Date of Award

Fall 11-17-2017

Document Type

Capstone

Degree Name

Doctor of Occupational Therapy (OTD)

Department

Occupational Therapy

First Advisor

Jan Rowe Dr.OT, MPH, OTR/L, FAOTA

Second Advisor

Jennifer S. Crowder DSc, OTR

Medical Subject Headings

Tourette syndrome, Tics, Occupational performance, Assessment, CBIT, Behavioral therapy, Occupational therapy, Mental health, Quality of life, Habits, Adolescent, Child

Abstract

Tic disorders and Tourette syndrome include motor and vocal tics, affecting as much as 1% of the population (Centers for Disease Control [CDC], 2016). In addition, Tourette syndrome is often associated with comorbid neuropsychiatric conditions that have been