured fieldwork experience.

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    Alzheimer’s Disease and Related Dementias

    Published Year: 2015
    Program: Doctor of Occupational Therapy

    Webb, Michele L.

    Alzheimer’s disease is a pervasive, progressive condition that affects millions of individuals in the United States, with African-Americans are also at a higher risk for the development of vascular dementia, as there is a correlation between decreased physiccal activity, poor nutritional intake and health habits, acting as contributory factors for cardiovascular disease. The focus of this capstone project is the presentation of a 4-hour continuing education course to instruct occupational therapy practitioners on the imortance of helping clients and caregivers of those with Alzheimer’s disease and related dementias to utilize occupational profiles and performance as a contextual guide to facilitate continued participation in valued and meaningful activities. The maintenance of health status to prolong function and overall well-being will be an overarching theme of this capstone project. The constructs of physical and emotional health, approproate nutritional intake, and activity engagement will provide the framework for a holistic and client-centered approach to care.

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2016

    Successful Students, Outstanding Occupational Therapy Fieldwork Educators: Companion Manuals for Hand Therapy

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Bergner, Jamie L.

    An educational revolution has begun, with the occupational therapy profession swiftly seeking to understand the complex phenomenon of fieldwork. An in-depth review of the literature will reveal barriers to success in fieldwork education, and identify opportunities to solve problems from the perspectives of all stakeholders. A capstone project will emerge from education pedagogy and occupational therapy theory solidly grounded by a new model of collaborative fieldwork education. This model forms a map to construct companion manuals, an educational resource and fieldwork curriculum designed to meet the needs of Level II occupational therapy fieldwork students and fieldwork educators in hand therapy. The backward course design of both fieldwork curriculums outcrops from accepted professional standards and competencies, solidly linking academic education to clinical practice. Curriculum design elements are pedagogy rich with constructivist learning theory. Integration of an occupational therapy model and Frames of reference will be demonstrated, with terminology consistent with the American Occupational Therapy Association’s (AOTA, 2014) Occupational Therapy Practice Framework: Domain and Process, third edition (Framework-III).

    Three fully developed units from the student manual showcase case-based learning in a flipped classroom, instructional technology environment. The fieldwork educator manual depicts three fully developed units focused on professional development in the role of a leader and an educator. Implementation moved toward scholarship in the form of a proposed presentation to a publisher to be delivered after this capstone. Wheels are already turning with the implementation of a signed authorship agreement, and this capstone project is about to be set in motion in its scholarly journey toward the AOTA Centennial Vision (AOTA, 2007).

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    Come & Play: Movement in the Classroom to Promote Learning

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Bledsoe, Margaret

    Mastering gross- and fine-motor skills is fundamental for the growth of children developmentally between kindergarten and the fifth grade. This document proposes a motor program and a companion guide of gross motor activities for elementary school-aged children. The evidence-based information supplied outlines the current strategies available to mitigate motor issues, implements necessary actions and updates, increases participation, and includes proposed useable measures with the companion guide. The program emphasizes the importance of daily movement-based physical activity, along with directed skill-building undertakings, and disseminate their effect on overall academic edification and achievement.

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    Supporting the Successful Transition of Intellectually Disabled Students to Employment

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Brady, Ellenmarie

    School systems spend millions of dollars in an attempt to provide education and training that will help intellectually disabled students successfully transition to meaningful employment. However, most of these students are either unable to attain or maintain employment for more than brief periods. The breakdow in occupational performance invloves multiple factors, including social skills, personal organization, lack of support in the workplace, difficulties performaing tasks, issues with work pace, travel issues, and stress. Those who are unable to sustain jobs pay mental, emotional, and psychosocial costs for this occupational alienation. In addition, caregivers, families, and society bear the physical and financial responsibility for their care. This program will identify some of the performance skills needed for successful employment, and will provide evidence-based interventions that occupational therapists can utilize during the transition planning stage of secondary school.

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    Strategies to Improve Executive Functioning in Students

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Butler, Maureen P.

    Well-developed executive functioning (EF) skills are essential for successful participation in school. It is necessary for students to possess these skills to effectively manage tasks such as organizing their time, assignments and schedules or making a plan and seeing it through to completion. Moreover, well-developed EF skills are necessary for a student to self-regulate, attend to task and to inhibit impulses. Most students, but especially those with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD), have difficulty with these foundational skills. This results in difficulties academically and socially and makes successfully fulfilling their role as a student challenging. This four-hour, evidence-based workshop was designed to present to a group of teachers and school-based occupational therapists to instruct on effective ways to recognize and treat difficulties with executive functioning in students. While the presentation will target middle school teachers, fourth and fifth-grade teachers will also be encouraged to attend as an improved understanding of executive functioning difficulties may help them better prepare their stduents for the often-stressful transition to middle school. Furthermore, the workshop will prepare participants to implement evidence-based strategies to make their students more successful in and out of the classroom. Finally, the role of occupational therapy (OT) in addressing executive functioning difficulties with students will be discussed.

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    Response to Intervention

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Carson, Linda Ellen

    Within the public school system, many general education students struggle with their daily academic tasks. Taking a proactive approach, my school district provides an intervention plan called Response to Intervention (RtI) to equip teachers and students with ideas and strategies to improve general education students’ academic performance, an intervention process supported by The Individuals with Disabilities Education Act. RtI is a tiered intervention system that increases by level as the student continues to require support. Once the intervention reaches the third tier, the student may receiv either an observation or evaluation by and occupational therapist (OT) to provide an OT’s perspective on the student’s performance of fine motor, visual-motor, and visual perceptual tasks involved in specific areas of difficulty. An OT is an excellent source of strategies to enhance student performance in many areas of academic participation at all three levels of intervention. A manual demonstrating the effective implementation of OTs as members of the RtI team to improve general education students’ participation in academic is the basis for this capstone project.

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    Family Routines

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Cirrincione, Claudia

    Childhood development and well-being is influenced by the cultural, physical and family aspects of the environment. Routines are a contextual element involving predictable patterns of behavior that provide structure and order to the household environment. Trending changes to the family unit as well as busy lifestyles and technology have insidiously influenced family and child routines. Therefore, the use of routines influences the environment and childhood development and well-being. Within the occupational therapy literature, there is a paucity of articles on family routines and their relevance in childhood development. This lack of information indicates a need for knowledge dissemination in this area to inform the profession to meet the needs of families and society. This capstone project is a manuscript for submission to the American Journal of Occupational Therapy (AJOT). The topic of family routines aligns with AJOT’s guideline for topics that examine the relationship and patterns of engagement in occupations to childhood well-being and development. This manuscript describes the evidence for the relevance of routines and explores strategies that facilitate the establishment and sustainment of three routines subtypes: mealtime, bedtime, and homework.

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    Facilitating Family Bonding for Children with Autism, an Evidence-Based Program Proposal

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Cortez, Evelyn

    This capstone project conceptualizes a program proposal for the stakeholders of an early intervention (EI) program that would benefit from offering a series of family bonding classes to families of young children with autism. The focus of the classes will be to educate parents and caregivers of children newly diagnosed with autism. The education will comprise of the effects of autism spectrum disorders (ASD) on family relationships. It will model effective and evidence-based contextual coachig techniques in the family’s natural environment, and will coach parents on the developmental, individual difference, and relationship-based (DIR)/Floortime model as an intervention that facilitates parent and sibling bonding. Additionally, the intent of this capstone will be to contribute to building stronger family relationships and social interactions by using evidence-based interventions that occupational therapists can employ in contributing to the child occupations of play and socialization. The experiences created through this program will offer parents the toold necessary to increase family interactions among siblings as well. The daily demands of therapeutic interventions and parenting a child with special needs often leaves family members longing for a deeper connection and emotional attachment. The participation, love, and support of family and friends will be instrumental in order to sucessfully implement Family Bonding for Children With Autism. Therefore, my desire is that after completing this program, families living through the negative effects of autism will develop new hopes and dreams as they build memorable bonding experiences and become empowered by increasing their child’s level of social confidence.

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    S’cool Moves

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Dale, Tammy

    This evidence-based program examines the literature published with regard to adding physical activity to the general education classroom, and specifically proposes adding the S’cool Moves program to kindergarten and first through third grade classrooms in a school located in Castle Rock, Colorado. Different levels of applicable theory underpin the proposal, including the Person-Environment-Occupation (PEO) model, the Allen’s Cognitive Levels (ACL) frame of reference, and Occupatioanl Therapy Practice Framework: Domain and Process, 3rd Edition. As rationale for incorporating S’cool Moves into general education classrooms, this proposal explores legislative influences and research related to classtoom physical activity. It also addresses aspects of scholarship and supports the advancement of the occupational therapy profession.

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    Evidence-Based OT for People with Dementia

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Dell, Kathie

    Occupational therapy treatment delivered to aging adults requires clinicians to provide interventions that achieve meaningful impact within the parameters of shortened lengths of stay due to the changes in post-acute rehabilitation. As a practice scholar, one can excite other occupational therapy practitioners and mentor them to become leaders through advanced learning. A practice scholar can address the needs of the people served by changing the culture that continues to dominate occupational therapy practice and promote a transition away from the medical model toward a client-centered, occupation-based model supported by evidence. This capstone project is a process dedicated to education, training, and leading change in the delivery of occupational therapy in post-acute care by fostering confidence in evidence-based practitioners. The presentation will explore barriers, provide strategies, support knowlege translation and integrate evidence-based practice quickly, in post-acute rehabilitation in the care of clients with dementia and their caregivers.

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    Animal Assisted Therapy

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Dokken, Karel

    The animal-human bond is strong, often creating the sense of acceptance, emotional balance, and purpose for the human in the relationship. Through this paper, the readers will learn the importance of the animal-human bond in healthcare and how the incorporation of animals into the school-based setting increases student occupational performance. The impact of the Animal Assisted Therapy (AAT), on the profession of occupational therapy, while striving to meet the American Occupational Therapy Association’s Centennial Vision through developing an innovative, community-based practice is discussed in this program proposal. While exploring the different types AAT, an extensive literature review reveals improved student outcomes and participation in the areas of academic achievement, motor skills, social participation, self-regulation, and vocational skills. The aim of this program proposal is to provide readers and key stakeholders within a large metropolitan school district the evidence behind AAT to discuss the importance of developing and implementing a pilot AAT program within the occupational therapy department at an elementary school and high school.

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    Occupational Therapy Guidelines: Supporting Students with Learning Disabilities in Private Elementary Schools

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Fagan, Alyssa M.

    Current experts in the field of school-based occupational therapy discuss best practices and guidelines in consideration of federal and state law. However, private schools do not always operate under this legislation because they do not always receive funding from these sources. The determination and development of internal guidelines for SBOT practice is variable and may or may not consider best or evidence-based practices in a private school setting. The American Occupational Therapy Association (2011a) states that working in private or independent schools is a developing area of practice for occupational therapists. The lack of guidelines for best practices for occupational therapists in private schools, in conjunction with the increased trend occurring in this practice area, emphasizes and substantiates the importance of developing guidelines for school-based occupational therapy practice in a private school setting. Mission statements guide private school practice and represent the student population that they educate. Focusing the guidelines on the target population of students with learning disabilities in a private elementary school setting aids in specifying elements within the program manual.

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    Employee Turnover

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Glynn, Jaclyn

    Quality employees are the foundation to a successful healthcare organization. High rates of employee turnover have prove to have detrimental effects on clients, a healthcare organization, and the field of occupational therapy. Therapy manager and administrative personnel must consider the many factors that influence employee turnover and consider strategies that aid in retaining quality employees. This manuscript aims to explore the literature to determine factors that influence employee turnover, the effects of turnover, and strategies to retain quality employees. The intent is for therapy managers to utilize the evidence provided in this capstone project to help support their staff and ensure optimal performance as occupational therapists as well as promote occupational therapy and create an accessible and collaborative field.

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    Utilizing Evidence-Based Sensory Integration Intervention and Outcome Measures for a Pediatric Clinic

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Gregg, Susan T.

    This paper is a program proposal to implement the latest evidence-based treatment approaches into a pediatric outpatient clinic setting utilizing a sensory integrative (SI) approach to treatment. This implementation will consist of three evidence-based approaches. First, the Ayres Sensory Integration (ASI) framework and Data-Driven Decision Making (DDDM) will be discussed and utilized. Second, a Fidelity Checklist will be created to ensure adherence to the ASI framework and consistency of treatment. And third, Goal Attainment Scaling (GAS) will be utilized as an outcome measure, as it is sensitive enough to detect the diverse gains made using the SI frame of reference. This paper represents my capstone project proposal for completion of my doctoral degree from Rocky Mountain University of Health Professions.

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    Clinical Anatomy Application

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Hall, Renee

    My capstone project, titled “Clinical Anatomy Application: Prosections with Case Studies for Occupational Therapy Fieldwork Preparation” aimed to prepare master level occupational therapy students entering a Level II fieldwork in hand therapy by means of an evidence-based education workshop with foundational case study forums. Using a flipped classroom design, the students worked through three case studies that related to scenarios commonly seen in hand therapy, which they later applied clinically in the lab. The case studies started four weeks prior to the prosection lab using the students’ university online forum. I introduced a new case study each week in the forum with various clinical and anatomical questions. The case studies reflected evidence-based practice and the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition. Additionally, the case studies included occupational therapy models that promoted client-centered interventions with an emphasis on occupation. After completion of the case study forums, the students attended a four-hour upper extremity cadaver lab with prosections to review anatomical structures that related to occupational therapy clinical practice. The lab provided ample active learning opportunities to prepare students for fieldwork including activities and discussions that linked the case studies to the respective anatomical structures.

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    Clinical Fieldwork Manual

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Jeanty, Guerdy

    The occupational therapy profession is currently experiencing a severe decline in the number of clinical fieldwork settings and fieldwork educators willing to supervise students who will become the future occupational therapists (OTs). The unwillingness of occupational therapists to act as mentors or fieldwork educators for occupational therapy students has been increasingly detrimental to the profession and has begun to create a vicious cycle of negative effects in the United States and globally. Fieldwork education is the element that bridge students from classrooms to service delivery settings. There are few students that describe the factors influencing OTs’ disinclination to serve as fieldwork educators (FWEs). Ten out of 20 studies have considered the barriers and benefits for FWEs to provide mentorship for level II OT students to decrease this fieldwork educational crisis. These studies have expounded on factors explicating FWEs willingness to supervise OT level II students and the need to increase fieldwork education opportunities for the students. Personal and professional factors, including students’ lack of foundational documentation skills, communication skills, ethics, and lack of readiness to particiapte in practical clinical skills have influenced FWEs willingness to accept students. Other factors have included academic and facilities constraints. These identifiable factors are such as physical supports and resources, time allotment in the clinician’s schedule, self-assessment tools for students and FWEs were cited in many of the studies. Detailed fieldwork manuals aligned with practice objective were considered vital also. Fieldwork education is a catalyst in closing the existing gap between theory and practice and it gives OT students opportunities to apply theoretical knowledge to clinical practice. FWEs have stated that even witht he decline in clinical fieldwork settings, barriers in the form of the lack of necessary resources available to FWEs will prevent them from assuming their role. The fieldwork manual will provide FWEs with resources and guidelines to evaluate students’ performance and to maximize their educational experiences during the fieldwork placement. The fieldwork manual will also provide a thorough background in relevant policies, procedures, and processes to assist OT students to develop into a confident entry level practitioners.

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    Capstone Project and Deliverables

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Keefe, Caroline Kate

    Per the Centennial Vision, entry-level professional education must prepare clinicians to meet the needs of the population living with dementia and their care partners. Education standards that focus on cognition are in alignment with existing evidence; inside and outside of the profession of occupational therapy. Various practice models in support of specialized dementia care and how they inform the role of occupational therapy in the service of persons living with dementia are presented. National initiatives in healthcare reform align with evidence to support the role of occupational therapy with this special population; to reduce the occurrence of neuropsychiatric symptoms, use fo psychotropic medications, and prevention of excess disability through the promotion of meaningful occupations.

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    The Use of Simulation in Occupational Therapy Assistant Education to Enhance Learning

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Kelley, Kelly

    A simulation moduel was developed and integrated into a third semester course within the occupational therapy assistant (OTA) curriculum to provide educators and students with an evidence-based and effective teaching method to enhance learning, and to integrate knowledge learned in the classroom with the clinical skills necessary to become successful occupational therapy (OT) practitioners. Research supports the use of simulation to contribute to the overall learning experience and to better prepare students to become confident and competent clinicians. The simulation module developed includes elements which support the overall goal of providing an active learning experience for OTA students which promotes engagement with the information learned and reflection on performance in order to strengthen and improve knowledge, skills, and interactions to prepare students to become more effective and efficient OT practitioners. Upon the successful completion of this module and reflection on its implementation, there are compelling reasons to continue to develop and utilize simulation modules throughout the OTA curriculum.

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    Tests and Measures Manual for Occupational Therapists in an Acute Hospital Setting

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Lietzow, Laurette

    Best practice for occupational therapists requires the use of evidence-based research to demonstrate the quality and efficacy of services provided to clients. A way to enhance the service delivery to clients is by using reliable and standardized methods of assessment. Standardized assessments must be population and setting specific to be valid and reliable measures that show clinically significant change. A literature search revealed six evaluation tools that are relevant for use with clients who have cardiac and respiratory conditions in the acute hospital and intensive care unit. These tests include the Alpha FIM, AM-PAC “6-Clicks” daily activity short form, Assessment of Motor and Processing Skills (AMPS), Barthel Index (BI), Functional Status Score in the Intensive Care Unit (FSS-ICU), and the Physical Function Intensive Care Unit Test (PFIT). A test manual describing each assessment’s purpose, design, scoring, cost, timeliness of administration, training requirements, and the available research’s strengths and weaknesses are examined.

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    Promoting Participation Through the Integration of Video Modeling and Data-Driven Decision-Making in the School-Based Setting

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Lindsay, Gayle M.

    Video modeling has been studied over the years to determine the effectiveness in promoting skill acquisition. Researc by Campbell, Morgan, Barnett and Spreat supports its impact on facilitating independence with self-care skills. Although video modeling is a viable intervention which is supported by evidence in the literature, there is a gap in how widely it is integrated within schools. A continuing education course for occupational therapists treating in schools was presented in order to transform practice patterns. Participants learned how to develop video modeling vignettes and to integrate this evidence-based practice into the treatment setting. Participants also learned how to measure progress and collaborate with school staff on utilization across envrionments.

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    Capstone

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Luna, John S.

    Pediatric therapists treat clients ranging in age from birth to twenty with a gamut of diagnosis. Successful intervention begins with a successful evaluation. Incorporating a variety of norm-referenced and criterion referenced evaluations is becoming increasingly valuable in documenting progress, justifying services to third-party payers, and selection of goals. This evidence-based continuing education, based on the American Occupational Therapy Association’s (AOTA) Occupational Therapy Framework: Domain and Process, outlines the evaluation process, identifies occupation-based evaluations and explores the integration of occupation-based evaluations in the development of occupation-centered intervention plans for pediatric clients. This continuing education entitled, “Occupation-Based Evaluation for pediatric clients: What are they? And Why You Should Use Them” is intended for entry-level occupational therapists, occupational therapy students, and experienced therapists transitioning to pediatric practice. Objectives include identifying appropriate occupation-based evaluations, integrating findings from occupation-based evaluations to develop occupation-centered/focused intervention and outcomes, and understanding the importance of occupation-based evaluations when using a top-down approach for pediatric clients.

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    An Evidence-Based Business Plan for a Feeding Clinic

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Miller, Nicole E.

    Typically developing children as well as children with developmental delays or disabilities are at risk for developing problems with some aspect of feeding, eating, or swallowing. Optimal functioning in these activities of daily living is essential for survival and quality of life; however, limited access to clinicians who specialize in feeding therapy should ideally have supplementary training in oral motor, sensory, and behavioral techniques. Research shows that these techniques produce optimal outcomes when used in combination to assess and treat children with feeding, eating, and swallowing problems. The available evidence for feeding therapy was appraised and used to formulate a business plan for an evidence-based feeding clinic that will serve the North Front Range in Colorado. This business plan was then presented to a feeding specialist, who owns a private practice and provides continuing education internationally on oral motor techniques, for feedback to strengthen the business plan.

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    Evidence-Based Practice in Utah

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Mueller-Planitz, Florentina

    This paper describes the creation and proposed implementation of Evidence-Based Practice in Utah: A Module for Occupational Therapy Students (UTMOST), an educational module to be used by students during their level II fieldwork at an acute care hospital in the United States. UTMOST will promote evidence-based practice, clinical competency and scholarship in occupational therapy students doing their level II fieldwork. UTMOST furthers the American Occupationla Therapy Association’s (AOTA) Centennial Vision by strengthening the relationship between clinicians, educators and students. The module was informed by concepts, and uses language from the Occupational Therapy Practice Framework: Domain and Process, 3rd edition. It adheres to standards of the Accreditation Council for Occupational Therapy Education and promotes American Occupational Therapy Association’s Continuing Competence Standards. The module was developed as a result of a review and appraisal of current literature and evidence.

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    Wheelchair Procurement for the Aging Adult

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Pedersen, Jessica Presperin

    The prevalence of the need for wheelchairs increases as the population ages. This capstone project involves the creation of an evidence-based pictorial manual describing the process for wheelchair procurement. Rehabilitation Technology Suppliers who are expert in the evaluation and recommendation of wheelchairs are no longer participating in the Medicare procurement process due to the competitive bidding contract that went into effect on July 1, 2016. This places adults who are aging in a position of working with dealers who do not understand the importance of taking appropriate measurements and fitting the components to match a person’s needs. The manual is designed for occupational therapists working with Medicare beneficiaries receiving manual wheelchairs, power mobility devices, general purpose seat cushions, and back supports that fall into the competitive bidding category. This manual will utilize evidence-based literature and experiences to provide the occupational therapist with a tool for providing optimal intervention for wheelchair and seating procurement.

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    Executive Functioning, Attention and Motivation

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Raymond-Tolan, Lisa

    This capstone describes a Master’s level occupational therapy course about executive functioning, attention and motivation in children and adolescents. In this course, students will examine concepts regarding executive functioning (EF) skills, and learn assessment and intervention strategies of EF challenges, including issues with children with attention deficit hyperactivity disorder. Finally, students will explore Self Determination Theory; the three psychological needs of autonomy, relatedness and competence; and the Synthesis of Child, Occupational Performance and Environment model. This course brings together concepts in childhood development; performance skills needed for school, play and self-care; and psychological and mental health with a strong focus on occupation and participation. These constructs and approaches holistically support children in all of their various occupations, particularly those involving academic and learning. The aim of this course is to provide entry-level therapists with a broader theoretical and intervention “tool-kit” to use in client-centered pediatric practice.

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    Enhancing Professionalism Among Occupational Therapy Students

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Reiter, Kate L.

    Occupational therapy educational programs have a high enrollment of students from Generation Y; often referred to as Millennials. In contrast, most occupational therapy program faculty and clinical supervisors are part of older generations that have differing expectations and perceptions related to professionalism. This generational gap makes for a diverse classroom and clinical environment, which can often lead to misunderstanding, assumptions, frustration, disconnect, disappointment, and conflict. Each generational group has a shared culture and set of experiences, characteristics, vlaues, attitudes, and beliefs that influence their behavior, expectations, and perceptions surrounding professionalism. Therefore, when teaching professionalism to occupational therapy students, one must consider the cultural underpinnings and influences related to generational groups and their differences. The capstone project presented and discussed in this document is a manuscript that explores the relationship between culture and professionalism. The manuscript describes how generational culture influences professional behaviors and proposes the use of a critical reasoning construct developed by this author. Based on the language of the Occupational Therapy Practice Framework: Domain and Process, 3rd edition, the proposed construct intends to enhance professionalism and cultural effectivenvess among occupational therapy students and guide them in meeting generational expectations related to professionalism.

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    Lifestyle Awareness

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Rinholen, Anna

    The aging population continues to have a high risk for vulnerabilities related poor health, mortality, and incapacity. These vulnerabilities are due to a lack of health promotion and prevention, such as poor advocacy, and create a potential risk for increased health disparities and disabilities. The capstone encompasses a program proposal to facilitate health professionals in the development of an evidence-based, well-elderly population workshop. A presentation to occupational therapy stakeholders on the purpose and rationale of the proposed workshop aided in delivering specifics of the program proposal including the target population, context, deliverables, outcome measurements, supportive application to therapy, evidence to support the project, and delivery of modules. Four evidence-based modules included: resources with a corresponding presentation on preventative strategies related to the process of agin, massage for improved physical and emotional health, yoga with accompanying meditation/breathing techniques to enhance quality of life and lessen stress, and Tai Chi for concepts including balance and strengthening to assist in fall prevention. This program proposal, using a PowerPoint presentation and manual, addressed a community-based need for health promotion and wellness while allowing a healthcare team of occupational therapists to empower the aging community to be aware of healthy lifestyle support.

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    The Occupational Therapist’s Role in Hand Therapy

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Rodriguez, Dorinda

    This project promotes the occupational therapy profession while educating health care professions about the certified hand therapist’s role in the treatment of musculoskeletal conditions of the upper extremity. This capstone project, “The Occupational Therapist’s Role in Hand Therapy: A Collaborative Approach to Health Care Success,” gathers medical students and physician assistant students for a 4-hour interactive interprofessional education course (IPE), in which a certified hand therapist (CHT) teaches in a dual format involving a didactic lecture and a hands-on lab. The course provides health care professionals with a better understanding of the occupational therapy profession and evidence supporting effecitve therapeutic outcomes that occupational therapists/CHTs offer. Educating future medical and physician assistant students through an effective interprofessional approach will foster their understanding of upper extremity muscuoskeletal conditions, thus improving the efficiency and effectiveness of their treatment approach. Sharing theoretical knowledge of occupational therapy, which is the basis for client-centered evaluations and use of evidence-based interventions for these conditions, allows for increased collaboration among healt care providers, resulting in improved functional outcomes. Health care providers must make the most appropriate treatment decisions for their clients to ensure successful occupational performance outcomes, as the rising cost of health care premiums and out-of-pocket expenses may restrict treatment visits.

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    Project Proposal for Occupational Therapy in Post-Bariatric Surgery Aftercare Program

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Ruediger, Deborah E.

    My personal and professional experience with obesity ad bariatric surgery provides me a uinque viewpoint for understanding the need in the healhcare field for comprehensive post-bariatric surgery care. Most healthcare systems focus solely on the medical and nutritional aspects of weight loss after bariatric surgery. This focus limits the client as it does not address the modification of their occupations and maladaptive behaviors to ensure long-term success. The focus of my capstone is to create a program proposal to include occupational therapy intervention after bariatric surgery to incorporate what the clients value in their occupations into a program that builds new and healthy habits. The secondary focus of the capstone will be to analyze, plan, and project the business structure, cost factors and financial gains involved with adding occupational therapy into a bariatric sugical program. Through the introduction of this program, the goal is to integrate occupational therapy as a standard of care post-bariatric surgery to ensure the clients reintegrate into their daily occupations and modify maladaptive behaviors for long-term success.

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    Parenting ABCs

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Seiler, Sue A.

    Parenting ABCs: Advancing Baby’s Capabilities’ is an evidenced based program proposal targeting new parents and their babies. The proposed group, utilizes educational modules for parents fo infants, imparting information regarding facilitation of a baby’s development and how to provide a nurturing and stimulating environment in which a child can grow and thrive. The experiential learning sessions delivered to parents through each module, assists parents in providing their infants with protective experiences for health promotion in the short term and enabling optimal health trajectories, minimizing adult disease with origins in childhood, for the long term. This program contributes to the realization of occupational performance mastery for both parent and child.

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    Safety First

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Still, Susan

    Eating and drinking are functional tasks students participate in daily in the public school setting. It is the school’s responsibility to ensure students are safe when eating and drinking and receiving adequate nutrition and hydration to be available to learn and access the curriculum. Teachers and paraprofessionals often have limited to no medical knowledge on feeding students with complex health needs are often the primary staff members supporting students during meals. It is important for school districts to educate all school personnel on the risk factors, signs and symptoms of dysphagia, and have specific protocols staff should follow when there are feeding concerns for students. When school districts do not have standard processes and procedures in place to support students with dysphagia, it can affect the ability for students to receive a free and appropriate educations (FAPE). This capstone project consists of an evidence-based feeding and swallowing program for a large public school district and a manual for the program, which will include policies and procedures the district can follow. The goal of this project is to provide vital information about the legal and ethical obligations public schools have to address feeding and swallowing, improve identification of students at risk for dysphagia, provide standards of care based on evidence, and provide strategies to improve staff adherence to student feeding plans.

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    Occupational Therapy Clinical Fellowship

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Turner, Tenika

    Evidence-based practice (EBP) is one of the cornerstones of current occupational therapy practice. Research shows that entry-level occupational therapists report difficulty implementing current evidence into practice. A gap exists between knowledge and application of EBP for several reasons, including poor development of critical thinking skills, lack of knowledge or understanding, poor managemnt of time, and lack of confidence in transferring EBP to practice settings. To bridge the gap between current evidence and practice, a clinical fellowship is proposed for master’s-level occupational therapy students to participate in a 2-week, physician-supervised, clinical rotation to initiate and develop a critical pathway for treatment intervention. This fellowship would focus on students chosen by the program director and fieldwork coordinator. The proposed fellowship addresses the growing gap between current research and clinical practice implementation. The future of occupational therapy practice depends on entry-level therapists’ preparation regarding critical thinking, problem, solving, and EBP implementation. Considering the overwhelming amount of information available via the Internet, access to relevant material is a concern for clinicians. To bridge the gap, a clear guide for developing and implementing research-based evidence must be established. Students must be able to identify and appraise relevant research to support interventions in practice.

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    Fieldwork Education in Community-Based Occupational Therapy Practice

    Published Year: 2016
    Program: Doctor of Occupational Therapy

    Vaughan, Amy

    Designing educational programming that utilizes evidence-based methods to support occupational therapy students in translating knowledge into practice effectively benefits the occupational therapy profession. This project aims to outline a process that incrementally develops a proposed program that will explore the benefits of advanced experiential learning and application of skills in occupational therapy education. This project seeks to highlight the benefits that will be gained by utilizing evidence-based methods of instruction in coordination with an applied model of practice and frames of reference in order to create valuable, effective clinical practice preparation for occupational therapy students. The program proposal presented in this project will support the translation of foundational knowledge that the occupational therapy students receive during their formal education with clinical experience and application in leading a pediatric motor lab and social skills group for children with autism.

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2017

    Educating Undergraduate Occupational Therapy Students in Splinting Musculoskeletal Deformities

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Abuarthareh, Anita

    The topic of this capstone is the creation of an evidence-based resource for educating undergraduate occupational therapy students in improving skills associated with splinting, range of motion and the proper used of a goniometer with people living with a musculoskeletal deformity associated with the upper extremity. Some of the aberrations highlighted in this manual include deformities of the elbow, wrist, and fingers. Students will be able to incorporate strategies learned from this manual and determine if the content is helpful in building a deeper understanding of the concepts needed for splinting people diagnosed with various upper extremity deformities. After reviewing the content in this manual, students will be more comfortable to be able to select and fabricate the appropriate splint based on the needs of the client. Students will be able to use this manual as a tool throughout the continuum of their professional development of becoming Occupational Therapists (OT) skilled in providing services that meet the growing needs of the people diagnosed with musculoskeletal deformities affecting the upper extremity. It is imperitive to include that the intent of this project is not to replace existing information on splinting but to add additional resources focused on splinting uncommon deformities associated with severe upper extremity deformities.

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    Classroom Vocational Skills Training Program

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Austin, LaShay

    Transitioning into adulthood is a monumental experience, producing a host of emotions. Preparing middle and high school students with Moderate Intellectual Disability (MOID) and Autism Spectrum Disorder (ASD) for post-secondary employment after graduation requires planning, preparation, and practicing of employability skills. This capstone focuses on creating a classroom vocational skills training program (CVSTP), introduced by an occupational therapy (OT) practitioner that will provide daily practice of social, life, and job skills in classrooms. Students with disabilities secure employment less frequently than their typical peers after graduation, resorting to living with parents and family members. Meaningful interaction with society may be limited, while depending on disability for financial support. The lack of practice of vocational, social, and life skills creates a gap in employment for individuals with disabilities. OT can support a student’s Individualized Education Program (IEP) goals to develop vocational skills needed for MOID and ASD students to become an empowered and instrumental citizen in society.

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    Therapeutic Neuroscience Education and Conservative Management of Lateral Elbow Tendinopathy

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Barker, Lorie Y.

    Lateral elbow tendinosis (LET) is a condition familiar to many therapists treating the upper extremity; however, there is a lack of evidence supporting effective treatment methods and outcomes. LET is often treated using exercise and modalities despite the lack of evidence supporting their effectiveness. Furthermore, LET is often treated as an inflammatory condition. The current literature suggests it is a chronic condition which warrants a different approach to intervention. It is the aim of my capstone initiative to provide therapists with an evidence-based program addressing the management of lateral elbow tendinosis as a chronic condition. The use of neuroscience education is effective in the management of chronic neuromuscular conditions; therefore, my capstone will provide a framework to manage LET by merging evidence-based musculoskeletal approaches to treatment, i.e., exercise and the use of neuroscience education to promote optimal outcomes in clients with this potentially disabling condition.

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    Ascension Living Assisted Care Homes

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Bielefeld, Tim

    Facing a disability through an intensely life-changing obstacle such as a stroke can change a person’s ability to care for themselves, and alter their quality of life. An acute stroke will often result in disabilities requiring assistance in the continuation of daily activities. An occupational therapist designed and operated assisted care home can create a quality environment through the pursuit of evidence-based leisure interventions that return an individual’s satisfaction with living. Created a sound business plan for this home, throughthe production of a mission vision, and value statements, SWOT analysis, market and completion analysis, marketing plan, human resources and financial plan, can set the stage for a successful enterprise. In order to enable a satisfying quality of life for residents in this environment, occupational therapy will pursue participation in leisure activities, such as socialization, music therapy, animal-assisted therapy, and physical activities. Discovering the importance of occupation based leisure activities in this business environment enhances occupational therapy through the pursuit of entrepreneurship, scholarship, and the visibility of the profession. This project will improve the profession’s scope of leadership and public perception allowing an enhancement of the field.

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    Interdisciplinary Screening & Evaluation for Autism Spectrum Disorder

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Caplan, Stacey S.

    Early identification and intervention of children with autism spectrum disorders (ASD) is essential to their developmental and performance outcomes. While the American Academy of Pediatrics recommends developmental surveillance and autism-specific screening within the first two years of life, such activities are challenging for primary care physicians due to multiple reasons, particularly in underserved, rural regions of the United States. Consequently, entry into early intervention for children with ASD can become delayed, impacting their health, well-being, and quality of life. This paper proposes a capstone project for an interdisciplinary, client-centered, evidence-based screening and evaluation program to assist with early identification and subsequent intervention for children with suspecte ASD utilizing a telehealth component.

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    The Role of Occupational Therapy in Response to Intervention

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Case, Stefanie

    Response to intervention (RtI) was instituted following the 2004 reauthorization of the Individuals with Disabilities Education Act (IDEA). The role and delivery of school-based occupational therapy (OT) services were not defined in the reauthorization of IDEA. However, the scope of school-based practitioners has broadened as a result of RtI initiatives. The RtI supplmental resource manual developed as a project proposal for this capstone defines the role of OT in RtI and the delivery models that align with county policy and funding. The supplemental resource provides OT recommended evidence-based interventions that can be feasibly implemented by the general education teacher within the classroom to support at-risk students or prevent issues from developing requiring further special education services. School systems often report that handwriting is the number one reason for OT referrals. Therefore handwriting interventions are the focus of this supplemental resource. The Tier I interventions were recommended based on the available research and support differentiated instruction and design for learning as part of the RtI initiative. The Tier II and three interventions require more OT involvement to identify and recommend more student individualized interventions. The overall goal is to have the OT supplemental resource included in the large metro county RtI manual that is currently being developed. The project proposal will promote a systemwide support that facilitates functional engagement in handwriting which is required for student success in numerous school and life occupations.

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    Chronic Lung Diseases and Pulmonary Rehabilitation from an Occupational Therapy Practitioner’s Perspective

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Castle, Jeremy C.

    Limited physical activity is prevalent among people with chronic lung diseases such as chronic obstructive pulmonary disease (COPD). Physical activity may lead to decline in functional tolerance with activities and overall strength resulting in decreased ability to perform activity of daily living (ADL) and instrumental activity of daily living (IADL), reduced participation in meaningful activities, and decline in overall health and wellness. This program proposal is designed to enhance the current health and wellness community support group for chronic lung diseases specific to chronic obstructive pulmonary disease (COPD) from an occupational therapy (OT) practitioner’s perspective using cohesive evidence-based research studies. The intent of the program is to serve as an educational forum for the community to provide awareness and knowledge with emphasis on pulmonary rehabilitation and benefitss of exercise, and how to manage COPD.

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    Seeds of Change

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Ching, Beth

    In order to have a “diverse workforce”, occupational therapy as a profession must expose and mentor underserved high school students to the health sciences. Outreach/exposure, retention/pipeline programming, and mentoring/volunteer experience will be explored to answer the question: “What are the benefits of a health science mentoring program for underserved high school students?” This evidence-based project will describe and manualize a cohesive model to expose underserved high school students to occupational therapy. Exposures to health science professions for underrepresented racial minority (URM) high school students was the focus of the literature review. Repeated exposures to health science professions and positive adult encouragement were resources that reinforced the intent to pursue health science professions as a career choice. This evidence-based manual can be used as a basis to start collaboration between a health science university or college and a public high school with underserved students. The health science mentoring program is low-cost provided the university faculty is given release time to perform service to the community. If the occupational therapy faculty member can enlist the cooperation of an additional five health science discipline colleagues, then the exposures to health sciences can accommodate up to 60 high school students rotating through health science stations.

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    Hiking Leisure Program Well-Being in Children in Special Education

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Chorney, Melissa B.

    The objective of this capstone project is to expand the role of occupational therapy within the school-based setting and promote the overall well-being of children in special education through engagement in an outdoor hiking program. A comprehensive review of evidence and current literature is critqued to support the need for an innovative intervention within the school day to address the growing mental and physical health concerns of children in special education. An explanation of the global epidemic of the mental and physical health concerns in children is provided and the role of legislative role of schools to intervene is reviewed. Occupational Therapy theoretical constructs, Occupational Therapy Practice Framework-III, Centennial Vision, and Vision 2025 are discussed to demonstrate the role of occupational therapy within the school-setting, and in the mental and physical health of children. An evidence-based program is developed and presented through a comprehensive literature review. An explanation is provided for how the proposed program will be presented to the occupational therapy director with anticipation to present to various programs and districts serviced by The School Association for Special Education in DuPage County (SASED). The formal program proposal outlines the objectives, target population, needs assessment, evidence-based interventions, outcome measures, and budget analysis. Future implications are discussed to assist with maintenance and longevity of the proposel program.

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    Website

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Christiansen, Davia L.

    The capstone project, tited, “Website: Implications of Alternative Seating to Support Student Learning”, intends to support special and general education educators within the Olympia School District, Olympia, Washington. Utilizing a web-based resource in a school-based setting will aid in developing consistent practices across the educational environment. This web-based resource will incorporate the People-Environment-Occupation model, and Sensory Integration and Biomechanical Frame of References. By utilizing this website, educators can learn how to implement alternative seating within the classroom in order to enhance student occupational performance measures, to improve individual student academic performance and focus on educational evidence-based, occupation-based, student-centered school-based programing to enable students’ participation in roles, habits, and routines within the school. This website will demonstrate scholarly leadership roles with school administration and educators in supprt and commitment to student-centered needs.

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    When You Have to Sit

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Christiansen, Davia L.

    The capstone project, titled “When You Have to Sit: A Website for Educators Discussing the Use of Alternative Seating to Support Student Learning,” intends to support special- and general-educators. Utilizing a web-based resource in a school-based setting will aid in developing consistent practices across the educational environment. This web-based resource will incorporate the People-Environment-Occupation model, and Sensory Integration and Biomechanical Frame of References. By utilizing this website, educators can learn how to implement alternative seating within the classroom to enhance student occupational performance measures, improve individual studnet academic performance, and focus on educational evidence-based, occupation-based, student-centered school-based programing to enable students’ participation in roles, habits, and routines within the school. This website will demonstrate scholarly leadership roles with school administration and educators in support and commitment to student-centered needs.

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    Program Proposal for a Mealtime Participation Program Benefiting Tube-Fed Children

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Converse, Keri S.

    The intent of the following capstone project is to inform the reader, why participation in a mealtime participation progam is important for school-aged children, despite receiving their nutritional support through a feeding tube. An evidence-based literature review succinctly supports how participation in this daily routine enhances the quality of life, performance skill development, as well as why children who are tube-fed should have opportunities to engage in this occupation within the context of a school day. Evidence is used to support the interventions and outcome measures associated with the proposed program. Theoretical frameworks from within the profession of occupational therapy directed the development of the proposed mealtime participation program. An overview is presented to define inclusion criteria, policies, procedures, goals and objectives, costs, as well as the strengths, weaknesses, opportunities and threats associated with associated with implementation of the proposed program. The terminology throughout the paper will be consistent with that of the Occupational Therapy Practice Framework: Domain and Process, 3rd ed.

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    Children’s Book to Increase Self and Public Perception of Tactile Sensory Dysfunction

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Delametter, Rebecca

    Children learn from many different types of resources, including books. Children who are average functioning have a variety of books on a multitude of topics in which they will see themselves represented, but children with disabilities or dysfunctions are less likely to see their unique concerns depicted. This project provides a children’s manuscript that shows the perspective of a child with tactile sensory dysfunction, allowing a child with that dysfunction to improve their self-perception, as well as to allow other children, parents and caregivers to better understand their perspective. The manuscript is based on evidence and research that supports its representation of tactile sensory dysfunction and that supports the value of children’s literature in reaching children. The project provides background on how children who are average functioning perceive children with disabilities, and how negative perceptions can be improved with increased exposure to the daily life of a child with a disability through literature. The project provides a rationale for how children’s books can serve as a positive exposure to the life of a child with a disability. Implications for occupational therapy are explored, including how children’s books can support the clinical goals of an occupational therapist, and how this project furthers the goals of the Centennial Vision and the Vision 2025. An authorship agreement and all necessary research documentation accompany the children’s manuscript in this project.

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    Cultural Competency and Intervention Planning

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Dooley, Megan

    By 2060, the United State of America minority population is expected to rise from 38 percent in 2014 to 56 percent. With much of the future population being from diverse backgrounds, it is crucial that occupational therapists respect and understand the impact culture has on providing successful treatment to clients. The development of a course that encompasses the topics of cultural competency and intervention provides occupational therapy students with the skills necessary to successfully work with diverse populations and advocate for inclusion of all individuals. The aim of this program proposal, is to utilize evidence to focus education of occupational therapy students on how culture relates to and affects implementation of occupational therapy in a developing country. The design of the program meets the needs of an occupational therapy program at a university in the Upper Midwest. The use of the Adult Learning Theory-Andragogy, the Biomechanical Frame of Reference (FOR) and the Synthesis of Child, Occupation, Performance, Environment-In Time model assisted in the organization of syllabus topics to support successful integrations of cultural and clinical skills when providing occupational therapy to children in a school setting, during an international experience. Occupational therapy professionals pride themselves on client-centeredness and a holistic approach to treatment. Improving cultural competency in occupational therapy students contributes to the profession’s focus and goals related to individual and holistic treatment.

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    Evidence-Based Treatment of the Pediatric Athlete with an Upper Extremity Injury

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Douglas, Reeti R.

    Upper extremity injuries in pediatric athletes are increasing and the amount of education available for occupational therapists treating these athletes is limited. An evidence-based course is necessary for this growing area of occupational therapy to educate occupational therapists on current literature on the treatment of pediatric athletes with injuries to the hand, wrist, and elbow. The course presented will teach occupational therapists about treating pediatric athletes with upper extremity injuries incorporating occupational therapy principles including occupational therapy frame of reference, model, framework, and vision. The participants of the course will understand how treating pediatric athletes is significant to the profession of occupational therapy.

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    Health and Wellness: Emerging Niches-Occupational Therapy’s Role in Health Promotion for Adults with Chronic Illness

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Estes, Julie A.

    Occupational therapists believe that participation in occupation has a clear link to health and well-being; however, there is little evidence to support the linkage. The intent of this capstone is to demonstrate the link between participation and health by providing evidence that supports the linkage and will be implemented into a four-hour evidence-based educational presentation to educate level II occupational therapy students on their role as health promotion practitioners. This presentation addresses the influences that occupational therapy practitioners have in helping people with chronic illness maintain a successful level of independence. This presentation provides information regarding common health disparities that hinder access to care and will expand the students understanding of the impact that chronic illness has not only on the individual but the community as well. This presentation will help students to understand better how to develop health promoting interventions that support persons overall health by addressing areas in disease management, developing healthy habits, exercise, nutrition and weight management, activity pacing and modification, mindfulness activities, and rest and relaxation. This presentation is a combination of lecture and hands-on workshop with participants completing mindfulness interventions such as guided meditation for stress, pain and anxiety management.

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    Program Proposal for Community-Based Education for Caregivers of People with Dementia

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Gupta, Shikha

    The current proposal is to collaborate with an administrator of a local independent and assisted living facility to provide a community-based educational workshop on their premises for formal and informal caregivers about the early signs of dementia, focusing identifying early signs of dementia and handling techniques for the changes and simple effective ways to manage everyday tasks. Workshop are proposed to provide education regarding possible behavioral and life changes due to dementia and its effect on persons with dementia (PWD) and their caregivers. Caregivers will learn to apply simple strategies to increase participation of PWD in everyday life occupations, leisure activities, and social participation. The stakeholders will benefit through this program by an increase in referrals and revenue due to multi-disciplinary involvement, delayed placement of their clients in long term facilities, and decrease in work-involved injuries and worker compensation payouts.

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    The Role of the School-Based Occupational Therapist

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Hamm, Denise

    Students with disabilities face many obstacles throughout the school environment that impact their successful participation in school related activities. Promoting opportunities for participation while removing or eliminating barriers require occupational therapists and educators to develop collaborative partnerships to maximize the student-environmental fit. The Frame of References to Enhance Childhood Occupations can be used to inform the school-based occupational therapy practitioner’s decisions regarding evidence-based strategies that can be incorporated into the school routine based on the needs of the individual student. Research studies that support collaborative partnerships and supports providing interventions within the child’s natural environment is discussed in this capstone. The aim of this capstone project is to increase the awareness of the role of school-based occupational therapy in improving participation in school related activities for students with disabilities.

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    Program Proposal for a Level II Fieldwork Experience in Senior Emergency Care

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Harwood, Andrea

    My experience as an occupational therapist has been in multiple healthcare settings but recently, I have been intrigued on the relevance of providing occupational therapy services in primary healthcare settings. A local hospital in the Great Lakes Bay region has created the first senior emergency care center to meet the specific needs of older clients and I believe that a Level II fieldwork experience for occupational therapy students is warranted. Currently, the senior emergency care center consists of a pharmacist, social worker, nurses and board-certified emergency care physicians. Level II fieldwork students are the perfect addition to senior emergency services due tot heir focus on improving occupational dysfunction so older adults can fulfill life roles. With my extensive experience in gerontology and desire to assist older adults to successfully age in place, I want occupation therapy students to have a fieldwork experience in this emerging niche. My capstone project is a program proposal to create a Level II fieldwork experience in senior emergency care.

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    Providing Air Travel Personnel Information to Increase Autism Awareness for Future Interactions

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Hastings, Stacia

    National news articles report on families removed from flights or refused the right to board the plane, or have the plane diverted to make an emergency landing to remove a family with a member on the spectrum. One common them of the commercial air travel industry was that personnel were afraid of what the individual might do; they might have a meltdown or otherwise embarrass the employee and or the company. Most of the incidents were largely due to a lack of information regarding autism spectru disorder (ASD). Research shows a better understanding for persons who do not regularly interact with individuals with ASD, are more likely to initiate appropriate assistance to the individual and their family. The American Occupational Therapy Association’s (AOTA) Centennial Vision provides the format for this project to utilize evidence-based practice and present a concise, compelling public image in an area where occupational therapy has not ventured. Upon fulfillment of the requirements for this capstone, the intended final product is an informational manual describing the descriptions of ASD, sensory strategies and tehcniques, while also providing the air travel employee with the confidence to propose neccessary assistance. The goal is to provide personnel within the air travel industry a tool to increase awareness of autism and their confidence to serve individuals on the spectrum.

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    Social Emotional Learning in the Classroom

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Holliday, Patricia

    In certain parts of the USA, social emotional learning (SEL) is becoming the new buzzword in the educational world. Many teachers and staff members have not heard of SEL. It is described as a process in which students gain skills and knowledge on coping with the demands of everyday life. These skills include identifying and regulating emotions, understanding the rules of social engagement, establishing/maintaining relationships, and responsible decision-making skill. Schools across the country are starting to infuse SEL into their curriculum. Research has shown that when lessons are engaging, have built in movement. and are topics of interest, students’ overall alert level increases along with their ability to focus and stay on task. SEL strategies incorporate self-regulation which helps reduce behavioral outbursts and increase overall social emotional competence among students. Implementation of simple SEL strategies in the classroom, will keep students in the optimal zone for learning.

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    Disseminating Information

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Hunt, Brittany

    Low health literacy rates impacts access to information needed by parents to make informed decisions regarding a child with special needs in the school system. The purpose of this evidence-based website is twofold: to engage in scholarship in incorporating American Occupational Therapy Association’s (AOTA) Centennial Vision and Vision 2025, and Health People 2020 into school-based practice and to disseminate information to stakeholders on occupational therapy services in the school-based setting. The website strives to raise awareness and clarify the role of school-based occupational therapists while also supporting the Centennial Vision and Vision 2025. The website delivers a health literate presentation of effective evidence-based interventions frequently implemented with elementary school students. Providing website technology with embedded universal design features may aid in knowledge translation to the parents and lessen health literacy disparities. Understanding of the information is supported throguh explanations of the evidence, clinical reasoning, or professional models and frames of reference (FOR). Implementation of technology contributes to accessible information, which may empower parents to actively obtain, understand, and utilize the information regularly when advocating for a child’s needs. The website allows for innovated leadership through modeling scholarly actions and strategies. Engaged parents may collaborate with school staff to advance the child’s participation across environments contributing toward overall funtion during student roles, occupations, well-being, and quality of life.

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    Fine Motor Explorers

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Immergluck, Christina

    The purpose of this capstone project is to create a program proposal for an occupational therapy group targeting fine motor skills in kindergarten students using a response to intervention (RtI) model. The Tier 2 intervention program, called Fine Motor Explorers, will consist of evidence-based fine motor treatment interventions spanning the course of eight weeks within a small group setting. As the RtI model of service continues to expand within the school system, occupational therapists are creating new ways to support struggling students. The literature suggests that occupational therapy RtI groups have produced positive effects on fine motor performance in the classroom. The program uses the person-environment-occupation model of practice and motor skill acquisition frame of reference when addressing client factors and performance skills to optimize student success within kindergarten.

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    “Room Full of Mirrors” and Other Graded Motor Imagery Techniques to Treat Phantom Limb Pain and Sensations, Chronic Pain Disorders, and Other Orthopedic Injuries

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Lathum, Sarah

    Mirror therapy (MT) and graded motor imagery (GMI) are gaining popularity in the treatment for phantom limb pain (PLP) and phantom sensations (PSs), chronic pain disorders, and other orthopedic injuries of the upper extremity (UE). Considering this gain in popularity, the evidence continues to grow surrounding these interventions to treat these diagnoses. It is important for healthcare providers including occupational therapists and certified hand therapists to be aware of the new evidence surrounding interventions. It is equally important for providers caring for these populations to know the most appropriate ways to implement interventions such as MT ad GMI. The following capstone project will consist of an evidence-based continuing education course to educate colleagues and peers to the most effective clinical applications of MT and GMI with populations experiencing PLP/PSs, chronic pain and other UE orthopedic injuries.

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    Dementia Family Caregivers in Thailand

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Lertburapa, Vanita

    Family caregivers are critical to quality of life of the individuals with dementia in Thailand, where the population values interdependence and filial responsibility in a multi-generational household. It is essential to focus on the caregivers themselves and uncover their needs to be effective in their role of caring for their family member with dementia By focusing on the caregiver, occupational therapists can address his or her concerns and provide appropriate holistic, client-centered interventions in order for the caregiver to effective and successful in providing optimal care to his or her family member with dementia. The purpose of the capstone is to critique current research and provide an evidence-based perspective on the importance of training caregivers and identifying therapeutic interventions for the caregivers and the individuals with dementia that is catered towards their respective cultural values and beliefs. A literature review was conducted focusing on exploring therapeutic interventions for dementia family caregiver training, with emphasis on not just the physical tasks of caregiving but the mental aspect, such as coping strategies for stress caregiver burden; all of which is for the intention of publishing a manuscript. The manuscript will present an evidence-based perspective on the necessity of occupational therapists incorporating thorough, culturally-sensitive family caregiver training of individuals with dementia in Thailand.

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    Evidence-Based Occupational Therapy Interventions for Clients with Upper Extremity Hemiplegia or Hemiparesis

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Liang-Paultre, Yu Hsiang

    Annually, in the United States approximately 795,000 people sustain a cerebrovascular accident (CVA). Stroke is also the primary preventable cause of long-term disability in the nation. Currently there are almost seven million survivors of stroke in the nation. This capstone project involved developing a four-hour continuing education course to examine occupational therapy (OT) interventions that are effective and feasible in various treatment settings, for clients who sustained a stroke and an upper extremity (UE) with hemiplegia or hemiparesis. The course was developed for novice and intermediate clinicians. It examined current OT practices, common medical complications, and appraised current research to determine which interventions are most effecitve in helping clients regain functional use of the affected UE and/or reduce the risk of injury or medical complications for the client. Due to the enormous amount of multidisciplinary research available on various interventions and time constraints; the course focused primarily on six interventions that could be realistically implemented in various treatment settings given the limitations of the environmental and organizational factors.

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    The Role of Occupational Therapy in Mental Health in the Elementary School-Based Setting

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Lombardi, Kharah

    Promoting positive mental health in children in the elementary school-based setting to increase student participation and self-esteem is a critical area for occupational therapy (OT) to provide intervention. This capstone project includes a 2-hour lecture for entry-level Doctor of Occupational Therapy (OTD) students and a 15-week course syllabus equipped with objectives and Accreditation Council for Occupational Therapy Education (ACOTE) standards. Through an interactive lecture, the class investigated the public school multi-tiered support system, evidence-based interventions and programs, sensory processing and environmental adaptations to reduce maladaptive behavior and increase participation in school-based occupations. In this capstone project, the Person-Environment-Occupation-Performance Model (PEOP); the Synthesis of Child, Occupation, Perfomance, and Environment-In Time (SCOPE-IT) frame of reference and the application of the American Occupational Therapy Association’s, Occupational Therapy Practice Framework: Domain & Process 3rd edition are used to guide OT clinical reasoning and evidence-based interventions to promote positive mental health in childre. The American Occupational Therapy Association discusses the importance of school-based occupational therapists to use their skills and knowledge to increase youth participation in the educational environment which contributes to better mental health and quality of life. Upon completion of the lecture, participants will have an understanding of the role of OT in promoting positive mental health within all three public-school tiers of support to increase youth participation in school-based occupations and decreasing maladaptive behaviors through the use fo client-centered evidence-based programs, strategies, and interventions.

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    Transitioning into Health Care

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Lott, Kindralyn

    As occupational therapists (OTs), there are a variety of practice settings available. Entry-level occupational therapy (OT) curriculum addresses numerous practice settings including rehab, acute care, and long-term care. Unfortunately, for entry-level OT students, home health care is barely mentioned as an option. Due to the lack of training, understaning of and exposure to home health, some OTs are hesitant to provide services in this practice area. Home health OT consists of providing therapy services in the client’s home or the community in which they dwell. Interventions that are frequently used include, but are not limited to, activities of daily living (ADLs), strengthening, endurance, safety awareness, adaptive equipment, transfer training, and community re-integration. According to research based on community development, home health is commonly viewed as the clinician working with communities on their objectives/goals and identifying areas that are important to the community itself. Through the development of a 4-hour workshop, addressing the transition into the home health care, OTs will gain the necessary knowledge for selecting appropriate outcome measures, treatment strategies, documentation and interdisciplinary communication. The propsed workshop will meet the need of the OT profession by providing an evidence-based approach to educating providers on the transition into home health care. This workshop will also enhance client outcomes by ensuring therapists are equipped with the tools needed to be successful in home health care.

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    Identifying Higher Order Thinking and its Role in Occupational Therapy Curriculum and Fieldwork Training

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Martoral, Carlos C.

    Today, emerging areas of healthcare practice, changing healthcare policy, and the increasing level of patient complexity require occupational therapists who can skillfully identify, assess, and design consumer-specific programming. To meet the demands of 21st century medicine, it is the responsibility of educators and fieldwork supervisors to foster higher order reasoning as an explicit part of curriculum to prepare occupational therapy students for transition from the classroom to clinical practice. Higher order reasoning is the process used by practitioners to analyze, evaluate, perform, and reflect on client care. Strategies for fostering higher order thought include problem-based learning, experiential learning, and the integration of learning taxonomies. Though some challenges may exist, through the integration of higher order thought into curriculum, educators foster the development of students into clinicians who can meet society’s need for maximizing well-being using science-driven, and evidence-based research.

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    A Training Manual for School-Based Occupational Therapists Assigned to Multidisciplinary Preschool Assessment Teams

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    McEvoy, Emily Y.

    The purpose of this capstone project is a program proposal to develop a training manual for school-based occupational therapists assigned to multidisciplinary preschool assessment teams utilizing evidence-based literature and research. This capstone was developed to address the increasing numbers of preschool children with special needs entering the public-school system as early as age three resulting in increased demand for trained occupational therapists to serve on assessment teams. It is designed for practitioner education and a source of references to streamline provision of services to ensure consistency throughout the district. It is intended to identify clear roles and expectations of school-based occupational therapists throughout the assessment process to ensure active participation as member of the multidisciplinary team. This project contributes to the field of occupational therapy by promoting the American Occupational Therapy Association (AOTA) Centennial Vision ansd Vision 2025, scholarship in occupational therapy, while using the language consistent with OT Practice Framework III. The key theoretical foundations for project are discussed as well.

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    Occupational Therapist Transition from Clinician to Educator

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Middleton, Courtney R.

    The transition from expert occupational therapy clinician to novice educator is a complex and challenging experience. Seminal works by Jantzen, Crist, and Sladyk are among the few publications that directly address the specialty of occupational therapy education and the challenges related to the transition from clinician to academician. Beyond this there is a paucity of resources that specifically aim to acknowledge, address, and assist the occupational therapist through this tremendous cultural, evironmental, role and identity shift, and process. The intent of this capstone is to justify the need for a supportve resource that will guide the novice occupational therapy of occupational therapy assistant educator through this difficult transformative and developmental experience and serve as a foundation for occupational therapy academician success. Achievement and accomplishment in the role of occupational therapy academician success. Achievement and accomplishment in the role of occupational therapy or occupational therapy assistant educator will positively influence the growing body of occupational therapy students and future clinicians and will ultimately, and most importantly, benefit the occupational therapy consumer.

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    Wheelchair Positioning Program for New Admissions to a Long-Term Care Facility

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Millares, Jose

    The purpose of this program proposal is to improve wheelchair positioning for new admissions to a long-term care facility. The program will educate staff members on how to properly select a manual wheelchair for a new admission to te facility. Staff members will be educated regarding wheelchair types, basic wheelchair features, and seating systems, as well as how to select an appropriate wheelchair according to a resident’s bodily dimensions such as wheelchair seat width, seat depth, seat height, and leg-rest length. The most common seating systems utilized within the facility will be included in the program to ensure residents are provided with a safe and comfortable wheelchair. The program will be administered monthtly to nursing and rehabilitative staff members during orientation and then yearly for a refresher training. Reference materials will be provided and located at nursing stations to be referenced by staff members as needed.

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    A Male Recruitment Program: Addressing Gender Disparity in Occupational Therapy

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Miller, Andrew

    Research and national statistics reveal gender disparities among many health care and helping professions, including in the occupational therapy field. Key literature supports the need for a comprehensive, recruitment program targeting an underrepresented, male population in an effort to achieve gender balance in occupational therapy. Based on evidence, a male recruitment program, URePro, was created and proposed to a group of stakeholders as part of a capstone project for Rocky Mountain University of Health Professions in effort to narrow the gender gap and advance the occupational therapy profession. Feedback and reflections from the stakeholders further supported the constructs of URePro. Future implications to increase gender diversity in occupational therapy are discussed. Stimulating motivations to mitigate contextual barriers relating to gender disparity and building upon the foundation of URePro can be a driving force leading to gender balance in the occupational therapy profession.

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    Adapt Martial Arts

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Mitchell, Ryan

    Adapt Martial Arts was designed for individuals with special needs, in which they were taught in a typical martial arts studio. This was a business plan for a new consultative business. Adapt Martial Arts was rooted in Ameri-Kan Karate, a special needs martial arts program housed in WorldClass American Karate. Students traveled for up to an hour and a half to attend weekly classes at the WorldClass American Karate. Many families were not able to participate in the program because it was too far away from them and asked for recommendations for other karate studios that would be willing to teach their child with special needs. Adapt Martial Arts presented a solution to that problem. The business model presented provided training for existing martial arts studios seeking to expand their services to include teaching martial arts to individuals with special needs. Adapt Martial Arts vaunted the unique perspective of an occupational therapist with vast martial arts experience.

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    Using the Home-Like Environment in Promoting Participation for Children with Autism

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Necesito, Dennis B.

    Children with autism spectrum disorder (ASD) are beset by difficulties in everyday activities such as participation in grooming and hygiene, bathing, toileting, feeding, dressing, and relating to objects and people around them. To address these deficits, occupational therapy (OT) practitioners should innovate their services for children with ASD to include the application of contextual intervention rooted in the use of practice models as well as current evidence. The use of the home-like environment (HLE) in the clinic setting is an innovation which can provide a unique perspective of helping children with ASD in addressing their chellenges in activities of daily living (ADL). The HLE and its environmental enhancements can be used as a context for evaluation and intervention and as a treatment modality which can facilitate performance in ADL. This capstone project also includes a business plan based on the balanced scorecard model. The plan is described in four perspectives which include financial, internal business process, learning and growth, and customer.

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    Evidence-Based After-School Playgroups to Enhance School Performance of Disadvantaged Children

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Nichols, Kim Hunter

    A child’s main occupation is play. Play facilitates the maturation of skills required for optimal school performance. Children that have the opportunity to engage in play develop performance skills. A literature review suggests that there is a lack of evidence on after-school playgroups and the manner in which after-school playgroups can enhance school performance for disadvantaged children. After-school playgroups utilizing evidence-based interventions are used in the community for children with limited community and home resources to enhance the development of performance skills through play.

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    Coping Strategies for Caregivers of Children with Special Needs

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Oliver, Amy

    Caregivers of children with special needs experience stress and difficulties coping with their daily life responsibility. The purpose of this project is to offer a free four-hour evidence-based educational course for caregivers of children with special needs in the community. This educational course for caregivers of children with special needs in the community. This educational course will focus on the caregiver and will provide evidence-based techniques to help the caregiver decrease their personal stress, and improve their coping skills so they can improve their occupational performance. Providing a training program for caregivers so they can be informed about effective coping strategies, practice those strategies, and begin to immediately use those strategies to help improve their overall well-being is the basis for this project.

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    The Value of Interprofessional Education in Occupational Therapy Curricula

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Perez, Erik L.

    This project produces a deliverable using evidence-based literature to design a learning environment where students of health professional programs, that resemble the teams found in today’s settings, learn about collaboration and the critical role it plays in producing a collaborative approach to practice. The project utilizes instructional methods that complements the interprofessional education design and adult learning theories. The integration of interprofessional education.

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    Community-Based Parent-Training: It’s No Longer a Secret

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Porter, Lisa M.

    Parent involvement is an essential and well-documented component of pediatric occupational therapy (OT). It is particularly important for parents of children with Sensory Over-responsivity (SOR), which is linked to parental anxiety and decreased parental self-efficacy. The social-emotional implications and high prevalence of SOR support the need for evidence-based cost-effective trainings for families. Despite the obvious need, there is limited evidence of the use of parent training for families of children with SOR. This project involved the adaptation of a clinical-reasoning tool for use in a group setting. This 2-part community-based intervention will involve parent education for parents of children with SOR, with an emphasis on reflection and problem solving. The goal was to improve parents’ understanding of their children’s challenges and strengths, and increase confidence in the use of strategies in everyday life activities. Participants’ responses to the workshops were tracked using workshop evaluations after the second session.

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    Improving Participation and Quality of Life in Clients with Shoulder Dysfunction

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Rios, Raphael D.

    Shoulder dysfunction not only affects the work category under the occupations domain of the Occupational Therapy Practice Framework: Domain and Process 3rd Edition, it will affect other categories such as basic and instrumental activities of daily living, rest and sleep, play, leisure, and social participation. Furthermore, shoulder dysfunction can affect categories under the performance pattern domain such as daily routines and habits. In order to effectively rehabilitate the shoulder, occupational therapists must address components of the client factors and performance skills domains. Specifically, the body functions-structure and motor skills components, respectively. Interventions performed under the client factors and performance skills domains are mostly considered preparatory by the Framework. However, although clearly stated in the Framework, their use in musculoskeletal/neurological disorders and its connection to occupation appears to not be easily grasped by occupational therapists. Perhaps this is because the literature available showing the combination of occupation-based and preparatory interventions is lacking. Therefore, this educational workshop/course not only introduced occupational therapists to basic evaluation and treatment concepts. it also clarified the role of occupational therapists treating clients with shoulder complex dysfunction. Moreover, the content of this course which was delivered from and occupation-based perspective, conveyed the message that occupational therapists are best positioned provide the best comprehensive care available to people living with shoulder dysfunction.

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    Meeting Client Needs with Unilateral Cerebral Palsy in Various Environmental Contexts

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Ritter, Patricia

    The aim of this capstone project is to identify how pediatric therapist can effectively and easily include treatment interventions based on constraint-induced movement therapy (CIMT) and bimanual training into pediatric treatment sessions for clients diagnosed with unilateral cerebral palsy (UCP) and to advocate for their use. In discussing these evidence-based treatment strategies with pediatric colleagues, the perception is that thathese interventions need to be implementing in an intensive clinical setting. The goal of this capstone project is to dispel this perception and convey the need to meet our clients in their current environmental contexts. This paper discusses how to effectively implement these evidence-based treatment strategies into clinic and school setting treatment sessions. In addition, this paper identifies how to implement home programs and school programs based on these evidence-based treatment strategies. Lastly, this paper demonstrated how to lead the way to meeting the Centennial Vision and Vision 2025 by being influential in changing how and where children diagnosed with UCP receive evidence-based interventions.

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    Documenting Occupation-Based Interventions to Promote Occupational Therapy’s Distinct Value

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Roberts, Rachel A.

    The ability to clearly articulate the distinct contribution of occupational therapy across practice settings is essential for promoting the value of the occupational therapy profession. Challenges to documenting occupation-based interventions have been identified by practitioners working in medically dominated contexts. Clear articulation of services results from a thorough understanding of the theoretical views, models of practice, and frames of reference guiding the occupational therapy profession. Treatment provision that is grounded in occupation-based theories, models of practice, and frames of reference can facilitate the production of quality documentation. This evidence-based project serves to inform entry-level occupational therapy educators on the challenges practitioners experience when documenting occupation-based interventions. Recongnizing and understanding identified challenges can lead to the development of effective teaching strategies that promote student articulation of occupation-based interventions while utilizing the profession’s distinct language and core concepts of occupation.

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    Developing Mental Health Fieldwork

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Solomon, Amy

    This project describes a proposal for leve I fieldwork for occupational therapy assistant students. To address the iddue of scarcity of fieldwork placements in mental health, the proposal suggests a protocol for addressing clients’ mental health needs in non-mental health settings and community-based programs. The program proposal is based on evidence from the occupational therapy literature and provides the foundation for further development of fieldwork experiences to meet the needs of individual sites. Current models and frames of references from mental health and occupational therapy inform the proposal. The proposal incorporates feedback from professionals from prospective fieldwork sites. Future applications of the program and ways in which it might contribute to the profession of occupational therapy are considered.

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    Development of a Sensory Processing for Academics Program for Students with Special Needs

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Standard, Cynthia H.

    Behaviors related to sensory processing can interfere with student success in the classroom. Through collaboration, teachers and school-based occupational therapists can provide strategies that prevent and remediate challenging behaviors. The sensory processing for academics (SPA) program proposed by this capstone will provide education and training on sensory processing issues and evidence-based interventions that can reduce maladaptive behaviors that interfere with classroom participations. This proposal will provide support for the development of a multisensory environment, SPA room. I the SPA room, students can meet their unique sensory needs to improve self-regulation which promotes successful participation in student occupations.

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    Telehealth Guidelines for Outpatient Occupational Therapy

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Stein, Peggy

    Telehealth is a rapidly evolving technology for medical practice with new legislation requiring reimbursement in effect for Washington state. The Vancouver area area includes a large and diverse population. Some clients have difficulty attending the outpatient clinic for routine treatment due to traffic, winter weather, or family responsibiliies. This paper investigates the application of telehealth for clients interested in participating in this new technology for occupational therapy treatment. A presentation to therapists and management will highlight evidence-based guidelines for implementation of telehealth at a local facility.

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    Hybrid Course Design in Leadership and Management

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Stoklosa, Kathleen B.

    This project titled “Hybrid Course Design in Leadership and Management” aims for inclusion in an entry-level Masters of Occupational Therapy (OT) program. Conceptual models from education and occupational therapy will be the foundation of the course development including the Knowledge-to-Action model, Community of Inquiry model, Model of Learning and Teaching Activities, and the occupational-based model of Occupational Adaptation. The Occupational Therapy, Practice Framework: Domain and Practice, 3rd Edition, will guide strategies for successful articulation of education as an area of occupation, and inform the content of topics within the course. Accreditation Council for Occupational Therapy Education (ACOTE) standards will determine student leaning outcomes. A hybrid instructional design using at least fifty percent of online methods will incorporate leadership and management topics essential for occupational therapy practitioners. Multiple educational technologies including a learning management system (LMS) and other applications will result in a flipped classroom and the creation of student personal learning environments and a community of inquiry. Evidence from higher education, instructional technology, occupational therapy education, and leadership and management will provide support for the hybird method of teaching students who are “digital natives” in an ever-changing environment of higher education.

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    Health Choices=Health Life

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Swienton, Marin A.

    Research has indicated the prevalence of obesity among adolescents aged 12 to 19 years has continued to increase, and has been more significant for adolescents with intellectual disabilities. This knowledge combined with additional research revealed that adolescents do not fully understand the ramifications that current lifestyle choices have on their future health as adults demonstrates the necessity to provide relevant educational programming addressing health promotion. Educators have access and use of their state’s educational standards of learning (SOLs) to frame instructional content on health concepts and issues for students within a regular education setting. However, similar resources are lacking for special educators instructing students with intellectual disabilities on these same health concepts and isssue. The proposed project, Healthy Choices = Healthy Life health promotion manual will address this area of need. The manual is designed for occupational therapists, special education teachers, and school-based health professionals’ use when instructing students with intellectual disabilities on the health promotion core concepts of nutrition, healthier food choices, and physical fitness for the prevention of obesity and other chronic disease.

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    Rehab at Its Best: Developing an Enjoyable and Viable Therapy Department Culture

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Thompson, Scott

    The purpose of this paper is to provide information and resources for change in a rehabilitation department with the focus on making rehabilitation culture enjoyable for workers, as well as making the department viable. This topic is paramount with strategic organizational changes in response to limitations and lowered reimbursement mandated by the Affordable Care Act (ACA). It is imperative that organizational change incorporates employee satisfaction to encourage participation and retention of staff. This paper will supply research and information with viewpoints of organizational culture and change, the ACA and its indirect influence on health care culture, and resources necessary to achieve an enjoyable and viable rehabilitation department and culture. This paper will focus on occupational therapy and practice management in the health care setting.

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    Evidence-Based Manual Therapy Techniques for Conditions of the Elbow, Wrist, and Hand

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Thurman, Gina

    Upon careful reflection of my experience in the instruction of level II fieldwork students, newly graduated occupational therapy practitioners (OTs), and seasoned OTs new to hand therapy, I have found a disconnect in the efficiency of treatment, anatomical structure identification, and successful completion of general soft tissue massage. Furthermore, clinician knowledge of joint mobilization techniques, as well as scar massage of the hand, wrist, and elbow in various musculoskeletal conditions are lacking. This four-hour educational course will strive to instruct the Benchmark Certifieid Hand Therapy Residency mentors, mentees/residents, and level II fieldwork students on assessing anatomic structures, diagnosing the need and appropriateness of soft tissue mobilization, scar massage, and joint mobilization techniques. This will be accomplished through a didactic lecture, course handouts of the PowerPoint presentation, demonstration with one-on-one training by mentor to resident, and finally, efficacious hands-on completion of all techniques addressed. While improving clinical skills, the capstone project will also strive to incorporate occupation-based preparatory treatment techniques into a hand therapy setting.

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    Instructing Students How to Integrate Technology into Older Adult Client Education

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Tilstra, Michele

    Current evidence supports the use of technology in the clinical education of older adults, and the Accreditation Council for Occupational Therapy Education standards for entry-level occupational therapy programs mandate instruction on the use of technology to support occupational performance. The literature does not clearly define specific strategies to teach entry-level occupational therapy students how to implement technology with older adults. This project will result in a manuscript submitted to a peer-reviewed occupational therapy journal, which will include a literature review of the educational interventions that are most efficacious for the clinical education of older adults using technology. The recent evidence will help the author define specific recommendations for teaching entry-level occupational therapy practitioners to integrate technology into older adults’ education programs. With technology continually changing, occupational therapy instructors must increase their awareness of new applications and computer programs that occupational therapists can use in client education to maximize knowledge translation to their students.

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    An Occupation-Based, Culturally Responsive Practice Model for Occupational Therapy in India

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Tripathi, Neha

    Across the globe, occupational therapy practitioners are pushing for a paradigm shift towards occupation-based and client-centered rehabilitation. Evidence supports the adoption of holistic, occupation-focused, performance-oriented, and culturally responsive models of care delivery, rather than mechanistic and dysfunction-based biomechanical approaches. However, prevalent Western-centric models of practice are unable to provide a good fit to client-centered practice in Eastern contexts. Against the conceptual background, the Eastern philosophy-based Kawa model is a well-suited theoretical framework to guide evidence-based occupational therapy in India, given the reason for its origins, philosophy, and the potential for varied avenues for application, specific to the practice of occupational therapy in India. The Kawa model is both a model and a frame of reference and has the potential to be effective in clinical as well as non-clinical applications. The purpose of this evidence-based project is to encourage Indian occupational therapy practitioners to align themselves with the profession’s paradigm shift, utilizing a theoretical model relevant to their culture and practice contexts, and join hands in global collaboration for the benefit s of the profession and its clients.

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    An Evidence-Based Approach for Orthotic Fabrication for Musculoskeletal Problems of the Proximal Interphalangeal and Distal Interphalangeal Joints of the Hand

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Ventorini-Burkett, Mary Beth

    This capstone project is a four-hour evidence-based continuing education workshop consisting of a lecture, demonstration, and fabrication of four different orthoses. Orthotic fabrication is an essential skill for occupational and physical therapists who work in the area of hand therapy and is a valuable skill for generalists. This course will teach occupational and /or physical therapists how to fabricate four orthoses for common diagnoses of the proximal interphalangeal joints (PIP) and distal interphalangeal (DIP) joints of the hands. The participants will understand the need for evidence-based pracitce (EBP) decisions in hand therapy interventions and will be knowledgeable about current evidence related to the orthotic menagement of swan neck and boutonniere deformities, mallet finger injuries, and DIP joint arthritis. Participants will understand the importance of using outcome measures that ddress activity limitation and participation. This course is taught from an occupational therapy perspective that incorporates evidence-based practice and interventions and follows the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition.

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    Considering Environmental and Sensory Factors in the Classroom

    Published Year: 2017
    Program: Doctor of Occupational Therapy

    Williams, Tricia

    Occupational therapists need to be aware of recent research exploring the effects of traumatic experiences on the development and health of children and the influence of those experiences on long-term health into adulthood. Equally important, trauma-informed approaches in education include sensory-based self-regulation strategies that are often considered specialized knowledge for occupational therapists. Occupational therapists need to understand how trauma-informed principles relate to occupational therapy models, frameworks, and evidence-based interventions for children who have had traumatic experiences. Occupational therapsists can use a universal approach to creating school environments and contexts that support all children, especially children who have experienced trauma, engage and meaningfully participate in school.

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2018

    Evidence-Based Management of the Hemiplegic Upper Extremity After Stroke

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Belanger, Kathrin

    This capstone promoted evidence-based practice and occupation-based interventions for adults with hemiplegiic upper extremities after a stroke. Many treatment options exist for this population, the busy clinicians may not have time to read all the relevant studies. This project synthesized the results of those studies, provided recommendations on which interventions may be most beneficial for clients, and promoted participation in occupation as both intervention and goal. This capstone project culminated in a four-hour continuing education course delivered to occupational therapists in San Diego. It promoted engagement in scholarship according to Boyer’s definition for both the author and the attendees. This project contributed to the American Occupational Therapy Association’s Vision 2025 by promoting evidence-based practice and participation in occupation.

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    An Approach to Facilitate Feeding Skills in the School-Based Setting

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Beyer, Sharon C.

    This paper discusses the development of a program proposal as part of a capstone project. The program proposal is the result of student needs in an elementary autistic support program who present with significant sensory, behavior, and communication needs that restricts mealtime behaviors, food interests, and family values. The author researched evidence and discovered there are correlations between sensory processing disorder and mealtime behaviors for children with autism spectrum disorder. Although there is limited evidence regarding school-based interventions, research has shown improvements with children’s occupational performance of feeding skills with behavioral and parent coaching models. There is a growing body of evidence supporting the conclusion that sensory-based play improves children’s likelihood of touching and tasting food. In alignment with Vision 2025, the author developed an evidence-based interdisciplinary curriculum based intervention plan based on the frame of reference for sensory integration and the frame of reference for motor skill acquisition. The implementation of the proposal included training session to educate an interdisciplinary team of professionals discussing sensory and contextual influences on the development of feeding skills from an occupational therapy (OT) perspective. The author presented the curriculum-based program proposal to key stakeholders and discussed the viability of implementation. The stakeholders reported the staff should implement a trial of the curriculum-based plan to meet the needs of the students in this program.

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    Handwriting Heroes Program

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Biddy, Danielle

    The Handwriting Heroes Program (HHP) is designed for school-based occupational therapists (OTs) for the implementation of structured interventions to promote the development of handwriting legibility. The interventions are intended for children with identified handwriting weaknesses. The HHP uses evidence-based research to describe the components of the manual, develop accompanying resources to the program, and determine interventions within the program’s treatment sessions. This evidence also supports the rationale behind the development of the program, including how the program relates to the Common Core State Standards Initiative (CCSS). This paper discusses the theoretical design of the HHP using relevant models of practice, such as the Model of Human Occupation (MOHO). It also outlines frames of references, guidelines, and frameworks within the description of the program, including those provided by the American Occupational Therapy Association (AOTA). This paper describes the pracitce implications, implementation, and future implications for school-based OTs to advance occupational therapy (OT) practice skills for the development of occupational performance in a child’s education.

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    How Birth Experiences Affect Infants’ Motor and Emotional Development Skills and Occupational Therapy Service

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Bledsoe, Margaret "Peg"

    Obstetrics are infant delivery medical interventions, which may result in a physically and emotionally traumatic birth, which imposes challenges to essential mother-baby bonding. These birth traumas change the baby, with resulting physical and emotional harm. The purpose of this capstone is to educate the occupational therapist (OT) on the existence of birth trauma and how to identify an infant’s possible physical and emotional developmental delays resulting from the experience. OT intervention may enrich the lives of the infant and the family, so they can participate in daily occupation. With the recognition of delays in the baby’s development, early interventions by the OT could serve to help the infants to overcome or improve their motor and emotional dysfunctions. In reviewing the evidence-based literature, there is a lack of information for identifying alternative treatment techniques available to support birth issues. By providing an evaluation and treatment for physical and emotional birth trauma issues, the OT can support the infant and family’s ability to participate in their life’s occupations.

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    Best Practice Fall Prevention Using Traditional and Nontraditional Methods

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Boyd, Angela M.

    Falls within the elderly population are an epidemic, yet evidence suggests that falls can be significantly reduced utilizing proven exercise methods. Barriers preventing dissemination of evidence-based interventions, educating healthcare professionals on best practice, and following through in the clinical field can be avoided with a structured program that focuses on the use of priven fall prevention methods. In aligning with our professional goals in the American Occupational Therapy Associations (AOTA), Vision 2025, this curriculum module focuses on bridging this gap by educating new clinicians to be effective practitioners providing evidence-based and client-centered interventions. The methods described here are validated by the Center for Disease Control and Prevention. Traditional strengthening and balance exercise methodologies relating to daily activities are embedded in the Otago and the Lifestyle Approach to Reducing Falls (liFE) programs. Nontraditional methods described here include tai chi balance practice and the mutli-target stepping (MTS) program. Best practice interventions involve exercises that challenge the center of gravity, include strength training, and reduce upper body support. Educating new clinicians on these methods is imperative to the sustainability of our profession and for maximizing successful client outcomes towards the prevention of falls and potential for life altering injuries sustained from falls.

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    Value of Life Skill Training for Secondary Students with Mild Intellectual Disability

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Brougher, Lauren

    Students with mild intellectual disabilities need to transition out of school with the life skills necessary for independence and employment. However, the curriculum for this population has shifted away from being vocation-based and has become more focused on adademics and testing. The purpose of this project is to gain an understanding of best practice for the transition planning process by examining post-school outcomes for employment as well as educational models and characteristics of those who are successfully employed. Creating educational programs that are truly individual for each student, with both academics and life skills, is vital. Occupational therapy is a related service in the school system and has the potential to be an integral player in preparing these students with the life skills they need for after graduation, yet many school-based therapists feel unprepared for this task. The information gathered in this process will be comiled into a manuscript that will serve to educate both occupational therapists as well as school staff on predictors and characteristics that lead to greater post-school outcomes for this population.

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    A Program Manual for Occupational Therapist

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Brunder, Nichel

    Community-based lymphedema management programs have a positive impact on health promotion and prevention. In line with the American Occupational Therapy Association’s Vision 2025, the author utilized a program proposal to stakeholders to demonstrate the distinct value of occupational therapy. Through this detailed program manual, with specific modules for use by occupational therapists, this writer practices scholarship of application and scholarship of teaching and learning. Living iwth lymphedema-realted symptoms often result in a decrease in quality of life. The author’s goal of maximizing health, well-being, and quality of life in members of the community affected by lymphedema and or related symptoms will be accomplished through a community-based program. Incorporation of evidence-based practice in program development allows the author to use appropriate planning, interventions, and assessments in the formulation of a program facilitated by occupational therapists. Presenting evidence to support the need for a community-based program for individuals with lymphedema requires an appraisal of current research, critical thinking, and strategizing program implementation. In combining a holistic view of members of the cummunity, occupational therapy models, and frames of reference the author aims to develop a program to meet the needs of those affected by lymphedema and or related symptoms.

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    A Community-Based Educational Wellness Lymphedema Program

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Brunder, Nichel C.

    Community-based lymphedema management programs have a positive impact on health promotion and prevention. In line with the American Occupational Therapy Association’s Vision 2025, the author utilizes a program proposal to stakeholders to demonstrate the distinct value of occupational therapy. Through a detailed program manual, with specific modules for use by occupational therapists, the authpr practices scholarship of application and scholarship of teaching and learning. Living with lymphedema-related symptoms often result in a decrease in quality of life. The author’s goal of maximizing health, well-being, and quality of life in members of the community affected by lymphedema and or related symptoms will be accomplished through a community-based program. Incorporation of evidence-based practice in program development allows the author to use appropriate planning, interventions, and assessments in the formulation of a program facilitated by occupational therapists. Presenting evidence to support the need for a community-based program for individuals with lymphedema requires an appraisal of current research, critical thinking, and strategizing program implementation. In combining a holistic view of members of the community, occupation therapy models, and frames of reference the author aims to develop a program to meet the needs of those affected by lymphedema and or related symptoms.

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    Case-Based Learning to Enhance Clinical Reasoning

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Chaput, Audre Omdahl

    This capstone project develops a syllabus for a pediatric synthesis course, applying a case-based instructional method, for integration into the Master’s entry-level Occupational Therapy (MOT) curricula, situated at the final quarter of the students’ didactic education. The syllabus will include complex pediatric cases for students to analyze and promote clinical reasoning (CR), to therefore improve their confidence in preparation for the students’ pediatric fieldwork level II. The five-week course will meet one time per week, for three hours and will be a one-credit, optional course, offered prior to fieldwork II. This course will be designed for students to integrate previous academic and clinical coursework into clinical application, by expanding professional knowledge, developing skills in communication and reflection, and searching evidence based literature within a small group guided inquiry approach. The syllabus will incorporate guidelines from the Accreditation Council for Occupational Therapy Education of the American Occupational Therapy Association, Blueprint for Education, Blooms Taxonomy, and Vision 2025.

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    Fostering a Paradigm Shift From Medical Model to Client-Centered Approach in Hand Therapy

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Chin, Jessica

    The purpose of this capstone project is to advocate for a client-centered approach in hand therapy practice. This capstone project includes: 1) the history of occupational therapy (OT) in the hand therapy setting, 2) the shortcomings associated with the medical model in hand therapy, 3) how the client-centered approach aligns with The Occupational Therapy Practice Framework: Domain and Process 3rd edition, the OT model, and the OT frame of references, and International Classification of Functioning, Disability and Health (ICF), 4) the efficacy of client-centered therapy, 5) practical ways to adapt client-centered approach in hand therapy settings, 6) integrating evidence-based practice into hand therapy, 7) ways to move hand therapy toward Vision 2025, and 8) using ICF to communicate client-centeredness with other allied health professions as part of a team. This capstone project demonstrates the application and sharing of knowledge as part of clinical scholarship. Through the combination of OT client-centered theories, and the existing strengths of hand therapy practice, OT can better facilitate clients’ performance outcomes and improve client satisfaction.

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    Strength for the Journey: Supporting the Recurrent Grief Experience

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Coker, Sandee Owen

    The parents and caregivers of individuals with developmental disabilities frequently experience a sense of loss and grief, which periodically resurfaces with intensity throughout the child’s lifetime. Known as recurrent grief, this normal grief response is often unrecognized by helping professionals, resulting in diminished support for parents and caregivers. This capstone uses evidence-based literature to explore the nature and path of this grief experience, identify the mental and physical health risks facing parents of children with disabilities, and suggest strategies for empowering parents to cope with the stressors of parenting amidst these recurring episodes of grief. The capstone addresses the emotional cost of caregiving among professional service providers and proposes strategies for avoiding compassion fatigue while encouraging obtainment of the compassion satisfaction characteristic of productive careers. Occupational therapy theory, treatment models and related frames of reference contribute to the capstone’s content. Direct application to occupational therapy practice is provided. The message of this capstone is implemented through continuing education opportunities with two community-based groups. The content of these presentations is detailed in personal reflections provided by the author.

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    An Interdisciplinary Treatment Approach for the Child and Adolescent with Conversion Disorder

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Deloughery, Maeve A.

    This paper explores the management of conversion disorder using a multidisciplinarly treatmetn approach. Conversion disorder (C.D.), also termed functional neurological disorder, features neurological symptoms which cannot be explained by neurological or medical symptoms. A detailed history and physical examination evaluate the client with the diagnosis made according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). C.D. is a group of somatoform disorders which involve unexplained symptoms affecting voluntary motor or sensory functions. Common symptoms include pseudo seizures (nonepileptic seizures), tremors, mutism, blindness, syncope, gait abnormalities, abdominal pain, dysphagia, and paralysis. Treatment approaches for children and adolescents with C.D. should be individualized for each client given the abundance of symptoms associated with this disorder. Research supports use of a multidisciplinary team approach in the treatment of C.D. The diagnostic process should be coordinated for ease and acceptance from both the neurologist and psychiatrist. Gaining insight into the illness experience facilitates the relationship between the therapist and client. This interactional exchange encourages the therapeutic use of self. In utilizing the psychodynamic frame of reference and The Environment-Health-Occupation-Well-Being practice model (E-HOW), occupational therapy (O.T.) focuses on improving the client’s quality of life and well-being. Once the emotional and medical profile is provided, the occupational therapist generates the occupational profile assuring meaningful participation in all contextual levels.

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    The Faculty Role in Addressing the Mental Health Needs of Graduate Students

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Esposito, Caitlin

    Evidence suggests that there are a growling number of college age students, including those in graduate level programs, who are experiencing symptoms of mental illness. These mental health issues uniquely effect student’s ability to engage in the occupation of education. Graduate level education in particular, such as occupational therapy education, often requires increased demands on the student role. Academic institutions typically offer several services to address the needs of these students, but there remains a gap in regards to access and use of these services. Given the nature of the student faculty relationship, institutions should look to faculty to assist in filling this gap. Occupational therapy educators in particular have an existing knowledge base in mental health as the profession recognizes mental health as an existing area of practice including associated knowledge and skills into the occupational therapy curriculum. Therefore, a unique opportunity exists for the profession to expand its practice into a non-traditional setting improving the quality of life for college age students who experience mental health issues by training faculty on how to recognize and address those issues with their students. This can start with the implementation of education and training for occupational therapy program faculty.

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    Baby and Me

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Fassett, AlannaMarie

    Occupational therapists (OTs) have the knowledge, skill, and evidence to support new parents through education while promoting typical development in their infants. OT interventions regarding parent-child relationship and parenting are a vital topic in the area of children and youth. Families should have access to education for parenting skill development; however, a gap in accessing opportunities exists. The AOTA identifies OT as a profession that can serve community education programs for promoting health, well-being, and prevention. This capstone project incorporates the recommendations from AOTA’s Vision 2025 and New York state initiatives for educating families on healthy infant development. The purpose of this capstone project is to provide a community-based educational program to new parents on how to facilitate typical infant milestones in the areas of communication, social-emotional and motor skills by using the occupation of play. This capstone project embodies the principles of leadership and scholarship, demonstrates the characteristics ingenuity and veracity, and promotes the use of evidence-based OT interventions.

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    Sensory Friendly Classrooms

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Goldstein, Lauren

    Classroom designs have changed due to federal regulations and environmental pressures; they are now inclusive of general education students and special educations students, are bright and full of visuals, have students moving from station to station, and require students to sit in their chairs for longer periods of time. Teachers have heard of sensory processing, but many do not understand the concept and how the environment in the classroom may affect student’s learning. Occupational therapists are experts in sensory processing and have the responsibility of educating teachers on how they can create a more supportive learning environment. Analyzing and presenting research on seating alternatives, lighting, noise in the classroom, and visual stimuli during a continuing education course will contribute to teachers understanding of how their students are processing all the environmental sensory stimuli and how teachers can add or eliminate items in their classroom to enhance the learning environment.

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    Foundations

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Henry, Latoya

    Foundations is a program designed to proivde women in transitional housing the basic life skills required to live independently in permanent housing. The program will utilize a community-built approach to allow the program members and residents the opportunities to dictate the practice. Additionally, the program will use the Canadian Model of Occupational Performance and Engagement (CMOP-E) to ensure client-centered practice. The occupational therapist will obtain client goals using the Canadian Occupational Performance Model (COPM), Goal Attainment Scaling (GAS), and spiritual questionnaire. The program has the unique opportunity to incorporate spirituality in conjunction with occupation performance and gatehr baseline information regarding the client’s spirituality. The program will also use a community-built approach to emphasize the strengths of clients and provide the stakeholders and residents to participate in program development and sustainability. The capstone includes a strategic plan for implementation that includes information regarding the budget, marketing, and program sustainability. Additionally, this capstone includes information regarding the implementation and future implications.

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    Breaking the Cycle: A Life Skills Program for the Homeless

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Ko, Nikki Sy Chiang

    One of the biggest problems facing emergency departments (ED) is the frequent readmission of individuals experiencing homelessness. They present with chronic exacerbations and acute symptoms stemming from a variety of causes including respiratory, cardiac and gastrointestinal conditions, alcohol abuse, substance addiction and mental health issues. Hospitals discharge these patients back to the streets or city shelters once they are medically stable. Others tend to leave against medical advice (AMA) once the initial urgency resolves, and they start to go into withdrawals. They bounce from one emergency room to another, straining hospital resources and taxing an already overburdened healthcare system. Literature has shown that chronically homless individuals have difficulty reintegrating back into the community because they lack certain life skills. They either neve had the opportunity to acquire them in the first place, or they lost these skills due to prolonged periods of displacement. Most of these transient individuals go to hospital EDs because it is a safe and familiar environment. This proposal is for a life skills training program that can be conducted at various inner-city shelters and medical respite facilities to help the adult homeless population develop personal competence and self-sufficiency, which would hopefully translate to a decrease in hospital readmissions.

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    The Management of Common Congenital Hand Conditions and the Impact on Occupational Participation in School-Aged Children

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Kulhanek, Staci L.

    This project is the creation and implementation of a continuing education course delivered in a four-hour period to pediatric occupational therapists on evidence-based information regarding the management of common congenital hand conditions seen in school-aged children. This course will cover anatomy, conservative and surgical approaches, and common orthotics for the various conditions. In addition, the course will capture and defend the need for occupation-based, client-centered interventions to increase the school-age child’s participation in daily occupations from a physical, emotional, and functional standpoint.

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    Developmental Interventions for Preschoolers with Autism

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Ladyman, Meg

    The prevalence of autism calls for professionals in the healthcare field to be aware of best practices, current evidence-based treatments, and emerging models. New research into the social, emotional, and relational areas, some of the most difficult areas in autism spectrum disorders (ASD) have yielded intriguing results. Recently, randomized controlled trials (RCT) have been emerging in the literature with significant differences in severity of autism as outlined by the Autism Diagnosis Observation Scale (ADOS) in pre- and post-studies. This new data mandates the inclusion of proven approaches to treatment as evidenced-based practitioners. This continuing education workshop will utilize current research to equip occupational therapy (OT) students with a foundation for treatment as well as provide treatment ideas for children who are non-verbal and unable to participate in the typical standardized tests. By introducting the workshop to OT students, the hope is to expand their roles in the much-needed field of autism intervention and to see themselves as facilitators in intervention and leadership. OTs can help any child learn when the child’s current abilities and interests are discovered and used as the starting point for treatment. Utilizing developmental approaches to autism allows the OT to identify the developmental level at which the child functions, and the play level in which the child participates. This therapists hopes to give the students a roadmap for effective evidence-based treatment.

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    Empowering Sustainable International Service Learning Programs

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Noel, Michelle

    Occupational therapy faculty develop international service learning (ISL) programs as an optional learning opportunity to prepare entry-level occupational therapy students to function as culturally competent global health practitioners ready to fulfill Vision 2025. The World Federation of Occupational Therapists (WFOT) and the World Health Organization (WHO) recommend sustainable projects and reciprocal partnerships when engaging in global health experiences. Current ISL occupational therapy literature consists of case studies of qualitative research recording student perspectives, however there is a lack of evidence to understand the global partner viewpoint. Authors from physical therapy and medical journals caution practitioners engaging in short term global health experiences of potential harm to the host community. Occupational therapy faculty responsible for ISL programs must consider a paradigm shift to balance global host partner (GHP) goals with creating and meeting student learning objectives. This capstone project aims to provide an evidence-based overview of the best practices for developing occupational therapy ISL programs focusing on three foundational components: cultural competency, global health ethics, and participatory program evaluation.

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    Keeping Play in Preschool

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Ostby, Kradan

    Observations of decline in preschool play and an increase in academic demands serves as a catalyst for this capstone project on the role of play in learning. A child’s core occupation is play, and academic pursuits are gradually pushing this necessary occupation aside. Based on a review of evidence and clinical pediatric experience as an occupational therapist, this author hypothesizes a strong connection between play and school readiness skills. Occupational therapy brings a knowledge of development and occupation to the discussion of the importance of play. This capstone aims to highlight evidence supporting play as an important childhood role in preschool education. The capstone project purposes to provide practical activities incorporating play as a modality for learning. This author hopes to help bring play back to preschools despite current academic standards.

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    An Occupation-Based Approach to Addressing Children’s Executive Function Skills

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Perotin, Maria M.

    Executive functioning skills are cognitive processes that impact children’s ability to participate in occupations. They enable children to pay attention, resist impulses, initiate tasks, and regulate emotions. Executive function skills have been associated with various outcomes, including academic achievement and school readiness. Deficits have been recongized in youngsters with an array of disabilities that are encountered frequently by occupational therapists. Nonetheless, therapists often overlook executive function issues – concentrating instead on a narrow segment of children’s needs that emphasize motor skills and sensory processing concerns. This capstone project examines executive functioning’s effect on children’s performance and devises an occupation-based approach to assessment and intervention. It provides an evidence-based program named Brainy Backpacks to guide occupational therapists in offering holistic, client-centered care for children who have executive function weaknesses. The project provides occupational therapists with the knowledge and skills to identify children’s needs, to offer supportive strategies, and to broaden their own lens beyond the limited focus of motor and sensory issues.

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    An Occupational Therapy Toolbox for Neurocognitive Disorders

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Pethe-Mehra, Manju

    As diagnoses of Alzheimer’s disease and related dementias amongst the elderly continue to rise, an increasing number of elderly with these diagnoses are likely to be admitted to nursing homes. Current medical research provides support for non-pharmacological interventions over pharmacological treatment to maintain functional independence levels and delay progression of disease in this population. Research on perspectives of persons with neurocognitive disorders highlights abilities to exress needs and preferences, and the desire to participate in meaningful occupations. Thus, utilizing evidence-based and occupation-focused intervention will enable the occupational therapy profession to remain competent and relevant in today’s healthcare environment, where reimbursement is contingent upon quality care. This paper describes the creation of a continuing education workshop with a “toolbox” of evidence-based and occupation-focused interventions accessible for occupational therapy professionals who provide services to people with neurocognitive disorders and their caregivers in a nursing home setting. The American Occupational Therapy Association’s Centennial Vision and the recent Vision 2025 will inform the workshop in promoting occupational therapy within the nursing home community. The Occupational Therapy Practice Framework: Domain and Process, third edition, will form the basis of the occupational therapy process described in the workshop.

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    A Mentorship Program for Individuals Following Spinal Cord Injury

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Pfeifer, Lexie J.

    Approximately 17,700 new cases of spinal cord injury (SCI) occur each year. Estimates suggest the number of individuals living within the United States with SCI ranges from 247,000 to 358,000 persons. Up to 30% of these individuals will be re-hospitalized each year. Numerous studies demonstrate the positive effect of peer mentorship on both mentors and mentees and the potential for decreases in hospitalization through peer mentorship supports. This capstone project is a program proposal to implement a peer-to-peer mentorship program for individuals with newly acquired SCI at an acute rehabilitation setting. Individuals participating in the program will undergo peer mentorship training during activities of daily living (ADL), transfer training, and in other areas deemed important by the participants.

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    A Life Skills Program for Students with Disabilities

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Ramirez, Karen A.

    Life Start is a functional life skills program incorporating meaningful, purposeful, and obtainable life skills activities for students with disabilities. This evidence-based program uses task analysis, facilitated by the occupational therapist, to provide optimal participation and successful outcomes for life skills and job skills tasks. Life Start aims to motivate and inspire students with disabilities to reach their full potential. By engaging in meaningful occupations, students will build confidence and develop skills necessary for living independently. In addition, exposure to job opportunities will prepare them for success as they transition to post-high and onto further pursuits in adulthood. Life Start utilizes the Model of Human Occupation as the focus of the program is on helping students overcome intrinsic and extrinsic barriers to success.

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    Techniques for Caregivers to Manage Dementia Related Behaviors and Facilitate Participation in Activities of Daily Living

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Reyes Chua, Dennis Alphonsus

    There are 50 million people in the world who are diagnosed with dementia, and those numbers are expected to triple by 2050, which would also increase family members and loved ones taking on the caregiver role. This role is reported to increase depression and lower the quality of life among caregivers of persons with dementia. Changes in behavior and the increased assistance for activities of daily living (ADL) as the disease progresses could directly affect caregiver stress. Although there are resources to support caregivers, less than 50% are evidence-based. In addition, addressing needs to facilitate participation with self-care often are overlooked. The capstone’s purpose was to develop an evidence-based approach in the education and training of informal caregivers in relation to managing behaviors and facilitating participation in daily activities. Caregiver education has been shown to be a successful approach to increase knowledge and reduce burden of care among caregivers of people with dementia. The project would support the AOTA Vision 2025 of promoting the quality of life both caregivers and care recipients through providing evidence-based solutions for the caregivers’ needs. The capstone project would utilize the Person Environment Occupation model (PEO), Allen Cognitive Levels (ACL), cognitive behavioral framework, Functional Assessment Staging Tool (FAST), and the Occupational Therapy Framwork III to promote change and learning in participants.

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    Fall Prevention

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Ross, Kara M.

    Upper extremity fractures in older adults are commonly seen in hand and supper extremity rehabilitation. However, certified hand therapists and occupational therapy generalists may not be prepared to evaluate and educate their clients in evidence-based continuing education course. The course will focus on instructing therapists to educate community-dwelling older adults who have sustained an upper extremity fracture due to a fall, or those clients seen in the outpatient setting who may ba at risk for falls. The content of the four-hour, continuing education course will be evidence-based and multifactorial. Content will include aspects of fall prevention such as a home modification, fracture risk assessment, medication’s impact on balance, balance assessment, screening for muscle weakness, cognitive screening, low vision, and balance interventions. The continuing education course will include three hours of lecture, as well as one hour of lab, providing the course participants active learning to practice essential assessment and intervention strategies.

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    Business Plan

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Smart, Debra

    A plethora of studies has been conducted to determine which intervention strategies are most effective to reduce domestic violence (DV) and intimate partner violence (IPV) offenses and re-offenses. It was concluded that police responses and arrests were inadequate measures to decrease recidivism for these crimes. Consequently, the court services have mandated that DV offenders participate in DV treatment programs and batterer intervention program (BIPs) that consist of various evidence-based treatment approaches to mitigate DV and IPV offenses and re-offenses. This capstone project is a proposed business plan for the establishment of a therapeutic support group for DV offenders using occupational adaptation (OA), cognitive behavioral therapy (CBT), and acceptance commitment therapy (ACT) as theoretical frameworks for the occupation-based groups. These groups will be designed to address occupational performance deficits and expectantly reduce recidivism.

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    Evidence-Based Hippotherapy

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Strowmatt, Fritzi G.

    Over the past twenty years, hippotherapy has developed from a complementary therapeutic practice into a more mainstream therapy with documented and evidence-based results. However, the hippotherapy speciality area has limited its framework to only utilizing the movement of the horse as an intervention strategy. This limitation restricts the research opportunties within the realm of physical changes instead of allowing a holistic approach to quality of life and well-being. This project will build the foundation within the purposed hippotherapy framework by explicitly defining hippotherapy as therapy with the connection of a horse. This definition is meant to encompass the relationship of a holistic approach to a science-driven, evidence-based practice.

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    Measuring and Managing Driving Anxiety

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Strowmatt, Chad

    Driving rehabilitation blends the principles of occupational therapy with driver education in medical implications affecting driving. Special needs drivers exhibit physical, sensory, cognitive, and perceptual problems when learning to drive. Anxiety creates a poorly understood obstacle in the development of compensatory and adaptive skills for the occupational therapy practitioner. High anxiety can produce a barrier to understanding instructions, learning new skills, and processing complex strategic cognitive tasks. The battery of tests frequently used by occupational therapists to measure potential fitness to drive does not include a evidence-based anxiety measurement assessment. The lack of evaluation and subsequent anxiety mangement strategies negatively affects the people participating in a driver rehabilitation program. The occupational therapy practitioner providing driver rehabilitation services must identify the anxiety level and establish a treatment plan to address the impact anxiety may have on lengths of service and the speed of skill development. The occupational therapy practitioner must implement an alleviation and treatment plan alteration in addressing the developmental stages for learning to drive. The capstone will advocate for evidence-based assessments and intervention tools with the application to the driver rehabilitation client with a multitude of challenges including anxiety.

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    Mindful Minutes

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Summer, Celeste

    Elementary aged students experience stress at school resulting in behaviors such as aggression, inattention, and impulsivity. Stress can also manifest in decreased participation in academic curriculum and decreased ability to interact positively with peers. Mindful practices have shown to decrease stress in elementary students. Yoga uses physical postures, measured breath, and meditation to positively influence the well-being of children. Qi gong is ancient Chinese medicine practice which uses slow movement patterns in combination with breathing postures to positively affect well-being and executive function in school age children. Meditation has also shown to decrease stress and improve behavior in students. Specifically, being able to shift attention, regulate behavior, and inhibit responses affect academic performance. Interweaving small doses of accessible regulating practices into daily education can positively benefit student’s academic performance and social emotional experience at school.

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    The Importance of Assessing Leisure in Pediatrics

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Telfare, Whitney L.

    The purpose of this capstone is to identify the need for leisure assessment in pediatrics as well as to identify valid and reliable leisure assessments to use in a pediatric population. Leisure is a necessary occupation and influences a child’s well-being and quality of life. Children with disabilities and from at-risk populations have limited leisure opportunities which affect their ability to participate, quality of life and well-being. Assessment of leisure using valid and reliable assessments can improve documentation of the effectiveness of occupational therapy as well as improve health-related outcomes. The Children’s Assessment of Participation and Enjoyment/ Preferences for Activities of Children, Canadian Occupational Performance Measure, and the Goal Attainment Scaling are valid and reliable outcome measures to use to assess and measure leisure participation.

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    Hand Therapy Residency Program

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Thacker, Jenna

    The author proposes a Hand Therapy Residency Program for occupational therapists working towards becoming a Certified Hand Therapist. This program is designed as an educational model in preparation for taking the Hand Therapy Certification Examination. The author discusses the purpose, background, rationale, and need for this program, along with implications for the occupational therapy profession. The Hand Therapy Residency is presented to therapy company ownership in conjunction with an educational institution to finance and support the clinical experience and coursework model. The author model proposes a vision, mission statement, objectives, and a detailed outline of this program, along with an expected budget and outcome measures to assess the program’s success.

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    The Occupational Therapists Role in Changing the Outcomes of Neonatal Abstinence Syndrome

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Townsend, Shawna

    The opioid epidemic is a current health care crisis nationwide, and mothers that use illicit and licit drugs such as heroin and prescription pain killers while pregnant, often give birth to infants that struggle with signs of withdrawal, known as neonatal abstinence syndrome (NAS). Infants with NAS, experience symptoms such as a difficulty sleeping, high pitched cry, irritability, jittery movements, excessive sucking, sweating, frequent loose stools and gastrointestinal discomfort. NAS secondary to in-utero opioid exposure has increased in the last decades requiring improved strategies for intervention in the neonatal intensive care unit (NICU), improved parent education, and follow up by trained professionals to prevent future developmental delays. The focus of current literature in nursing and physician journals is a non-pharmacological approach. Many of the non-pharmacological approaches to reducing symptoms of withdrawal revolve around sensory based activities including, swaddling, non-nutritive sucking, reducing noise and visual stimulation, gentle rocking, massage, use of bathing a kangaroo care with mother. These interventions are all sensory in nature, and occupational therapists have the skills and knowledge to identify and treat sensory modulation and processing issues. The purpose of this capstone project is to highlight that occupational therapists can play an important role in the outcomes of infants with NAS by utilizing current best practice in interventions to reduce symptoms of withdrawal and to decrease the average length of stay. Occupational therapists can improve the ability of parents to care for infants with NAS, and lead a multidisciplinary team to evidence-based practice for infants with NAS through clinical practice guidelines and standardization of care.

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    Educating Certified Nursing Assistants in a Skilled Nursing Facility on Occupation-Based, Non-Pharmacological Interventions to Manage Behavior in Patients with Dementia

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Tucker, Stacy

    This project is a program development proposal aiming to provide educational training to certified nursing assistants (CNA) on occupation-based, non-pharmacological interventions (NPI) to manage behavioral and psychological symptoms of dementia (BPSD) in patients. This proposed program is directed toward CNA staff that work in a skilled nursing facility (SNF) in the rural Midwest, caring for persons with dementia (PWD). The training provided is an effective communication training program to reduce behavior and increase participation with activities of daily living (ADL) and/or instrumental activities of daily living (IADL). This educational training considers different learning styles and fills a gap in skilled nursing facilities care for PWD.

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    Occupational Therapy and Post-Concussion

    Published Year: 2018
    Program: Doctor of Occupational Therapy

    Young, Jeri

    Concussion accounts for approximately 80 percent of traumatic brain injuries causing impairment in a client’s ability to participate in occupations and life roles. Clients who have post-concussive syndrome symptoms experience headaches, dizziness or vertigo, visual disturbances, and impaired cognitive function. Many clients referred to outpatient occupational therapy have persistent symptoms lasting beyond three months, with many experiencing impaired ability to work, drive, read, or take part in meaningful occupations. Occupational therapists assess clients with persistent post-concussive syndrome symptoms for cognitive disabilities, vestibular impairments, and visual disturbances as quality of life and participation in occupations are limited. Presenting a continuing education course for occupational therapists who treat clients suffering from post-concussive syndrome will help enhance the treatment efficiency with evidence-based assessments, treatment approaches, and outcomes that positively affect the quality of life for clients experiencing disability due to persistent symptoms.

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2019

    Spirituality and Occupational Therapy: Enhancing the Quality of Life

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Acurio, Danielle

    Spirituality, beliefs, and values are essential client factors that are recognized by the American Occupational Therapy Association’s (AOTA) Occupational Therapy Practice Framework: Domain and Process, Framework III. These client factors contribute to the meaning and quality of life. Spirituality influences a person’s motivation to interact with the environment and engage in occupational performance activities. Spirituality has a unique meaning to every client; therefore, it should be explored from the client’s point of view. Frequently spirituality improves coping mechanisms and buffers emotional distress associated with illness. It can be considered a resource for overall wellness and mental health. Occupational therapists may be uncomfortable or unaware as to how to incorporate the client’s spiritual needs into treatment. As it is a powerful force in the lives of many people, the concept of spirituality should not be ignored or overlooked in occupational therapy. Increasing awareness of the importance of spirituality’s role in client wellness is essential to holistic client-centered occupational therapy practice. The capstone will educate occupational therapy practitioners in exploring spirituality’s effect on coping skill, anxiety, depression, and the overall healing process through the development of a manuscript, thereby enhancing client care. Evidence-based practice is utilized to support the importance of including spirituality in occupational therapy to assist clients in maximizing their quality of life and occupational engagement.

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    Empowering Cultural Sensitivity

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Bharti, Shivani

    Occupational therapists are confronted with the need to adapt their practice to provide effective and client-centered services due to increasing diversity in the United States (U.S.) population. With an ever-growing Asian community in the U.S., cultural competency training is essential to ensure that Asian clients receive appropriate and high-quality health services. Several researchers argued that most of the occupational therapy assessment and intervention tools are designed under Western cultural norms. The literature review indicated that practicing clinicians are either not aware of the need of the culturally sensitive practice or they need the training to cater to the healthcare needs of people from diverse backgrounds. This paper discusses cultural beliefs, the perception of health and illness, and the meaning of occupation from the viewpoint of Asian clients. It aims to devise strategies for occupational therapy (OT) professionals to ensure they provide effective and culturally responsive services to these clients.

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    Fieldwork Success Approach for a Student at Risk for Failing

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Blue, Taneka

    Occupational therapy students must complete 24 months of Level II clinical fieldwork to sit for the national board exam and transition as entry-level practitioners. The fieldwork education process can take place at various points during the academic program over two twelve-week periods in different practice settings. The purpose of this capstone projec was to examine evidence-based strategies which support fieldwork educators who work with students who have failed one Level II fieldwork attempt. The project retrospectively examined one Level II fieldwork experience of a student who had failed and undergone remediation. The author identified challenges and effective interventions which she used that support the student to successfully complete a remedial Level II experience. Additionally, she highlighted strategies and successful interventions used to address the unique challenges of a student participating in a remedial level II fieldwork experience. The author discussed how she used the Fieldwork Performance Evaluation (FWPE) issued by the AOTA to assess the learner’s clinical performance and competency at the midterm and final checkpoints as well as data derived through observation, feedback, and reflection. Along with support from the literature and AOTA fieldwork related publications, this information informs occupational therapy fieldwork education and provide strategies for fieldwork educators faced with students at risk for failing a Level II fieldwork placement. Dissemination of this information will be through the submission of a journal article.

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    Occupation-Based Interventions for an Adolescent Baseball Player with Medial Elbow Pain

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Gerzmehle, Jay M.

    Youth baseball players with medial elbow injuries have been frequent over the years due to high pitch counts, sport specialization, playing in multiple leagues, year-round participation, and poor throwing mechanics. The purpose of this project is to examine evidence-based and occupation-based interventions (OBIs) for occupational therapists who treat adolescent baseball players with medial elbow pain. Occupational therapy has a unique skill set in analyzing tasks and providing OBIs to achieve optimal occupational performance outcomes. This skill set is ideal for treating adolescent baseball plyers with medial elbow pain. Occupation-based interventions in occupational therapy have seen a decline over the past 20 years. Most occupational therapists believe in the value of OBIs in hand therapy; however, they are unsure of how to implement them. This case report, which is part of this capstone project, outlines an evaluation, biomechanical treatments, OBIs, and outcome measurements in a youth baseball player with medial elbow pain. This capstone project allows occupational therapists to consider this occupation-based treatment approach for the management of similar injuries with their clients.

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    A Pawsitive Touch on Care: Therapy Dogs in Transitional Care Settings

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Gett, Melissa

    This capstone aims to identify the benefits of integrating pet therapy with older adults in a transitional care unit. Recent research found that effects from longer admissions in skilled nursing services lead to decreased participation in daily activities, depression, and isolation, as well as a reduced desire to improve the well-being of oneself. Studies involving animal-assisted therapy intervention show the use of this contemporary approach provides both a physical and a psychological form of stimulation to engage clients and facilitate improved independence in occupations. Dogs have the ability to connect with those individuals who desire the animal-bonding experience. The incorporation of pet therapy intervention will serve as a resource to enrich the rehabilitation process in a cost-efficient manner and enhance the outcomes of clients to recommence their prior occupations and living environments in a safe manner. The program proposal within this capstone will highlight the benefits and steps of implementation for a pet therapy program within the transitional care unit, supported by recent and relevant evidence-based literature for older adults.

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    Occupational Therapy’s Role in Bariatric Rehabilitation

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Ghulmi, Lima T.

    Class three Obesity is an epidemic that affects public health. Also known as severe or morbid obesity, it is linked to preventable premature death and multiple health conditions like cardiovascular diseases, diabetes, sleep apnea, certain types of cancer, and musculoskeletal pain. Severe obesity is becoming more prevalent across all races and age groups and causes a significant increase in healthcare costs. Severe obesity impairs clients’ participation in activities of daily living, work and study, rest and sleep, and social interactions. Bariatric surgery is commonly prescribed to facilitate weight loss to reverse health risks. Unfortunately, weight regain is common among clients who fail to commit to lifestyle changes. Occupational therapists can play a vital role in bariatric rehabilitation, pre- and post-bariatric surgery, to help clients adopt a healthier lifestyle, increase energy expenditure, improve quality of life, and increase participation in meaningful occupation.

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    Mindfulness Interventions to Promote Occupational Performance in Clients with Traumatic Physical Conditions : A Case Report

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Glaze, Suzanne S.

    Mindfulness redirects an individual’s focused attention from anxiety-producing stimuli toward actual, real-life situations to create positive mental and physical health outcomes. Significant evidence exists supporting the effectiveness of emerging mindfulness practices towards improving mental health. Occupational performance refers to individuals’ participation in meaningful occupations, which contributes to their health, wellness, and quality of living. The benefit of mindfulness related to human occupation is just beginning to emerge in the research literature and warrants further exploration. When clients experience emotional distress related to a traumatic injury or disease process, psychosocial impairments serve as barriers to addressing the client factos, performance skills, and occupations. Mindfulness interventions are holistic and conform to the occupational therapy (OT) practice scope. Occupational therapists have the expertise and training to address many of the social, emotional, psychological, physical, and cognitive aspects of mental health. This case report reveals the benefit of mindfulness interventions in promoting maximized health, wellness, participation, and quality of living in an individual recovering from a traumatic physical condition.

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    Returning to the Occupational Therapy Profession After an Extended Absence

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Hanekamp, Jill E.

    Occupational therapy clinicians leave practice and return for a variety of personal and professional reasons. A handful of reentry programs in the United States for occupational therapy exist, however, there is no coordination between them for congruity. These platforms provide a range of offerings that include continuing education workshops, on-campus participation courses, or programs entirely online. While there are sound American Occupational Therapy Association recommended reentry guidelines that suggest learning activities and provide ethical considerations, there is no clear oversight, protocols, or educational requirements to determine best practice for the reentry process. The occupational therapy profession would benefit from an improved process of providing evidence-based recommendations for the education and resources needed to successfully navigate clinical practice reentry. This capston examines barriers such as time away from the profession that can results in forgotten skills and little awareness of newer standards in occupational therapy and the healthcare industry. Recommendation on education approaches, resources, and supports found in the literature are provided.

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    Being Social Involves More Than Talking

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Killinger, Catherine

    Autism is a diagnosis given to a person who meets the criteria based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-IV). The rapid increase of autism diagnosis over the past ten years is leaving the therapist to seek out the best interventions possible to address social skills, sensory modulation, and overall increased performance of occupations. Social dynamics become particularly crucial in adolescent years, as they begin to shift their trust, social support, and security from family to their peers. This literature review explored the evidence-based practices that other clinicians use to assist witht he development of social skills in adolescents with autism. The program proposal addresses social skills in adolescents with autism to increase their overall satisfaction in life and increase their independence in their occupations.

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    Building Executive Function Skills in Children with Autism Spectrum Disorder

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Koscinski, Cara

    Autism spectrum disorders (ASDs) undermine cognitive, social, emotional, and occupational capabilities. The Centers for Disease Control and Prevention (CDC) indicates that 1 out of every 59 children in the United States has an autism spectrum disorder (ASD). Children with ASD commonly experience problems with executive function (EF). Occupational therapy (OT) is frequently prescribed to improve occupational performance in children with ASD. Smooth EF incorporates theory of mind (TOM), the ability to understand our own thoughts and beliefs and consider that others may not think the same way. Theory of mind relates to EF since it helps in social settings by limiting conflicting behaviors during interpersonal interactions. Also, through a discussion of applied behavior analysis (ABA) and DIR/Floortime models, occupational therapists (OTs) can assimilate cognitive-behavioral techniques, play-based approaches, and client-centered adaptations. The proposed program will review current literature and outline evidence-based interventions to inform OTs when working with children who have ASD and EF deficits. Implications for OT practice will be discussed. The development of a two-part manuscript will serve as the implementation piece of the capstone project.

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    Occupational Justice

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Leonard, Sharon

    In academia, the capstone is the culminating synthesis of an institution’s curriculum. The capstone project encompasses the topic of occupational justice. Despite a paucity of information from a few scholars in the United States, most of the literature produced is from the international community. Occupational justice is not easily defined or practiced in the boundaries of reimbursement driven models, standardized treatment, productivity standards, cost-containment measures, and financial solvency. As the discipline undergoes a paradigm shift away from a biomedical model and back toward its social roots, Vision 2025 is reflective of that change, as is the subject of occupational justice. The capstone project aims to contribute to the understanding and describe the role of occupational therapy in furthering occupational justice through meaningful engagement and participation in chosen occupations. Additionally, the capstone includes a background literature review, implications for occupational therapy, evidentiary findings, implementation, and a relfection. Lastly, the jewel of the capstone proejct includes a manuscript for potential future publication in the American Journal of Occupational Therapy.

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    Taking the Burden Out of Sleep in Dementia

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Lloyd, Kimberly

    This paper descibes the decreased sleep quality of persons with dementia (PWD) and the impact of that quality on the PWD and their caregivers. The project is in response to an increased need for occupational therapists to address sleep. Sleep seems to be a forgotten occupation; yet it is a core occupation essential to the health and well-being for all populations. Dementia negatively affects sleep quality, and impaired sleep has potential to affect other occupations. This is an area of growing need in occupational therapy practice. It is also clear that decreased sleep quality of PWD may affect behaviors, their caregivers, and the relationships between the two. The conservative or non-pharmacological interventions for sleep disturbance are often overlooked as viable solutions and sleep in PWD is typically treated with tranquilizing drugs. Persrons with dementia and caregivers will benefit from understanding the non-pharmacological interventions that are evidence-based and delivered from an occupational therapy perspective. Occupational therapy can make sleep managment a priority and help bring non-pharmacological interventions to the identified population with a holistic approach. The intent is to provide a summary of the non-pharmacological interventions to caregivers and those with dementia and provide an informative article for occupational therapists treating this population.

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    Use of Digital Technology to Enhance Fine Motor Development for Handwriting

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Martinez, Cecilia S.

    Digital technology has become a staple in modern living and is becoming predominant in public schools. According to the National Center for Education Statistics, 97% of teachers in 2009 had daily access to computers in the classroom. The exposure, prevalence, and increased reliance on digital technology in public school systems are changing the way students participate in their education. While studies support that proficiency with handwriting performancehas a direct correlation to academic success, digital technology is becoming the more viable option to address challenges with handwriting legibility and written work output. Teachers have digital resources but need supprt on how to use the tools effectively. School-based occupational therapists need guidance to understand the fine motor skills related to digital technology and handwriting to support teachers. The purpose of this capstone project is to identify and appraise the evidence to justify the use of digital technology to facilitate fine motor and handwriting development in the classroom. A manuscript will be the culmination of this capstone project distinguishing which among the digital technology available align with the fine motor developmental sequence that can best support handwriting development. By emphasizing technology that can enhance fine motor development, occupational therapists in public school can provide teachers with the tools to successfully support students to participate in their education.

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    Occupational Therapy Collaborative Practice in the School Based Setting Program Proposal

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Mavis, Jennifer

    Occupational therapists work in school-based settings in a variety of roles and capacities. The American Occupational Therapy Association (AOTA), state legislation, federal legislation, Occupational Therapy Code of Ethics, Vision 2025, and Occupational Therpay Practice Framework: Domain and Process guide occupational therapy practice. Traditional practice dictates direct one-on-one services outsdie of the general education environment. Emerging service strategies promote collaborative partnerships within the classroom and across all school environments to best serve students. These services may include indirect or consultative services. An essential part of any service delivery model is collaboration. Occupational therapy practitioner and teacher collaboration in the school-based setting is a vital component of a successful team that provides the best benefits and outcomes for students. School teams do not implement collaboration to its full capacity, even though it is generally understood. Failure in partnership leads to less than optimal services. There are many different means to accomplish collaboration. Evolving service delivery models and program options support collaborative practice and behaviors to build collaborative environments. Identifying strategies and methods to promote collaborative practice is critical to fulfilling professional responsibilities. This paper is a capstone program proposal designed for school district stakeholders, including school-based occupational therapists, teachers, and administrative staff, to addess and educate on the topic of collaborative practice in the school-based setting.

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    Driving in Older Adults

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    McCloskey, Kim

    An increasing number of adults over 65 years of age face challenges to maintain driving mobility. This capstone project aims to review the use of the Dynavision, Useful Field of View, and exercise in occupational therapy settings as they apply to improve older adults’ speed of processing, divided attention, visual processing, and reaction time. These factors are essential to maintaining one’s status as a safe, licensed driver. Evidence suggests that older adults may experience cognitive decline, but with practice, they may increase their speed of processing, enhance their divided attention, and improve their visual scanning and reaction time. Research indicates that exercise can be a factor in reducing age-related cognitive decline. The Dynavision, a light board containing 64 light-emitting diodes, offers occupational therapy clients instrumental practice to increase speed of processing, visual scanning, divided attention, visual processing, and reaction speed. Empirical evidence suggests that the Useful Field of View can help predict driving performance through its divided and selective attention components, and it ca challenge clients to recognize targets using central and peripheral locations while finding the target amongst distractors. Additionally, studies propose that exercise may play a pivotal role in promoting increased cognition and speed of processing. This capstone project offers a comprehensive review of the literature addressing the Dynavision, Useful Field of View, and exercise to assist occupational therapy professionals seeking to reduce older drivers’ cognitive decline while encouraging autonomy and safety.

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    Fostering Psychosocial Adjustment in Individuals with Multiple Sclerosis

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    McKell, Moira C.

     Individuals with multiple sclerosis (MS) experience mental health comorbidities at a significantly higher rate than the general population. Individuals with MS often utilize maladaptive coping strategies that contribute to distress. Poorly managed stress accelerates the progression of MS, but rehabilitation professionals often neglect to address psychosocial adjustment. Traditionally, behavioral therapists have viewed emotional-based coping as maladaptive, while problem-based coping as adaptive; however, these assumptions do not directly translate to the MS population. Using the five-factor model for psychosocial adjustment in those with MS, occupational therapists can promote resilience through the use of positive coping strategies and social suppoty systems. Mindfulness, a cognitive-behavioral approach, increases self-awareness of emotional reactions, which can influence one’s mindset. If one can shift from a stress-is-debilitating to a stress-is-enabling mindset, one can reframe events from negative to positive. Positive stress offers protection from further lesion development, while negative stress predicts lesion development. With adaptive coping, individuals with MS experience improved quality of life, both physically and mentally.

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    Developing Play Skills in Young Children with Autism at School

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Ruffin, Tamika S.

    Play is an essential component of early childhood development. It serves as a conduit for making sense of the world surrounding a child. Children learn an array of skills from play that will be utilized for life, including self-regulation, language, probelm-solving, and various other cognitive abilities. However, young children with autism spectrum disorder (ASD) often lack or display an impairment in competencies related to play. They require instruction to learn to play appropriately. In the school setting, lengthy academic instructional sessions and standardized test preparations have replaced the opportunities for play seen in traditional kindergarten classrooms. This trend is true for both general and special needs education curriculums. Thus, encounters to enhance emotional, cognitive, and physical development are inadequate. The proposed school-based play program. School of Play, is designed to inform educators on how to assess students’ play level, as well as teach and engage kindergarten youth with ASD in functional and pretend play exercises.

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    Effectiveness of Electronic Documentation: a Case Report

    Published Year: 2019
    Program: Doctor of Occupational Therapy

    Wroten, Christie

    Documentation should demonstrate the clinical reasoning process of the practitioner and reflect an accurate representation of services provided to the client and how the client responded to the occupational therapy intervention. In accordance with the American Occupational Therapy Association’s Vision 2025, documentation should also include how occupational therapy improves client’s health, well-being, and quality of life. The rate of adoption of electronic health records increases annually among many different healthcare professions as there is evidence to support electronic documentation is faster than handwritten documentation and improves communication among multidisciplinary teams of professionals with improved access to client health records. Some occupational therapy practitioners adopt electronic health records; however, many continue to use the handwritten form of documentation. The proposed capstone project will include a single-participant case report of an occupational therapy practitioner’s documentation. The comparison of the participant’s handwritten documentation to her electronic documentation will inform the profession of occupational therapy by exploring the quality of the occupational therapy practitioner’s paper and electronic documentation to determine the improved efficiency, effectiveness, and accuracy of electronic health records.

     

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2020

    Psychosocial Interventions in Hand Therapy

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Auch, Michele Simone

    The occupational therapy scope of practice includes assessments and interventions for physical and psychological barriers for adaptation, within the social cotexts where clients live and work. Hand therapy practice settings are often challenging places for occupational therapy practitioners (OTPs) to utilize their holistic background and training. In the author’s practice setting a biomechanical frame of reference and an electronic health record system favors assessment and interventions for upper extremity impairments. Relevant literature demonstrates that clients with upper extremity injury (UEI) have physical impairments and perceived long-term disability. The literature on the psychosocial aspects of UEI identifies key psychological and social client factors that predict adaptive outcomes. This educations program proposal aims to provide OTPs with a psychosocial protocol and workflow enhancements that support holistic plans of care for individuals with UEI. A reference booklet details how to use patient rated outcome measures to create psychosocial goals and interventions for clients with UEI. Using these tools, the OTP can integrate impairment and disability assessments within the hand therapy setting, drawing from the occupational therapy unique holistic scope of practice.

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    TeleOT: A Telehealth Program for Alaska Veterans

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Athnos, Deanna

    Alaska has the highest percentage of military veterans per capita in the United States. The veterans who live in Alaska rely on quality healthcare that includes access to specialty services such as occupational therapy. However, veterans who live in rural areas of the state often face time-, distance-, or weather-related obstacles that impede transportation to in-clinic visits. Telehealth offers a service delivery method that potentially reduces missed opportunities and lowers costs. Research evidence from interdisciplinary and rural telehealth program studies paired with veteran-reported experiences inspired this TeleOT program plan. Telehealth services establish unique platforms for occupational therapists to lead the future of accessible healthcare services and simultaneously meet the needs of diverse and evolving communities. The following program plan encompasses the needs of veterans who live in Alaska, face barriers to healthcare participation, and benefit from occupational therapy services.

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    Navigating Group Therapy: A Guide for Occupational Therapists in Skilled Nursing Facilities

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Ball German, Sara

    This project highlights group occupational therapy, including the history and the use of group therapy. The use of group therapy is supported by evidence and is a cost-effective method of treatment in multiple client populations. Group therapy also improves participant self-efficacy and motivation. As a result of recent Medicare reimbursement changes, it is critical to inform the occupational therapy profession on the regulations, effectiveness, client benefits, and use of group therapy interventions in skilled nursing facilities. The project discusses the role of advocacy and documentation in guiding client-centered care. Finally, the paper supports best practices in occupational therapy, as described by the American Occupational Therapy Association with the Centennial Vision and Vision 2025.

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    Optimizing Graduate-Level Occupational Therapy Education

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Binninger, Kathryn

    Limited research exists regarding graduate-level occupational therapy (OT) students’ learning styles and instructional preferences. Other educational programs, including pharmacy, nursing, and medical programs, provide supplemental information regarding possible strategies beneficial to the creation and implementation process of graduate-level education practices. Universities vary with their use of both Kolb’s Learning Style Inventory and VARK perceptual modes to asses students’ learning preferences and styles. Educators also vary between instructional methods, including team-based learning and lecture-based learning. These instructional methods have minimally more research completed, specifically with occupational therapy students. Little research is published regarding the successful pairing of students’ learning styles in conjunction with instructional methods. This capstone will synthesize the evidence regarding students’ learning styles and university instructional methods and will outline how to tailer instructional design to support student learning styles in graduate occupational therapy education. This capstone project includes a manuscript for potential publication in the Journal of Occupational Therapy Education.

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    Telehealth in Occupational Therapy for Adult Stroke Survivors

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Brand-Creviston, Julia

    This capstone provides an in-depth exploration of telehealth in the practice of occupational therapy with the adult stroke population. Telehealth is a growing service delivery model with immediate applications to practice. Research demonstrates the complexity of incorporating telehealth into occupational therapy with the adult stroke population as a service delivery model. A review of current evidence-based occupational therapy practice using telehealth is included. This evidence was incorporated into a continuing education program. This program was presented to an outpatient practice manager and an outpatient occupational therapy. The program proposal withing this capstone includes a continuing education course curriculum on telehealth in occupational therapy practice with adults who have experienced a stroke. A complete student-centered syllabus is provided in the program proposal. Topics to be covered will include the history of telehealth, telehealth technologies, service delivery models, current telehealth applications in occupational therapy, potential areas of application, ethical considerations, practitioner qualifications, funding and reimbursement, legal and regulatory considerations legislation, and advocacy.

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    The Use of the Appropriate Footwear in Fall Prevention Among the Adult Population

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Chioma, Evyline

    Falls among the older population is a public health issue. Many studies have outlined ways to decrease the risk of falls among this population. The use of multifactorial, multi-component, and single-component fall prevention intervention methods are recommended by the American Geriatrics Society/British Geriatrics Society Clincal Practice Guideline for Prevention of Falls in Older Persons. Home modifications, exercises for balance improvement, strengthening and gait improvement, medication management, and footwear management are outlined in AG S/BGS CPG as multifactorial, multi-component components or, when used alone, as a single intervention. The role footwear plays in fall prevention is mostly overlooked. Most older adults, their caregivers, and health practitioners are unaware that specific footwear features can contribute to falls. Occupational therapists are uniquely skilled in the therapeutic use of self, and occupation-based treatment to improve occupational outcomes, including fall prevention, to enhance the client’s occupational independence or population. This capstone project is a program proposal that will synthesize evidence to justify the effectiveness of multifactorial and multi-component fall prevention intervention with a focus on the use of appropriate footwear to decrease the risk of falls. Asynchronous online learning will be developed to teach healthcare practitioners the effecitve fall prevention intervention methods while highlighting footwear association with falling among the older population. This educations program will occur at the VA Medical Center in Wilmington, Delaware. It will be a part of a new-hire orientation for healthcare practitioners for newly-hired healthcare workers.

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    Occupational Therapy Increasing Home Accessibility : A Business Proposal

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Christensen, Ann Michelle

    An emerging area of practice in occupational therapy is home construction, modification, and renovation industry. Occupational therapists offer a client-centered and occupation-based approach to home modifications with their expertise and unique ability to identify the best person-environment fit; making them an integral part of the home modification team. The home environment will facilitate or inhibit success when considering a client’s engagement in occupational routine and performance. This capstone project defines a business proposal for occupational therapists to become leaders in the home modification and construction industry. The goal of this consultative business model is to develop and further define the role of occupational therapists as an integral part of the home modification and construction industry.

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    Fixing Fieldwork : An Application Model

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Edwards, Chelsey

    The following capstone project outlines the need for an updated approach to occupational therapy fieldwork and clinical application. Through an extensive literature review and application, the project outlines the barriers to current fieldwork placement and limitations imposed on students and clinical instructors that negatively affect the experience. A new model of fieldwork is proposed as a way to incorporate limitations and needs from those involved in the fieldwork process. The implications for the future of the profession are addressed while utilizing the Ecology of Human Performance Model and the Acquisitional Frame of Reference. The author conducts an implementation reflection and reflects on the future of this capstone project and professional development.

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    An Occupational-Based Rehabilitation Program for a Musician Suffering from Chronic Bilateral Extremity Pain

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Eloi, Alain-Pierre

    This capstone centers on the findings of a case report of a flutist with a series of upper extremity disorders. Occupation-centered interventions supported by evidence have been utilized to address the function limitations of his patient. The treatment plan will tentatively include an environment assessment, an ergonomic evaluation, and hand therapy interventions, to name a few. The overarching goal of this capstone project is to explore the benefits applying evidence-based principles to an intervention rehabilitation plan for musicians. Furthermore, I desire to remind fellow occupational therapists of the importance in utilizing occupation as both goal and intervention by demonstrating the application of occupational-based intervention with musicians. My final objective would be to provide exposure of our profession to the performing arts medicine community.

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    Telehealth for Mental Health: An Emerging Medium for Occupational Therapists

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Greene, Kathryn E.

    Occupational therapy services via telehealth for individuals with mental health challenges and chronic conditions do not yet exist in Washington State. The purpose of this capstone is to examine the feasibility of an occupational therapy telehealth business for this population and to create a business proposal to increase the availability of occupational therapy mental health services. This paper examines recent literature, discusses the implications of the business for occupation therapy, and includes a business proposal for a novel telehealth business for occupational therapy services for clients with mental health challenges and chronic conditions. Current research cites an increasing need for mental health services and demonstrates the efficacy of a telehealth business model to address these needs. A business proposal, including an executive summary, market analysis, and financial projections, details the process of starting this novel business. Overall, the evidence and business proposal support the need and efficacy of a telehealth occupational therapy business for people with mental health challenges and chronic conditions.

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    Occupational Therapy in Secondary Transition: A Case Report

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Harvey, Latoya

    The transition process for young adults is an engaging moment where most individuals assume an active role. During this time in life, students begin to think about what occupations they envision themselves engaged in beyond high school. Students begin to seek employment responsibilities or further educational opportunities. Most individuals navigate through the transition process with little to no challenges; however, for adolescents with disabilities, the process can present many obstacles. The Individuals with Disabilities Act (IDEA) of 2004 governs the transition to practice for individuals with disabilities. Adolescents with disabilities require opportunities to build skills necessary for succesful transition. Transition includes special education services that positively influence the learning experience such as occupational therapy. Occupational therapists have the understanding and education to maximize the capacity of school system practices pertinent to secondary transition; however, studies have indicated that occupational therapists are not as visible as could be to the overall transition experience. School-based and community occupational therapy practitioners can provide a significant contribution to the transition team. This capstone case report seeks to provide insight into occupational therapy’s position in transition services.

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    Transition Plan for Students with Disabilities After High School Graduation

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Khaydatov, Yefim

     This capstone addresses transition planning and the support of occupational therapists in guiding parents of students with a disability. Occupational therapy practitioners contribute to, and participate in developing a transition planning for young adults with a disability for life outside of secondary education. Occupational therapy practitioners reported the need for a greater degree of involvement in transition planning as a member of the transition services team, through therapeutic with young adults with disabilities, and support to parents of a young adult with a disability. The provision of a manual will support the parents of students with a disability as their young adult transitions from secondary education to life. The manual will provide information, activities, and resources on self-determination, self-advocacy, post-secondary education, employment readiness, and independent living.

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    Tell Me Your Story

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Kurakazu, Dawn

    Burn injuries to the hands and upper extremities are painful and traumatic. The injury affects a client’s occupational performance and identity. Rehabilitation after a burn injury is a complex process that is more challenging when the burn survivor has multiple psychosocial issues and social vulnerabilities. Occupational storytelling is a treatment strategy that utilizes the client’s occupational history and experiences to form their life story. Utilizing this technique with the Kawa Model as both the practice model and frame of reference provides the occupational therapy clinician with the theoretical basis and a guide to implementing the creation of the subject’s past, present, and future occupational identity. The Kawa Model uses a river as a symbol of life that flows over and through obstructions, which represent life’s problems. The subject can integrate their knowledge from past experiences to aid in their healing from their injury to create a hopeful future. This case report capstone project explores the psychosocial impact of the burn injury, the influence of pre-existing mental health issues on injury and recovery, the role of occupational therapy in burn care and rehabilitation, and the potential for occupational storytelling as a treatment strategy to enhance learning and encourage positive coping strategies in the burn survivor.

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    Out of the Box : The Occupation of Playing Board Games in School

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Maranan, Jason, Sr.

    Play has been the primary occupation of children. Occupational therapists use play and games as useful occupations for the promotion of health and well-being. Playing board games in the classroom is a purposeful activity that can influence and inspire student motivation, education, and growth. The creative use of board games as a cost-effective instructional resource in the classroom has a broad audience, has a variety of learning potentials, and can be modified to suit students’ different learning needs in their natural environment. The manuscript will educate teachers on the value of board games as a way of engaging and teaching children to acquire academic skills. The manuscript will illustrate the distinct benefit of occupational therapy through collaboration and communication with teachers in their educational environment. This manuscript emphasizes occupational therapists’ role in promoting inclusion for all school-age children to support their academic performance. This manuscript will utilize the model of human occupation and the frame of reference to enhance social participation to guide practice. The manuscript supports the American Occupational Therapy Association’s Vision 2025 of promoting evidence-based, client-centered, and scholastically robust solutions in occupational therapists’ school-based practice.

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    Capstone Project : Safety Awareness for the Underserved

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Popoola, Christina

    This proposed capstone project will be to develop a program proposal where occupational therapists will perform an in-home safety assessment and provide solutions and modifications to client’s homes of the underserved population. The program will be useful at a non-profit organization that offers rehabilitation services and medical equipment to individuals without health insurance. This type of program is needed because clients that are fitted for medical equipment without inquiring about the layout of their home or other questions to determine appropriateness of the equipment in their home environment. Equipment was returned due to lack of assessment and poor client environmental and device match. For this program, target population includes current clients who have rehabilitation services provided to them through the non-profit organization. Elligible clients would require a screening if they received medical equipment from the organization or if in-home equipment is needed for the client to be safe. The screening would be to ensure clients meet the criteria for a home safety assessment. Before implementation, this program proposal will be discussed with the clinic coordinator for approval to deliver the presentation. The target audience will be the coordinators of the rehabilitation clinic, occupational therapists and physical therapists that work in the home health setting.

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    The Opportunity for Occupational Therapy in Pediatric Disaster Recovery

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Rashad, Diamond

    As natural disasters increase in frequency throughout the world, more children and families experience disaster-related stress and trauma. However, there is limited research on interventions that address natural disaster exposure. Many children with disaster exposure face occupational disruption, where everyday activities, roles, and relationships are damaged or destroyed. The capstone will explore the effect natural disasters have on children and adolescents, the contribution of mental health in disaster management, and the opportunity for occupational therapy practitioners to engage in collaborative interventions during disaster recovery. Through occupational therapy, children in traditional and community-based services will benefit from assistance in restoring normalcy. From this capstone project, occupational therapists will understand the opportunity and role that occupational therapy has in pediatric disaster recovery. Future implications of this capstone will include occupational therapy practitioners exploring inverventions targeting communities, exploring quantitative and qualitative research in pediatric disaster management, and expanding treatment for children impacted by natural and human-made traumas.

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    Not Just Fat

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Sleigh, Molly K.

    Lipedema is a chronic, often painful, disease marked by an abnormal and disproportionate accumulation of fat. Lipedema nearly exclusively affects women and is frequently misdiagnosed as lymphedema or obesity. Weight loss measures rarely affect the abnormal, disproportionate fat distribution, typically noted in the lower body. Disease progression can result in physical, functional, and psychosocial impairments. Despite lipedema’s significant prevalence and negative impact on women’s health, wellness, and functioning, the literature demonstrates a lack of information regarding occupational therapy’s role in therapeutic intervention. The capstone project intends to contribute to an understanding of lipedema and to highlight the relevancy of evidence-based occupational therapy interventions for this population.

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    Brain Gains

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Smith, Jessica

    Traumatic brain injury is a common diagnosis treated by an occupational therapist (OT). The most common types of treament an OT utilizes after brain injury are compensatory strategies indicating the client learns a new way to perform the task or compensates for at least a portion of the task. Though this is an effective approach, it is also necessary to consider how remediation and neuroplasticity are essential post-injury. Teaching new approaches to complete tasks results in functional gains. but working on the client’s foundational skills to relearn how to perform the task the same way they once did is also important in rehabilitation. The brain can change and adapt based on movement, exercise, and repetition. OTs have an important role in gathering and interpreting research and considering how various types of exercises change the brain to change and improve function. The connection between motor function and exercise is well studied; however, this manuscript will explore how other types of exercise, either along or in combination with cognitive exercises, can facilitate functional outcomes and recovery after brain injury.

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    Inclusion for Students with Disabilities in Preschool with Support from Occupational Therapy

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Uddin, Kristy

    An inclusive preschool serves children with and without disabilities in the same classroom. It is a child’s right to attend a school in an inclusive setting. The Individuals with Disabilities Education Act protects children’s rights to attend school alongside their peers without disabilities known as the Least Restrictive Environment (LRE). Occupational therapists focus on participation by promoting inclusion in natural environments. Occupational therapists in an inclusion school model focus on a preschool student’s occupation, which is play. This capstone will show how occupational therapists can model and demonstrate the use of techniques and strategies for teachers with students so they can be applied later, even when the therapist is not in the room. Future implications of this capstone ill include occupational therapy practitioners exploring interventions targeting preschool inclusion model. Exploring quantitative and qualitative research and how occupational therapists can treat preschool children in the classroom and co-teach with a general education teacher. Additionally, the capstone includes a background literature review, implications for occupational therapy, evidentiary findings, implementation, and a reflection. The capstone project consists of a manuscript for potential future publication in the Journal of Occupational Therapy, Schools, and Early Intervention. The manuscript will detail how an occupational therapist can use play and how peers can model for other each other to improve motor skills, and academic skills.

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    Integrating Occupational Therapy into a Tutoring Center

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    White, Carol L.

    The pervasiveness of chronic insufficient sleep among K-12 students is undisputed among researchers and considered a public health issue. Chronic insufficient sleep has far-reaching, harmful consquences on a student’s physical, psychological, and emotional wellbeing. Experts have researched and documented the magnitude of the problem. However, there are still few resources from which students and their families can gain the knowledge and support they need to combat the countless barriers which leave them sleep-deprived. Occupational therapy services, in collaboration with the services provided by a tutoring center, could have a significant positive effect on promoting health and wellbeing through improving the sleep habits and routines of K-12 students.

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    Level II Fieldwork Resource Guide

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Wigal-Wertsching, Tara

    Urinary incontinence impacts the lives of many individuals, altering their quality of life. The indiviudal suffering from urinary incontinence may experience physical, emotional, psychological, and socioeconomic hardships. Occupational therapy professionals, including occupational therapy assistants, help the client with all aspects of their daily function, including toileting and hygiene. Occupational therapy practitioners teach elderly female clients how to manage their incontinence products, perform toilet transfers, and manage ther clothing but rarely address incontinence. The occupational therapy curriculum currently lacks the education of students relating to pelvic floor dysfunction and urinary incontinence (UI). For successful occupation-based outcome measures, entry-level occupational therapy programs need to implement educational guidelines for the Level II fieldwork student to utilize during their fieldwork experience. An evidence-based resource guide for the occupational therapy student is essential for the student to learn about pelvic floor dysfunction, symptoms of UI, and occupational therapy treatment options. This resource guide would prepare the Level II fieldwork student to work effectively with the geriatric client experiencing UI and demonstrate the value of skilled occupational therapy intervention.

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    A Guide for a Doctoral Experience in Hand Therapy

    Published Year: 2020
    Program: Doctor of Occupational Therapy

    Wright-Miller, Patricia A.

    Certified hand therapists (CHTs) describe it as challenging for students to compete fieldwork in a hand therapy setting due to the complex caseload and the lack of student knowledge and experience. There are 5,861 CHTs within the United States, and occupational therapists (OTs) account for 85% of these CHTs. The fieldwork curriculum is critical in developing OTs that desire to be CHTs in the future. Two suggested solutions create a guide to direct the students to essential information and request that students complete an additional Fieldwork III in hand therapy after Fieldwork I and II. The Accreditation of Occupational Therapy Education (ACOTE) outlines the graduate-entry master’s occupational therapy (GEM OT) standards for Fieldwork I and II as cultivating generalist skills in occupational therapy. Higher-level education institutions offer entry-level occupational therapy doctorate programs (OTD). ACOTE describes the entry-level OTD standards include the doctoral capstone experience, which can assist them in pursuing in-depth clinical practice skills. An example of a doctoral capstone experience would be a dotoral experience to gain hand therapy skills. These students can choose to complete a doctorate capstone experience after completing all coursework and the Level I and II Fieldwork. This capstone will develop an evidence-based guide to support the emerging entry-level OTD students to gain proficient skills in hand therapy during a 14-week doctoral experience.

    Author has declined to share this capstone.

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2021

    “Horsing Around” – Pediatric Occupational Therapy in the Equine Environment : A Program Proposal

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Ettles, Wendy

    This capstone aims to identify the therapeutic benefits of hippotherapy and equine-assisted activities and therapies in children with disabilities. Current evidence supports occupational therapy in the equine environment, including hippotherapy and equine-assisted activities and therapies, to improve children’s motor, social-emotional, executive functioning, sensory processing, and communication skills positively impacts their occupational performance and participation in their daily lives. The development of this program proposal utilized evidence-based, client-centered approaches incorporated into the occupational therapy model of practice in the equine environment for the pediatric population with disabilities. Hippotherapy provides an accessible, client-centered, evidence-based, enriched environment and engaging alternative to traditional interventions and clinic settings. The proposed program will provide an accessible, effective, evidence-based, and client-centered intervention in a non-clinical setting children find enjoyable and motivating. The proposed program will promote the inclusion of HPOT into a child’s broader treatment plan as a beneficial, evidence-based option for children with various disabilities impacting their occupational performance and quality of life.

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    Effects of (Faded) Aided Language Stimulation on Expressive Vocabulary for Children with Autism

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Mattison, Kimberly D.

    Many Speech-Language Pathologists treat individuals who are minimally verbal with autism spectrum disorder (ASD). There are a variety of intervention approaches available that facilitate improvements in communication. This investigation explored the effects of (Faded) Aided Language Stimulation (ALS), an intervention approach that can address both augmentative and alternative communication (AAC) and verbal vocabulary needs for those individuals. The research purpose of this experiment was to implement (Faded) ALS as a faded prompt to examine the effects on expressive vocabulary productions for minimally verbal children with ASD. This investigation was an ABCD single-subject design evaluated across a single participant, which evaluated the impact of this intervention approach on expressive vocabulary as measured through total number and the varied number of both AAC and verbal vocabulary productions. Current literature demonstrates that ALS has had secondary positive effects on verbal productions. This study aimed to specfically examine the direct impacts on verbal productions, to take the next logical step to expand upon research in the speech-language pathology field. This investigation aims to build on the currently available literature to determine how fading ALS would effect expressive vocabulary production. This experiment included a single participant. Results revealed that this participant exhibited a significant increase and maintenance in both the varied and total number of AAC and verbally-produced vocabulary following the intervention. Faded aided language stimulation appeared to be linked with an increase and maintenance of expressive vocabulary for a minimally-verbal child with ASD.

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    The Effects of Frequent, Short, Intense Treatment Sessions for 5-Year-Old Children with Speech Sound Disorders

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Miller-Leeper, Tamara

    Many Speech-Language Pathologists treat individuals who are minimally verbal with autism spectrum disorder (ASD). There are a variety of intervention approaches available that facilitate improvements in communication. This investigation explored the effects of (Faded) Aided Language Stimulation (ALS), an intervention approach that can address both augmentative and alternative communication (AAC) and verbal vocabulary needs for those individuals. The research purpose of this experiment was to implement (Faded) ALS as a faded prompt to examine the effects on expressive vocabulary productions for minimally verbal children with ASD. This investigation was an ABCD single-subject design evaluated across a single participant, which evaluated the impact of this intervention approach on expressive vocabulary as measured through total number and the varied number of both AAC and verbal vocabulary productions. Current literature demonstrates that ALS has had secondary positive effects on verbal productions. This study aimed to specfically examine the direct impacts on verbal productions, to take the next logical step to expand upon research in the speech-language pathology field. This investigation aims to build on the currently available literature to determine how fading ALS would effect expressive vocabulary production. This experiment included a single participant. Results revealed that this participant exhibited a significant increase and maintenance in both the varied and total number of AAC and verbally-produced vocabulary following the intervention. Faded aided language stimulation appeared to be linked with an increase and maintenance of expressive vocabulary for a minimally-verbal child with ASD.

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    HOPE Therapy Services, LLC

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Mumau, Elaine

    Nature offers endless opportunities for exploration, imagination, and growth. Natural outdoor environments represent dynamic settings in which to engage meaningful occupations for individuals across the lifespan. Growing bodies of evidence support the power of outdoor play experiences for children through purposeful nature-based engagement to strengthen overall health and well-being, enhance learning, develop work skills, and improve social competencies. Occupational therapists understand the value of skillfully combining client engagement in occupations within motivating environmental contexts to create positive transformative experiences that support the individual’s growth and healthy development. Therapeutic contexts that include meaningful outdoor nature connections offer optimal environments for delivering occupational therapy services as an emerging practice area. The American Occupational Therapy Association’s Vision 2025 promotes leadership and creates effective solutions that foster increased health, well-being, and quality of life. Consistent with Vision 2025, this capstone project includes developing a comprehensive business plan for a family-centered, outdoor nature-based occupational therapy practice. The practice accomplishes this through nature-based, occupation-focused, and evidence-supported interventions with equines, aquatics, and nature-rich experiences to enhance occupational participation and performance skills in children with disabilities.

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    The Efficacy of InferCabulary on Receptive Vocabulary in Second Grade Students with a Mixed Mild to Moderate Language Delay

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Semetko, Amanda

    Students with language delays are at a greater risk for vocabulary weakness, and students with restricted vocabulary are at risk for language delay. Vocabulary acquisition is an essential part of the US curriculum. When delays in vocabulary occur, intervention is warranted. Evidence-based vocabulary instruction requires the student to memorize what a word means and be able to recognize and use the word in many different contexts. The purpose of this investigation was to determine the effects of using the web-based program InferCabulary (IC), a semantic reasoning and multi-sensory intervention, to increase receptive vocabular in second-grade students with a mild to moderate mixed language delay. The primary investigator conducted an A-B single-subject design with two participants. The participants received intervention three times a week for twenty to twenty-five minutes for four weeks via telepractice. The investigation outcomes revealed improvements in receptive vocabulary.

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    Faculty Development Training Program for Online Instruction and Assessment : Trinity Washington University Occupational Therapy Programs

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Simmons, Lisa Pasteur

    The proposed faculty professional development program is a training program designed specifically for occupational therapy (OT) faculty at Trinity Washington University (Trinity). Trinity has two OT programs: an undergraduate Occupational Therapy Assistant program and a graduate Master of Occupational Therapy program. The proposed program will provide five hybrid evidence-based modules to current Triniry OT faculty. The proposed program intends to help faculty to learn effective and efficient skills in the application of the constructivist andragogy, Community of Inquiry framework, Bloom’s Domains of Learning, the Universal Design for Instruction, and an understanding of the person-environment-occupation model to train OT students to become competent and confident clinicians. Trinity’s OT programs were designed to provide instruction in a hybrid model with online and face-to-face components; however, restrictions related to the COVID-19 pandemic required changes to the curriculum. Each faculty training module will include information and practice activities to help faculty design courses to meet individual course learning outcomes and accreditation standards using online instructional and assessment strategies.

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    Between a Rock and a Hand Place : Occupational Therapy’s Role in Addressing Rock Climbing Injuries

    Published Year: 2021
    Program: Doctor of Occupational Therapy

    Spangle, Belle

    This capstone captures the occupational therapy perspective of rock climbing injury assessment and treatment. Synthesis of the present research suggests that climbers experience multi-dimensional trauma, although the current therapeutic approach restricts itself to the medical model. To increase the representation and application of occupational therapy’s core constructs concerning this topis, one must understand the profession’s unique value. As guided by principles set through the American Occupational Therapy Association, occupational therapy comprehensively seeks to maximize a client’s quality of life. It is facilitation of occupational engagement through holistic measures that defines occupational therapy’s significance to the interdisciplinary team. As applied to the injured rock climber, occupational therapy can effectively address the upper extremity injuries that are prevalent in this sport. The profession can also attend to the psychosocial concerns that arise with the loss of meaningful occupation and the current gaps in identifying and treating impaired activities of daily living. This capstone explores occupational therapy’s role beyond post-injury musculoskeletal treatment in the pursuit of providing evidence-based and truly individualized care.

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2022

    Advancing Hand Therapy Through Mentoring

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Allard, Tracy J.

    Meeting the requirements to earn the credential of certified hand therapist (CHT) is a long and challenging process. Participating in a formal mentoring program can be beneficial to novice therapists to help learn the necessary information to meet the CHT requirements. Experienced therapists are needed to be mentors to novice therapists and thus, advancing the speciality of hand therapy. While there are multiple hand therapy mentorship programs available to occupational therapists (OT) who want to earn the CHT credenitial, there are few resources for the experienced CHT entering into a mentor relationship. Certified hand therapists must have in-depth knowledge and skills to effectively treat clients with upper extremity dysfunction. However, few are trained in how to be a mentor. Mentoring also requires specific knowledge and skills. This capstone project addresses the need for mentoring education for the experienced hand therapist to prepare them to mentor a novice therapist seeking to earn the CHT credential. This project was implemented by the development of a mentor education program through online learning modules. In addition, a pilot study was conducted to determine the effect the modules had on participants’ knowledge of mentoring and the mentoring relationship.

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    Speech-to-Text Assistive Technology and Writing Disabilities : A Case Report

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Berry, Carol W.

    Students with an identified specific learning disability (SLD) often struggle with written expression. Assistive technology (AT) is an accommodation designed and implemented by special education teams under an Individual Education Program (IEP) to support students with writing disabilities in the classroom. Speech-to-text (STT) is AT that can assist students with writing difficulties, including students with SLD. Occupational therapists (OTs) are part of the IEP team that implements accommodations, including AT, for students. OTs need research to make evidence-based decisions to support students’ educational needs. In this case report, and OT implemented STT with a student who struggled to handwrite or type written expression assignments. The student completed two narrative writing pieces, one with typing, then after learning STT, a second with STT. Outcome measures demonstrate the difference in the student’s quantity and wality of written expression. This case report increases the literature to support occupational therapy in implementing STT in the classroom to support a student with SLD in written expression to access grade-level curriculum.

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    Occupational Therapy and Behavior Intervention

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Buxton, Jennifer K.

    Self-Injurious behaviors, aggression, and risk-taking behaviors are noted symptoms of various developmental disorders in children such as autism spectrum disorder, attention deficit hyperactivity disorder, and intellectual disabilities. Children must also have deficits in one or more areas of functioning related to motor skills, adaptive skills, sensory processing, and communication to receive these diagnoses. Occupational therapists typically address these behaviors utilizing a sensory approach to facilitate participation in occupation-based activities. Behavior theory considers environmental factors influencing all behavior and relies on operant conditioning to modify that behavior. Behavior analysts utilize applied behavior analysis to decrease maladaptive behaviors. While literature is available to support and refute both disciplines’ approaches to behavioral concerns, this manuscript will illustrate the need for collaboration between occupational therapists and behavior analysts and the development of standards to guide that collaboration to improve outcomes for children demonstrating maladaptive behaviors.

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    Evidence-Based Interventions for Elderly with Post Distal Radius Fracture to Improve Occupational Performance

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Chao, Michelle

    Distal Radius Fracture (DRF) is a common injury resulting from a fall that can occur at all ages. Surgical treatment to restore improved alignment after the wrist fracture and cast immobilization can result in decreased range of motion and strength, making it difficult to perform daily activities. Not all patients are referred to an outpatient hand therapy clinic to obtain the necessary home exercises and standard treatments, as some patients may reside in long-term care facilities. These patients may receive limited, if any, guidance about precautions or protocols, including occupation-based activities or exercises that are evidence-based and related to distal radius fractures. Occupational therapy emphasizes functional and purposeful interventions so patients can engage in daily tasks. In long-term care settings, there is an opportunity for occupational therapists to incorporate the protocols of DRF with evidence-based exercises and adaptive strategies to enhance patients’ participation in daily occupations. The interventions include occupation-based interventions and exercises to prevent poor occupational performance outcomes and to facilitate more participation in daily occupations. This capstone project will provide educational materials and appropriate exercises with a holistic approach for occupational therapists in the long-term care setting.

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    Trauma Informed Practices for School-Based Occupational Therapy Practitioners

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Duggan, Caitlin

    The experience of childhood trauma is prevalent and can have profound effects on one’s health, well-being, and occupational engagement. This is relevant in school systems today, as many children have faced traumatic experiences, significant disruptions in typical functioning, and adverse experiences in recent years. The already high prevalence of childhood trauma was further exacerbated due to the declaration of a national emergency of the Coronavirus Disease (COVID-19) Pandemic in March 2020. Exposure to childhood trauma is associated with negative impacts on one’s physical, mental, emotional, or behavioral health, which can negatively impact a child’s ability to be successful in school. Occupational therapists possess the unique knowledge base and skillset to support childhood physical, cognitive, psychosocial, and sensory development needed to support children with trauma exposure. To support optimal outcomes, occupational therapists use meaningful activities to promote children’s mental and physical well-being in relevant environments and contexts. The problem is that there are limited resources synthesizing best practices for occupational therapy practitioners to support trauma-informed care in the school setting. The program developed through completing this capstone project will serve as a comprehensive guide for applying evidence-based practices to the school-based occupational therapy process.

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    The Efficacy of Primitive Reflex Integration Therapy in Children and Youth

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Fernandez, Gabriela

    Occupational therapists use evidence-based research to promote effective interventions addressing client factors such as sensory, body, neuromusculoskeletal and movement-related functions directly involved in occupational performance. The emergence of Continuing Education Units (CEUs) and discussions in the therapeutic community have encouraged the implementation of reflex integration therapy to treat neurologically involved children. These studies promote integration therapy with reported improvement in neurological function in children with cerebral palsy (CP), Autistic Spectrum Disorder (ASD), and other neurological dysfunctions. Integration therapy consists of implementing exercises that provoke a specific sensory stimulus, aiming to break reflex-driven muscle patterns. Watson reports that post primitive reflex integration therapy, there is a notably more typical motor response pattern from the child. Increased motor response patterns result from this intervention creating a more efficient neurological pathway for physical and cognitive function. By presenting integration therapy studies this paper will address clinical implications for occupational performance in neurologically involved children. This manuscript aims to assess the existing literature and report on the efficiency of primitive reflex integration therapy in relation to occupational performance.

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    Proactice Motion Therapy

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Flores, Patricia R.

    An abundance of the literature suggests that marginalized populations in the United States tend to use healthcare services available to them less often, with many reasons given, including that they may be unaware of available services or the benefits of services, difficulty accessing services and using them, or difficulty complying with interventions. This is the case with comprehensive day habilitation services for adults with autism and intellectual developmental disabilities (IDD). Comprehensive day habilitation programs provide multidisciplinary support and assistance for the patient and family, including occupational therapy services, physical therapy services, speech services, nursing care, behavioral services, and a specialized structured environment, which can provide daily activities for socialization and developmentally appropriate games, outings, and events. Several studies suggest that occupational therapy services are underutilized in this population despite availability of funding and evidence-based research that demonstrates the effectiveness of occupational therapy services. Furthermore, occupational therapists too often continue to limit their services to clinics and hospitals and fail to see themselves as entrepreneurs despite having leadership qualities. This paper responds to the challenge by providing a business plan for occupational therpists to implement services in a culturally appropriate and customized manner to benefit the needs of a community-based habilitation program and their clients.

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    A Unique Shoulder

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Gicalone, Angelica R.

    Amyotrophic Lateal Sclerosis (ALS) is a progressive and degenerative motor neuron disease that affects the individuals’ ability to participate in their daily activities. Over time, patients become increasingly dependent, and their quality of life can be significantly affected. Loss of self-control and decreased participation in occupational roles are common occurrences in many patients. A need for guidelines on managing shoulder pain and complications for patients with ALS is evident due to the frequent Underestimation of pain in this population. It may contribute to a lack of research and evidence-based treatment. This program development translates the current evidence into practical guidance on the management of shoulder complications for patients with ALS. The program aims to promote occupational performance and quality of life in patients with ALS. The creation of therapist and patient/caregiver education materials intends to facilitate the transferability of the information in the institution and across the continuum of care to therapists working in remote areas with decreased access to speciality centers. This program development transforms the provision of services practice by advocating for patients affected by ALS and empowering the occupational therapy community.

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    The Role of Occupational Therapy in the Recognition, Assessment, and Treatment of Presbyvestibulopathy

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Hill, Jennifer

    Presbyvestibulopathy (PVP), a diagnosis established in 2019, is a vestibular dysfunction or loss related to aging characterized by mild bilateral vestibular deficits, chronic dizziness, unsteadiness, gait disturbance, and/or recurrent falls. All peripheral sensory functions decline with age, and the population is aging. Consequently, older adults may experience decreased physical activity, performance, and social participation, falls, poorer quality of life, and cognitive decline. Occupational therapy (OT) plays a vital role in social participation, healthy aging, fall prevention, improving fall-related efficacy, environmental and activity modification, compensatory training, and rehabilitation with older adults to improve occupational performance and participation in daily activities. Despite the potential impact of PVP on occupational performance and participation in meaningful activities, limited literature exists on the topic. Further, potential efficacious interventions for age-related vestibular loss fall within the occupational therapy scope of practice. This capstone intends to utilze evidence relevant to OT to contribute to an understanding of PVP and the potential role of OT in recognizing, assessing, and treating patients with age-related vestibular loss. The Person Environment Occupation Performance (PEOP) model is proposed as a holistic and comprehensive framework to improve occupational performance and well-being in older adults impacted by vestibular dysfunction.

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    Pilot Qualitative Study

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Howell, Layce

    Gaming perspective from stakeholders of occupational therapy has been an area of study among researchers for quite some time. According to a literature review, there are gaps in research related to occupational therapy treatment in rural locations. Understanding parents’ perspectives may lead to a greater understanding of a practice area for improved delivery of occupational therapy services. This pilot qualitative study examines parents’ experiences with children receiving occupational therapy services in rural locations. Interviews were completed with the participants to develop themes to answer the research questions using a phenomenological approach. The social constructivism frame of reference was used to explore the parents’ experiences and determine barriers to living in a rural area. The results of the interviews were analyzed and developed into themes to understand the parent’s perspectives. Occupational therapists and occupational therapy assistants may benefit from the study results and progress in their service delivery of therapy in rural areas.

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    Fieldwork Seminar Series-Preparing OT tudents for Level II Fieldwork

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Hunter, Jamie

    This program is a seminar series offered to entry-level master of science (MS) occupational therapy students to address preparedness in the semester before their first Level II fieldwork experience. Topics covered included (1) Level II fieldwork introduction: Policies and expectations; (2) Professional behaviors, supervisory process, and communication; (3) Strategies for success; Time Management, organization, and advocacy; (4) Safety, COVID considerations, onboarding; (5) Recognizing and navigating microaggressions; (6) Stress management and self-care; Coping with the death of a client; (7) Financial Considerations; and (8) Fieldwork manangement systems. The seminars provide information and resources needed for the transition from student to entry-level clinician and are structured to meet the needs of the diverse learner. A pilot study of a pre-post survey cohort design was used to identify student perceptions of what is needed prior to Level II fieldwork experiences.

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    Is There a Life After Sports?

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Iranshad, Kelli

    Is there life after sports? Athletes are accustomed to the end of a game, a match, or a season. But are they ready for the end fo their career? At some point, every athlete must contend with retirement from sports. For college athletes, retirement often coincides with graduation. These significant milestones can elicit anticipation or trepidation. Many athletes have spent most of their lives engaged in their sport. To an occupational therapist, this athletic engagement presents a unique occupation. Many athletes begin participation in sports as a leisure activity in youth, later transforming into identity and self-care necessities, and even progressing into a work-like pursuit, only to abruptly cease at the end of college. Reviewing the literature on the athletic retirement transition uncovers athletes’ struggles as they withdraw from competitive sports. There is little evidence, however, exploring the athletic retirement transition from an occupational therapy (OT) perspective. This capstone project reviews the evidence, exmaines OT implications, and illustrates the development of a transitional retirement program for collegiate athletes informed through occupation-based models of practice addressing the retirement transition through the unique lens of OT.

    Author has declined to share this capstone.

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    Oculomotor Dysfunction

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    King, Katherine A. C.

    This capstone aims to advocate for the translation of knowledge regarding oculomotor dysfunction (OD) treatment into the field of occupational therapy. Research shows that occupational therapy can play an important role in the treatment of OD. Most research involving occupational therapists and OD is concerned with traumatic oculomotor dysfunction (TOD) in either adult or pediatric populations. Due to the gap in research involving occupational therapists and non-traumatic oculomotor dysfunction (NTOD), little is known about the involvement of occupational therapists in the treatment of NTOD. The quantitative pilot study embedded within this capstone project explores the current practices of occupational therapists in regard to treating TOD and NTOD in both pediatric and adult populations in order to prompt the translation of knowledge regarding OD treatment into occupational therapy practice and encourage future research. This project will provide relevant background literature on OD, the implications of the project to occupational therapy practice, the project implementation plan, a reflection on the capstone process, and concluding thought on the capstone project.

    Author has declined to share this capstone.

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    The Impact of Sensory Deficits on Post-Stroke Motor Recovery of the Upper Extremity

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Parker, Phillip J.

    Individuals who have experienced a cerebrovascular accident (CVA) are often left with unilateral upper-extremity motor deficits which typically results in dramatic decreases in overall functional ability. This manuscript will examine the importance of sensory input for motor function, the neural mechanisms underlying sensorimotor integration, and how sensory input may affect post-stroke recovery. Additionally, the evidence of current sensorimotor interventions for post-stroke rehabilitation will be evaluated and discussed. Finally, the potential of novel protocols for promoting and leveraging sensorimotor plasticity will be visited. Through a more comprehensive examination regarding the fundamentals of motor movements, therapists can better understand the gaps across common intervention strategies as it relates to stroke rehabilitation.

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    Sensory Processing and Self-Regulation Eight-Week Parent Education Program

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Phillips, Wendy A.

    Due to a dramatic increase in autism over the past 20 years, autism spectrum disorder (ASD) is a common diagnosis treated by occupational therapists in an early intervention setting. This document outlines a proposal for a parent education program for families with preschoolers with ASD within a large Northern California school district. Many of these families are learning for the first time about an ASD diagnosis and have little knowledge of autism. Most of these parents have minimal to no knowledge or understanding of the sensory processing challenges that most children with autism face. An eight-week parent education program has been developed to address many sensory processing aspects. Based on Dunn’s Sensory Processing Frame of Reference, the program will provide information about sensory systems and the response to sensory input. In addition, the impact of sensory processing on daily life participation, such as the ability to self-regulate, attend, motor-plan, communicate and engage socially, will be discussed. The program will blend PowerPoint presentations and discussions with parents, giving real-life examples of sensory processing challenges their children are experiencing. A variety of sensory strategies will be explored to address these challenges. In addition, appropriate handouts will be provided.

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    Fundamentals of Hand Therapy for Entry-Level Occupational Therapy Students

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Quilty, AnnMarie Dora

    This document outlines a program proposal for a stakeholder presentation in preparation for a pilot program. The stakeholder presentation will include information about the rationale for the need of the program, and a series of learning modules to prepare students for a fieldwork rotation in a hand therapy setting. The modules will be presented to the occupational therapy department at East Carolina University (ECU). ECU has an entry-level master’s program for occupational therapy. The modules will be presented to the university staff, feedback will be compiled from the stakeholders, and changes will be made to the modules in preparation for live instruction to the students at a future date. Modules will be broken down by anatomical area. Each module will consist of an evidence-based anatomy review, common diagnoses review, and treatment of common diagnoses review. The presentation will include course syllabus, course objectives, the outcome measure of a pre- and posttest consisting of general knowledge needed to enter a hand therapy fieldwork setting, and four sample learning modules. This project will contribute to evidence-based occupational therapy programming to prepare students for fieldwork in the niche setting of hand therapy. The use of the Person Environment Occupational Model will guide the structure of the program.

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    Hand Therapy and Pediatrics

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Tiffany, Adrean

    The proposed manuscript attempts to explore the gap in literature and practice regarding pediatric populations and hand therapy rehabilitation. Pediatric populations require special attention and creative rehabilitation methods to promote functional, client-centered outcomes. There is an equally important need for hand therapists to not only understand the nuances of upper extremity treatment and interventions, but also to recognize the vast differences between pediatric and adult hand therapy patients, including developmental stages and the subsequent protocol variations, family interaction, and other stakeholder concerns. This manuscript intends to contribute to the literature regarding the pediatric client with upper extremity diagnoses and the role that evidence-based hand therapy plays in rehabilitation for children and their families.

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    Building an Inclusive Community

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Vu, Victoria

    Building a community that engages neurotypical students with children with autism through play can promote acceptance and inclusivity for children with autism. Through the capstone program project, 5th-grade students completed a seven-week prgroam with an occupational therapist (OT) who integrated with learnings of autism and applied their understanding of play, communication, inclusivity, and diversity within a classroom of preschool children with autism. Using the Integrated Play Group (IPG) model philosophy of using play as a modality to bridge the interaction between neurotypical children and children with autism, the 5th-grade children completed the curriculum to develop empathy and acceptance towards the preschool children. The fifth grade students completed the Shared Activity Questionnaire (SAQ) and Activity Checklist (ACL) before and upon completion of the program. Statistical significance was found with participants choosing less negative or unfavorable qualities towards children with autism after they participated in the inclusivity program. Therefore, 5th grade neurotypical students who participate in a seven-week inclusivity program with a mentoring component are more accepting of children with autism by attributing fewer negative qualities towards children with the condition.

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    Training Occupational Therapists to Teach Caregivers to Play with a Purpose to Reach Their Childs’ Highest Potential

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Wagers, Stephanie

    This capstone aims to demonstrate the need for a pgroam to guide pediatric occupational therapists in gaining the knowledge, skills, and confidence to deliver family-centered care leading to a solid therapeutic alliance and adherence to a home activity program. Family-centered care is considered best practice, yet there continues to be obstacles preventing therapists from implementing this type of practice within the outpatient pediatric setting. This program seeks to understand the barriers therapists face when implementing family-centered care. The literature explored utilizes evidence-based principles, characteristics, and components to explain and teach what makes up the therapeutic alliance. This program will deliver client-centered techniques to promote engagement, collaboration, trust, and effective communication, the fundamental components of a solid therapeutic alliance.

    Author has declined to share this capstone.

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    Gaming Technology

    Published Year: 2022
    Program: Doctor of Occupational Therapy

    Yung, Kristine

    Higher education faculty need to increase the utilization of technology within the classroom based on generational learning styles. However, faculty identify difficulty implementing technology into the classroom due to a lack of time and support. The Technological, Pedagogical, and Content Knowledge (TPACK) framework provides faculty with a guide to support the development of evidence-based courses. The TPACK has seven catagories that instructors can consider using when designating learning. Current evidence supports digital game-based learning increases student motivation, active participation in class, student attention, and improves comprehension. This capstone aims to determine if participating in the education program on digital game-based activities within their classes. A pre-experimental, pilot quantitative study comprising a non-randomized group of occupational and physical therapy faculty was completed. The faculty participated in three asynchronous pre-learning modules on generational learning, active learning, and the TPACK framework, proceeded by an in-person educational program including Kahoot! and SlidoTM. The TPACK Self-Efficacy Scale was used as a pre-test and post-test repeated measurement. Improvements in TPACK Self-Efficacy Scale were noted in the subcategories of Pedagogical Knowledge (PK) with p=.026, t(5)=-3.11, and Technological Knowledge with p=<.001, t(4)=-8.84. The overall TPACK scale lacked significance with the p=.074, t(5)=-2.25. The educational program on digital game-based learning improved the occupational and physical therapy faculty’s self-efficacy within pedagogical and technological knowledge components. Through increased self-efficacy, faculty will be more effective in implementing active learning and technology, which generational learners demand.

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2023

    Service-Learning : Occupational Therapy Students as Mentors for At-Risk Youth

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Alonso, Janet

    Occupational therapy leaders ensure continued growth within the occupational therapy profession by way of presence in public policy and engagement in emerging areas of practice. A service-learning course for occupational therapy students (OTSs) to mentor at-risk youth within the community engages students in the early development of leadership skills by increasing relationship skills for a transformational leadership style and addresses the development of an awareness of community needs for a future vision of potential leadership within a community-based practice. Best available evidence supports a service-learning pedagogy for the creation of leadership skills, civic-mindedness, and for OTSs to envision themselves as prospective leaders within the occupational therapy profession. Evidence on youth mentoring yields a framework for positive outcomes for at-risk youth ad OTSs. The tenets of occupational therapy, through a shared vision and framework, create a solid base for the coursework. Combined with an occupation-based model and frame of reference they contribute to OTSs application theory to practice through experiential learning. This capstone project culminated in a service-learning course proposal to an entry-level occupational therapy doctoral program, providing a rationale, evidence, and coursework to support OTSs development of leadership skills and participation in community-based practice by engagement in a preventative, mentoring intervention for at-risk youth.

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    TeleOT : A Telehealth Program for Alaska Veterans

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Athnos, Deanna E.

    Alaska has the highest percentage of military veterans per capita in the United States. The veterans who live in Alaska rely on quality healthcare that includes access to specialty services such as occupational therapy. However, veterans who live in rural areas of the state often face time-, distance-, or weather-related obstacles that impede transportation to in-clinic visits. Telehealth offers a service delivery method that potentially reduces missed opportunities and lowers costs. Research evidence from interdisciplinary and rural telehealth program studies paired with veteran-reported experiences inspired this TeleOT program plan. Telehealth services establish unique platforms for occupational therapists to lead the future of accessible healthcare services and simultaneously meet the needs of diverse and evolving communities. The following program plan encompasses the needs of veterans who live in Alaska, face barriers to healthcare participation, and benefit from occupational therapy services.

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    The Role of Occupational Therapists in Managing Diet and Volume Change in Women with Breast Cancer-Related Lymphedema

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Banks, Antwanette

    Lymphedema is an incurable chronic condition related to the impairment of the lymphatic system, in which localized swelling is present in the affected region(s) of the body. The blockage in the affected extremity leads to an increase in lymphatic fluid accumulation, resulting in the need for skilled intervention from a certified lymphedema therapist. Breast-cancer related lymphedema is a secondary condition characterized by its progression and chronic nature, often negatively affecting the quality of life of those diagnosed with it. The most common triggers include radiation treatment, chemotherapy treatment, or surgery. A combination of these treatments increases a patient’s risk of developing lymphedema. Despite lymphedema’s prevalence in women diagnosed with breast cancer-related lymphedema, the hardship it causes survivors, and the negative impact it has on body image, it is still a condition not widely discussed. The link between diet and lifestyle modifications continues to be researched through various studies and trials. Occupational therapists have a distinct role of informing, educating, and implementing evidence-based interventions for those affected by lymphedema, as well as educating other clinicians treating patients with this condition. This program development is designed to increase the knowledge and understanding of the role of occupational therapy in the treatment of lymphedema in its reversible and irreversible stages by means of diet modification to increase overall quality of life. The Occupational Therapy Practice Framework: Domain and Process will serve as the primary framework for this program.

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    How Do Parents Perceive the Effect of Increased Screen Time on Social and Physical Development?

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Benitez-Mireles, Ruby

    Objective: While many quantitative studies investigate the negative impacts of screen time, limited qualitative research has focused on parents’ perspectives on their children’s screen time and its impact on their social and physical development. This qualitative study used a phenomenological approach to explore the lived parents’ experiences with their children’s screen time, social interaction, and physical activities. Methods: A purposive sampling method was used to recruit participants. All six recruited participants were parents of a child attending occupational therapy in South Texas. All mothers completed a demographic survey. Then, a semi-structured audio-recorded interview was conducted orally. Results: Six interviews were conducted, and three themes emerged from the interviews: external barriers, positive perspective, and the impact of screen time on physical activity and social interaction. Conclusion: Overall, parents view screen time a beneficial because of its learning opportunities and use it as a means of childcare. Barriers to physical fitness included the weather, which resulted in increased indoor screentime. Another barrier was no physical activity guidelines knowledge. More research is recommended to continue understanding the impact of screen time.

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    Examining the Impact of Sensory Rehabilitation Methods on Fingertip Dexterity and Participation in Activities of Daily Living in Adults with Allodynia of the Hand

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Bennett, Amy

    This capstone project will cover peripheral nerve injuries (PNIs) in the upper extremity and the consequences that they pose to adults which can impair their activities of daily living (ADLs). Interventions for individuals with PNIs, such as sensory rehabilitation methods (SRMs) and tactile stimulation, will be explored to improve hand allodynia and fingertip dexterity for enhanced participation in daily activities. The majority of research articles on tactile stimulation interventions focus on pain reduction. To inform the best evidence-based practice of occupational therapy, it is critical to establish the relationship between tactile stimulation interventions and their impact on dexterity and discover how that measure correlates with an improved ability to participate in ADLs. The purpose of this manuscript is to review the current literature and explore the impact of various SRM interventions to treat patients with PNIs, such as utilizing desensitization approaches and graded motor imagery, and how those interventions may be used not only to reduce pain but also to increase dexterity for improved daily functional performance.

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    The Second Chances, Empathetic Care Program : Motivational Interviewing for Caregivers

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Bonde, Claire U.

    Successful reintegration into society after incarceration through employment can reduce recidivism and increase desistance. Post-incarceration employment opportunities typically require employers to provide training and support to ensure success, especially if the work entails supporting a potentially challenging population. In the Bay Area of California, one initiative enables individuals with a history of incarceration to contribute to the support of people previously experiencing homelessness. This necessitates alternative approaches to training. While motivational interviewing has been utilized successfully in many settings, little is known about its applicabiltiy to caregiver training at a permanent supportive housing site In the Second Chances, Empathetic Care Program, motivational interviewing was explored as a supplemental caregiver training for previously incarcerated individuals with low literacy levels working with previously homeless residents. The researcher provided three in-person trainings over one month addressing basic motivational interviewing concepts to nine caregivers working at a permanent supportive housing site in Oakland, CA. While caregiver knowledge of motivational interviewing did not increase after the training when measured with pre- and post-training true/false questions, there was an increase in knowledge demonstrated by answers to an open-ended post-training question with all caregivers having low literacy levels. Implementing future motivational interviewing training programs with more valid outcome measures could inform future studies and employers of this population.

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    Achieving Family-Centered Care in School-Based Occupational Therapy

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Brown, Laura

    Involving the family in pediatric occupational therapy, often termed family-centered care (FCC), is a crucial component and best practice for effectively treating children. In the school-based setting, involving the family comes with challenges due to the context, county and school culture, individualized family needs, and time constraints. The findings from this capstone help substantiate and expand the importance of FCC principles within school-based occupational therapy (SBOT) and establish a need for revitalizing the role of the school therapist. This capstone highlights the need for improved guidelines for the incorporation and translation of FCC principles into the practice of SBOT for improved alignment with IDEA and occupational therapy’s framework. Recommendations for achieving FCC in SBOT include education, for schools, practitioners, and parents; understanding families’ unique needs to support for the parent-therapist relationship; and the need for a guiding model. Using a model resembling partnering for change (P4C) would provide structure and guidance for school-based occupational therapists for improving and implementing the delivery of FCC within schools in the United States.

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    Strength and Conditioning Principles for the Outpatient Orthopedic Occupational Therapist

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Bussman, Andrew

    Occupational therapy has a problem with strengthening the musculoskeletal system. Outpatient orthopedic occupational therapists use therapeutic exercises to rehabilitate patients, but there is a gap in the literature about the role and impact of occupational therapy in strengthening procedures. Strengthening functional movements should increase occupational performance. This program development capstone intends to educate outpatient orthopedic occupational therapists and occupational therapy assistants on evidence-based strength and conditioning principles not regularly seen in the clinic through an in-person, continuing education course. At the conclusion of the capstone implementation, the learner will be able to apply strength, endurance, and conditioning interventions based on the evaluation provided through the program. The purpose of this program is to enable more outpatient orthopedic occupational therapists to confidently practice strength and conditioning principles in their exercise prescriptions.

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    Western Winds : An Equine-Assisted Therapy Business Plan

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Campbell, Courtney

    This capstone aims to explore the benefits of equine-assisted therapies for adults with a variety of emotional, cognitive, and/or behavioral disabilities. This capstone also creates a business plan to provide services to this population using the horse as s therapeutic tool. Both qualitative and quantitative research articles were dissected, analyzed, and appraised to provide quality justification of the benefits of equine-assisted therapy and to ensure that implementation of this capstone would provide measureable benefits to the intended population. A business plan including a strengths, weaknesses, opportunities, and threats analysis (SWOT analysis), market analysis, marketing plan, organizational and management plan, and financial plan was created with the intent of creating a meaningful, evidence-based, client-centered service for adults in the mid-Pennsylvania area.

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    Cultural Sensitivity Program Development

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Chamorro, Maria

    When it comes to understanding the diverse patients that occupational therapists (OTs) and occupational therapy assistants (OTAs) treat, being a patient advocate and using therapeutic use of self is vital. There is an interpersonal component OTs, and OTAs must be aware of, a language component if English is not the patient’s spoken language, and a cultural component to consider if the patient comes from a different ethnic and cultural background. It has been a challenge to find a continuing education course in which occupational therapists and occupational therapy assistants can meet these needs and cover the patient’s treatment from initial evaluation to the time of discharge with a focus on the Latin patient population culture and Spanish language, which may function as cultural and language barriers throughout the therapies provided. Participating in a continuing education unit course that focuses on cultural sensitivity for the Latin patient will provide additional education that may be lacking in OT/OTA program curricula, as well as supplement the education received about cultural competence. Identifying the barriers and limitations when treating the Latin population is essential, facilitating possible and practical solutions to increase the quality of OT/OTA patient care. A continuing education course has been developed for occupational therapy practitioners to enhance their knowledge on cultural sensitivity and how to treat the Latin patient focusing on identified barriers and solutions while centered aroundthe Model of Human Occupation to address patient needs.

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    Protects : An Evidence-Based Business with a Sustainable Solution for Patient Falls in the Skilled Nursing Setting

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Charney, Meredith

    Patient falls are a prevalent issue in skilled nursing facilities. Fall incidents put patients at a significant risk for injury and rehospitalization, causing an increased burden on patients, their families, and the already strained healthcare system. In addition to physical injury, falls often result in adverse psychosocial effects such as distress, anxiety, and a loss of strength and independence. While many fall prevention programs are available, researchers have shown that most programs cannot prevent a first incidence of falling but aim to prevent further falls once one has occurred. Moreover, research findings indicate that these programs do not provide long-standing results. Fall prevention programs in skilled nursing facilities are currently targeted at staff-provided interventions that lack the understanding of the psychosocial aspects of human function rather than empowering patients with individualized skills and knowledge to prevent falls founded on their values and beliefs. Occupational therapy’s expertise in the psychosocial aspects of human occupation offers the perfect foundation for ciritically assessing falls in the skilled nursing setting. Occupational therapy literature rarely puts occupational therapists at the forefront of this battle. Nurses and physical therapists currently drive fall prevention programs. This business plan ais to fill a gap in the limited fall prevention programming available nationally to skilled nursing management stakeholders and demonstrates the essential role of occupational therapy in these programs. This occupational therapy focused consultancy business with a evidence-based, sustainable solution for patient falls aims to tackle this complex issue.

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    Amplifying Black Voices: A Qualitative Study Exploring the Lived Experiences of Black Parents on the Road to Obtaining an Autism Diagnosis

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Davis, Deshaun

    This research paper aims to explore the experiences of parents or caregivers of black children in obtaining a formal autism spectrum disorder (ASD) diagnosis. Despite reliable screening practices and early detection initiatives, black children are being diagnosed with autism at a later age compared to white children and other races. This qualitative study employs a phenomenological approach to capture the unique perspectives of parents and caregivers, shedding light on barriers to quality care and identifying evidence-based interventions to address the diagnostic disparity. Convenience sampling was used to recruit five participants, all female caregivers, residing along the eastern coast of the United States. Data was collected through phone interviews and analyzed using thematic analysis. Three main themes emerged from the data: “developmental expectations,” “socioeconomic barriers,” and “cultural stigmas.” The study highlights the importance of parental awareness, the impact of socioeconomic status on equitable access to care, and the need to address cultural stigmas to improve early diagnosis and intervention for black children with ASD. However, the study’s small sample size and reliance on self-reported data are limitations that should be considered when interpreting the findings.
    Keywords: autism; African American; occupational therapy; qualitative; screening

    Author has declined to share this capstone.

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    Community-Engaged Learning and Student-Led Clinics in Occupational Therapy Education : A Qualitative Review

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Fait, Lyndsay

    Community-engaged learning (CEL) is a high-impact practice commonly used in higher education. As a form of experiential learning, CEL enhances student connection between course content and the application of knowledge. Current trends in higher education and teaching practices lean toward high-impact teaching methods to create meaningful and interactive opportunities for students to advance critical thinking and problem-solving skills. Literature supports the benefits of using CEL in curricular design. However, there is little evidence of its use in occupational therapy (OT) and occupational therapy assistant (OTA) programs. Student-led clinics, a form of CEL, offer students hands-on practice to enhance their knowledge, skill set, and confidences before implementing and enhancing these skills in level II fieldwork rotations. While many health profession programs implement the use of on-campus and/or student-led clinics, the number of OT programs implementing this is low, with no literature supporting its use in OTA programs. This pilot qualitative study uncovered students’ perceptions of participation in CEL and a student-led clinic in an OTA program, identifying the benefits of using this high-impact practice as part of curricular design in occupational therapy education.

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    The Issue Is…School Shootings and Occupational Therapy’s Potential Role in Prevention and Crisis Intervention

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Fletcher, Jaime

    School shootings have reached an all-time high as of 2022 according to the Center for Homeland Defense. Extensive qualitative research has been completed regarding aspects of the aftermath of school shooting tragedies, with some guidelines developed for prevention strategies. However, very little research is focused on occupational therapy providers’ (OTPs) perspectives and potential roles in addressing this crisis. One of the preventative solutions all parties agree on is a need for more extensive and comprehensive mental health services in the school system, yet there is a significant shortage of those providers. Occupational therapy providers could be utilized to help fill in that professional shortage on crisis intervention teams, as they are qualified mental health providers with mental health qualifications to help screen and provide appropriate interventions for behaviorally at-risk students. To better support OTPs in the role of crisis intervention team member, specific recommendations and guidelines for service provision are vitally important.

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    An Occupation-Based Hand Therapy Approach with Complex Regional Pain Syndrome : Case Report

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Galeno, Kathleen B.

    Complex regional pain syndrome (CRPS) is a neuropathic pain response that manifests after an injury to a limb. The responses clients experience vary considerably, and the manifestations include pain disproportionate to the injury, inflammation, trophic and pseudomotor changes. The Budapest criteria is the current accepted and validated criterion used to assest occupational therapists (OTs) with identifying the early signs and symptoms of CRPS. Improving awareness of the Budapest criteria will help OTs facilitate prompt initiation of effective and appropriate treatment, including alternative pain management interventions, for individuals unable to participate in the common pharmacological approaches. This capstone project provides OTs information regarding the signs and symptoms of CRPS type I and allows OTs to consider using an occupation-based hand therapy (OBHT) when treating this population. The case report, which is part of the capstone project, reflects the evidence supporting the use of a client-centered OBHT approach and pain manangement modalities with an individual diagnosed with CRPS type I. This project aligns with occupational therapy’s tenets, relating the person-environment-occupation-performance (PEOP) model coupled with a biomechanical frame of references, supporting OBHT and the five pillars of the American Occupationak Therapy Association’s Vision 2025.

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    Application of Preceptor Training in Acute Care Occupational Therapists

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Groth, Taylor

    The acute care hospital setting is complex and fast-paced. Acute care occupational therapists benefit from individualized training and guidance, especially as they transition into practice. The primary aim of this educational case study was to create preceptor training for acute care occupational therapy preceptors to increase their knowledge and confidence when participating in the preceptorship experience. The educational training included a three-part module series via voiceover PowerPoint and an in-person skills lab. Topics within the educational modules included defining preceptorship, understanding adult learning theory, utilization of preceptor resources, promoting critical thinking, the One-Minute Preceptor (OMP) model, and the importance of delivering constructive feedback. Six participants completed the intervention. Data were collected before and after the intervention using online surveys. All participants reported increased perceived confidence in serving in the preceptor role, creating an orientee questionnaire, using the OMP framework, identifying their learning style, and utilizing departmental resources. Additionally, each participants expressed that training such as this should be mandatory before participating in the new staff orientation process as a preceptor.

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    Postpartum Health and Wellness : A Program Designed for the Occupations of Motherhood Program Implementation

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Hoyt, Taylor

    Mothers undergo immense physical, emotional and mental stress and change during the postpartum period. Mother have few resources for finding support during this time. Occupational therapy has a scope of practice that includes many occupations and co-occupations of motherhood. This program will assist new mothers in sleep, breastfeeding, maternal mental health, and physical activity. This program will utilize evidence related to occupational therapy and the needs of postpartum mothers to address their needs with a holistic lens and empower mothers to seek support and make informed decisions about their postpartum care.

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    Evidence Based Consulting Practice : Business Plan

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Hughes, Dierdre A.

    Research demonstrates that occupational therapists (OTs) have positive attitudes toward evidence-based practice (EBP) and recognize its value to the profession. More than ever, the need to integrate research into practice is crucial. The current move towards a value-based payment system places increased demands and accountability on OTs and other allied healthcare workers to prove the effectiveness of their interventions. EBP improves the quality of care by providing treatments based on the best evidence. Furthermore, it reduces healthcare costs and prevents unnecessary healthcare spending by streamlining and tailoring interventions to addess the client’s specific needs. Evidence in this document supports the importance of leadership in facilitating and promoting the integration of EBP in allied health professionals. Moreover, Vision 2025 embraces the practitioner’s role as an influencer to bring about change and propel the profession into the future. Creating an evidence-based consulting practice will help to close the evidence gap in OT. Increasing the use of EBP in OT is of high priority, and leaders, managers, and clinicians should make every effort to ensure that clinicians are proficient in applying research skills. Delivering interventions based on empirical evidence leads to increased visibility of the profession and continued development of the clinicians’ professional identity.

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    Using Growth Mindset Theory as a Framework to Educate Occupational Therapy Fieldwork Supervisors in Providing Enriching Fieldwork Experiences

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Johnson, Shaunna

    Occupational therapy students must complete multiple fieldwork experiences as part of the entry-level requirements for clinical practice. Fieldwork supervisors are an essential component of the fieldwork experience for students. Although a growig number of resources are available for fieldwork supervisors to provide high-quality fieldwork experiences, few practical teaching frameworks to increase the fieldwork supervisor’s efficacy as a fieldwork educator. The case study aims to give fieldwork educators theories of reference and practical applications to provide occupational therapy students with student-centered, engaging fieldwork experiences.

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    Lived Experience of Embedded Cardiac Surgery Intensive Care Unit Rehabilitation Team

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Krolak, Benjamin Leo

    Rehabilitation in the cardiovascular surgery intensive care unit (CVICU) is becoming a more recognized essential need, with a patient population that is older, sicker and more complex than ever before. Little research has been conducted on occupational and physical therapy staffing models in the CVICU, how they are experienced by staff, or the possible benefits and challenges of different approaches. This pilot qualitative study explored the lived experiences of occupational and physical therapists working in an embedded CVICU rehabilitation team in a large level academic and teaching hospital. Two occupational therapists and three physical therapists with experience in this staffing model participated in semi-structured interviews, exploring the benefits and challenges, especially compared to the more traditional staffin model practiced elsewhere in their facility. Participants described a close-knit team integrated directly into the CVICU itself, with specialized training and increased consistency in sharp contrast to the more traditional staffing model they had experienced in the past. Findings coaslesced around three major perceived benefits of the embedded team as well as three key challenges to successful implementation. Results from this pilot qualitative study can inform other facilities who may wish to employ a similar approach to staffing and highlights the important role of occupational therapy in this practice area.

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    Functional Literacy Programming to Improve Health Management Skills for People Experiencing Homelessness in a Medical Respite Setting

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Marcell, Dusty

    People experiencing homelessness (PEH) experience more negative social determinants of health, more health issues, worse health outcomes, and a shorter life expectancy in comparison to their housed counterparts. The prioritization of occupations of survival, combined with inadequate health management and functional literacy skills, often hinder the successful and proactive management of health conditions. Subsequently, PEH often defer addressing their health until crisis occurs. This capstone project piloted novel occupational therapy programming with participants in a medical respite setting where PEH stay temporarily while recovering from illness or injury. The researcher used a strength-based, trauma-informed approach, and functional literacy strategies to implement an intake session and four situated learning sessions with participants that focused on health management skills. Overall, the pilot program was well received, as indicated by comparing pre- to post-session satisfaction survey results: 33% increase in “Very Confident” in medication management; and 66% increase in “Very Confident” in health system navigation. Finally, a majority of the participants evaluated the content and functional literacy strategies taught over each of the four sessions as “Very Useful” or “Useful.” Results of the study suggest that including an occupational therapist on the interprofessional medical respite team would be helpful in supporting homeless patients to learn strategies to manage their health more confidently and proactively.

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    Simulated-Home Outpatient Pediatric Clinic : Business Plan

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Mendoza, Sharon S.

    KidSpire Therapies’ business concept is an outpatient pediatric clinic to be designed like a house with functioning living spaces and home tools one typically sees in people’s residences. The clinic will focus on providing impressions of occupational experiences, mostly self-care and home management skills, through direct and simulated task engagement. Facilitation of memory impressions is through subtle suggestions derived from simply designing the clinic and its programs to convey the feeling of being in a “house and a member of a home.” The goal is to address home routines and self-care tasks in the closest sense to a typical home to generalize skills to the client’s natural environment easily. In addition, the business plan illustrates context-driven programs founded on evidence-based knowledge. Recent years have seen an increase in studies on contextual interventions to facilitate functional independence among children with autism spectrum disorder (ASD) and other neurodevelopmental disorders (NDD). However, its clinical and community implementation have been limited. Therefore, this innovative business concept demonstrates an integration of context-focused intervention to enhance the transfer of adaptive skills from the outpatient pediatric setting to home or the community.

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    Program Development Capstone Health Promotion in Hand Therapy : The Synergistic Relationship Between Lifestyle Medicine and Occupational Therapy

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Meyer, Vanessa M.

    Chronic disease is at an epidemic level in the United States, with 50% of the population having at least one chronic condition. Lifestyle habits are the primary cause of chronic illness, with poor habituation affecting health and healing. Health promotion, wellness preservation, and optimizing human performance in daily occupations are the foundation of occupational therapy (OT). With the rising healthcare costs and the increase in chronic disease in the United States, OT must take a leading role in addressing this growing demand. Despite the extensive history in health promotion, many occupational therapists (OTs) do not fully embrace health and wellness education with their clients. With a client-centered, whole-person focus, OTs have a unique opportunity to positively impact the quality of life and lifespan of their clients using principles of the health management occupations found in the Occupational Therapy Practice Framework: Domain and Process-4th edition. Through evidence-based health promotion principles found in lifestyle medicine and occupational therapy, this program development capstone aims to contribute to delivering a comprehensive health and wellness education curriculum for occupational therapists practicing hand therapy.

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    How Occupational Therapists Apply Therapeutic Approaches for Mental Health Care Within Acute Medical Settings

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Nelson, Anne M.

    The occupational therapy profession is grounded in mental health and has evolved to play a vital role in acute medical healthcare. The therapeutic relationship is vital to providing quality healthcare in mental healthcare and acute medical settings. The intentional relationship model (IRM) is a model and framework that guides how occupational therapists (OT) build and sustain therapeutic relationships with clients. Occupational therapists accumulate a wealth of expertise throughout their careers in applying a therapeutic approach to build and sustain therapeutic relationships. This capstone uses a qualitative pilot study and a constructivist grounded theory design to capture the expertise of OTs who build therapeutic relationships with patients of mental healthcare within acute medical settings. A dynamic process for applying a therapeutic approach is described in four main conceptual themes that overlap at the point of skilled actions and real-world interactions, which make up the therapeutic relationship between patient and OT. This capstone project includes a literature of evidence gaps, implications for occupational therapy, the project implementation methods, qualitative findings and interpretation according to current evidence, and personal reflection on the process of learning to design and implement a qualitative pilot study using grounded theory. The findings from this study will be compiled in a toolkit for occupational therapy students and clinicians to reference as they build and adjust therapeutic relationships with patients. The qualitative pilot study is presented as an executive summary and will be submitted for publication in academic journals following the primary investigator’s completion of the doctorate degree.

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    Mental Health in the Pediatric Population

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Oliver, Amanda C.

    The pediatric population is significantly impacted by adverse mental health. Unaddressed mental health in the pediatric population can lead to poor occupational performance in the child’s present and future state. Two of the most common mental health disorders seen within the pediatric population are anxiety and depression. The proposed program will be a website that contains information for healthcare professionals and caregivers regarding identifying and addressing mental health concerns in the pediatric population.

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    Optimizing Occupational Therapy Utilization in a Hospice Care : A Nursing Education Opportunity

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Pidkowicz, Jennifer L.

    Occupational therapy (OT) is considered an eligible service for Medicare beneficiaries receiving hospice care. Bristol Hospice in Portland, Oregon, has a contract occupational therapist available to provide these services. Unfortunately, the therapist infrequently received referrals. Evidence shows that occupational therapy benefits individuals at the end of their lives. These individuals strongly desire to maintain occupational participation and engagement in roles, habits, and routines. Under the hospice model, nurse case managers are often the gatekeepers for referrals to therapy services. Recent evidence has shown that there is a knowledge gap in the role of OT in hospice care. This program provided education to the interdisciplinary hospice care team to inform and educate on the role of occupational therapy in addressing the cognitive, physical, and psychosocial needs of individuals and families in hospice care and shift the understanding to one that enhances the quality of life and maintains occupational participation.

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    Acute Care Rehabilitation Utilization, Functional Status, and Discharge Destination in COVID-19 Patients

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Schmidt, Jessica

    Patients hospitalized with COVID-19 frequently experience functional impairments during and after the hospital stay. While many recover, some have lasting symptoms and develop long-COVID. To best serve this patient population or other similar populations, there is a need to examine acute rehabilitation utilization, personal and environmental factors affecting rehabilitation utilization, and the relationship between functional status and discharge disposition. This study is a retrospective secondary analysis of de-identified electronic health data from fourteen hospitals from January 2020 to April 2021. The primary dependent variable was rehabilitation utilization. The secondary dependent variable was discharge destination, specifically post-acute care (PAC) or home. The independent variables include age, sex, minority status, significant other, insurance type, hospital size, BMI, fall score, recent history of falls, AM-PAC Basic Mobility, and Daily Activity scores. Results are pending. The findings will identify factors associated with therapy utilization and discharge destination to help providers and administrators provide timely equitable care.

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    Informal Caregiver Training for People with Dementia : An Occupational Therapy Literature Review

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Simpson, Mary

    Background: Person-centered informal caregiver training is critical during occupational therapy intervention for people with dementia to ensure success in maintaining residence in the home for as long as possible. Purpose: This paper investigates models of care, frames of reference, and guiding principles that support healthcare decision-making necessary for individualized caregiver training is explored through adult learning principles, the triadic model of care, Kitwood’s person-centered care, and the Person-Environment-Occupation-Performance Model. Allen’s Cognitive Disability Model guides the care provided to people with dementia and their informal caregivers. Intervention strategies for people with dementia and their informal caregivers are addressed through the Allen Cognitive Disability Model, comparing the Allen Cognitive Level Screen-fifth (ACLS-5) and Allen’s Cognitive Level Screen sixth (ACLS-6) versions to improve understanding of similarities and differences, allowing occupational therapists to choose the assessment and training structure they prefer to blend with adult learning principles to fit the person with dementia (PWD) and informal caregiver needs. Implications: Utilizing to the high-quality, individualized predictive assessment found in the Allen Cognitive Disability Model is crucial in Occupational Therapy (OT). Theses assessments, coupled with adult learning and personalized training for the person/caregiver every 2-3 months, can significantly enhance support structures and improve caregiver well-being.

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    Addressing Mental Health Issues in Children Through Interaction with Nature : A Role for Occupational Therapy

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Sipe, Kristen M.

    Diverse factors are contributing to the rise of mental health disorders among children. Exposure to nature has the potential to addess the complex needs of this population. This capstone project investigated the effect of a nature-based occupational therapy intervention on children and adolescents with anxiety and depression who attended a paddleboarding program at a local oupatient clinic. A quantitative research approach was conducted using a prospective, pretest to posttest cohort design. A control group was not included. The study was grounded in the theoretical principles of the ecology of human performance and the four-quadrant model of facilitated learning. Results indicate statistically significant improvements in the study participants’ occupational performance and satisfaction scores. No statistical relationship was found on the adaptive behavior index change scores. The current study adds to the emergent body of literature on the mental health benefits of nature.

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    Animal Assisted Therapy : Business Plan for Private Pediatric Practice

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Smith, Kathleen C.

    Animal-assisted therapy (AAT) is the therapeutic inclusion of animals in therapy sessions to promote client engagement and goal attainment. It can be utilized by occupational therapists and preliminary shows positive outcomes for children and adolescents with a variety of disabilities. This capstone is an evidence-based business plan establishing a small private occupational therapy practice that utilizes a certified AAT dog during therapy sessions. The dog would incentivize participation by serving as a motivational tool, a therapy participant, and a reward to clients. Targeted clientele would include children ages 4-18 with needs in the areas of fine motor, self-care, self-regulation, and executive functioning.

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    Brain Breaks and the Impact on Learning in an Elementary School Setting Using the Bodies Learning Minds Program

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Solis, Maria

    Objective: This capstone program implementation aimed to integrate brain breaks into the students’ classroom routine to enhance student’s well-being and academic performance. It incorporated the Ready Bodies Learning Minds (RBLM) program into the student’s academic day. By integrating these breaks into the daily schedule, occupational therapists and educators aimed to create a positive learning environment to support students’ cognitive and social-emotional development and improve academic success. Results: The program implementation results indicated a positive impact on on-task behaviors and positve attitudes after students attended their RBLM sessions. Improved concentration, improved focus, and social skills were common themes reported by the classroom teachers. Conclusion: The program implementation highlighed the importance and benefits of implementing brain breaks throughout the school day. Some of the benefits include increased physical activity, improved behaviors, positive impact on social and emotional skills, and teacher perceptions regarding brain breaks. More research is recommended for feasibility and fidelity of the program.

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    Best Assessment Practices for Students with Extensive Support Needs

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Soria, Serena

    This capstone project aimed to provide an evidence-based program to school-based occupational therapists to educate them on best assessment practices for the population of students with extensive support needs. This project also aimed to identify therapists’ knowledge and perception of the topic before and after participating in the program presentation. Research shows that school-based therapists know and understand the importance of using top-down and client-centered assessment approaches. However, they predominantly utilize bottom-up assessment methods in practice. Bottom-up assessments can be challenging and unfeasible for students with extensive support needs to complete due to the assessments not being developed or normed for the populations of students who fall under the category of extensive support needs like autism spectrum disorder, intellectual disability, and multiple disabilities. The gap between best assessment practices and what therapists use in practice highlights a lack of knowledge exacerbated by a lack of continuing education, training, and resources on assessment practices specifically for students with extensive support needs. The program described in this capstone project highlights the need, implementation, and implications for an evidence-based program supported by current research to educate school-based therapists on best assessment practices for students with extensive support needs.

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    General Education Inclusion of Students with Significant Disabilities : The Role of the School-Based Occupational Therapist

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Sornson, Kelly

    Since the passage of the Individuals with Disabilities Education Act (IDEA), it has been mandatory for disabled children to be educated with non-disabled children within public agencies to the greatest extent possible. While school systems have responded by creating academic and functional programs better suited for educating students with disabilities, they tend to be self-contained environments with limited opportunities for exposure to typical peers throughout the school day. The inclusion of special education students, especially those with significant impairments, is currently not meeting the expectations set forth by IDEA. The reasons for this vary widely and have led to the pervasive restrictive placement of students with significant disabilities and extensive support needs (ESN) despite the numerous benefits of inclusive placement presented in available research. This Capstone project presents a literature review of this topic, compiles evidence and presents a case for improved integration of students with signficant disabilities into the general education setting. The findings of this Capstone project support the need for occupational therapists (OTs) to promote their knowledge and service potential, return to their roots in the utilization of occupation within natural contexts, expand their views on school-based intervention, and become the powerful advocates needed in schools to fight for the educational rights of the country’s most significantly impaired students.

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    Supporting Social-Emotional Learning Through Classroom Inclusion of Mindful Yoga : A Program of Collaboration and Sustainability

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Struble, Maegann

    Across the country, school closures and imposed social distancing during the COVID-19 pandemic led to negative mental health issues in children, such as anxiety, depression, and behavior problems. Amidst an unprecedented interruption of all social activities, children could not socialize and interact with others. Consequently, this left children without the adequate social and emotional skills to navigate life after the pandemic, resulting in special education referrals, including occupational therapy. From this emerged the necessity for innovative and collaborative interventions to address these concerns in schools for neurotypical and neurodiverse students. Social-emotional learning (SEL) is essential for teaching children how to self-regulate emotions and use coping skills to deal with life’s challenges. Occupational therapy practitioners (OTPs) are uniquely qualified to work with teachers to implement evidence-based, cost-effective, and sustainable interventions that promote social-emotional learning. Mindful yoga is one such occupation-based intervention that OTPs can easily incorporate into the daily classroom schedule to provide self-regulation and coping strategies that align with SEL. This capstone project development will explore the barriers and facilitators for the sustainablility of the Zensational-Kids yoga program through a teacher-therapist collaborative model. The goal is to develop and implement a district-wide mindful yoga program framed within an occupational therapy perspective to target SEL in children of all abilities.

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    Integrating Nature into Practice : Occupational Therapists’ Perspectives

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Thomas, Erin

    Nature-based settings are unique in that they enhance occupational performance and well-being. Subsequently, the use of nature has recently been adopted by schools as a supplemental environment to support student performance and educational outcomes. While previous studies have investigated the effects of nature on general education students and educator impressions, little research exists regarding the perceptions of school-based occupational therapists (OTs) who use outdoor environments and their impact on special education students. This qualitative pilot study will examine the perceptions of school-based OTs who provide interventions to special education students in nature-based settings. A phenomenological approach will capture the essence of OTs’ experiences to better understand why and how OTs use nature in school-based practice, perceived benefits and challenges, and the roles they assume as they implement nature-based interventions within their schools. Study results will inform and enhance occupational therapy practice by increasing the awareness and understanding of an alternative learning environment to support students who receive special education services.

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    Involuntary Childlessness after Infertility : A Qualitative Pilot Study and Implications for Occupational Therapy

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Trott, Lindsey

    Involuntary childlessness after infertility is a phenomenon that impacts women’s lives worldwide. This capstone project used a phenomenological approach to conduct a qualitative pilot study to explore the lived experience for woman who are involuntarily childless after infertility. Using convenience sampling with inclusion and exclusion criteria, fifteen participants from eight countries provided narrative data about their experiences with the phenomenon in open-ended, semi-structured interviews. The virtual interviews were recorded audio-visually and transcribed verbatim. For this capstone project, six interviews were analyzed using thematic analysis. Seven themes were determined. The identified themes describe the lived experience for women who are involuntarily childless after infertility, the occupational impact of the phenomenon, and the occupational needs of women in this population. The findings of this capstone project serve as the basis for supporting the provision of occupational therapy services for women who are involuntarily childless after infertility.

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    Preventing Musculoskeletal Disorders in Navajo Weavers

    Published Year: 2023
    Program: Doctor of Occupational Therapy

    Yazzie, Ramona Francine

    Cutlural competency has been a concern in rehabilitation services due to increasingly diverse populations. Cutlural competency can be challenging due to the influence a culture can have on values, beliefs, health-related practices, interventions, and assessment bias, often leading to misdiagnosis. Occupational therapists (OTs) work with many diverse and underserved populations and often come into contact with unique cultural occupations. Navajo rug weaving is a common creative occupation on the Navajo reservation. Navajo rug weaving involves multiple steps before creating a beautiful rug. The multiple steps include repetitive gripping, pinching, reaching, pulling , and prolongued sitting. Therefore, weavers are at risk for developing musculoskeletal disorders (MSDs), preventing individuals from participating in meaningful occupations. Occupational therapists have the skills to provide appropriate interventions through a client-centered approach. However, OTs must demonstrate and understand cultural sensitivity to address cultural occupations. This capstone will provide strategies for modeling and understanding the Navajo people, Dine, and rug weaving.

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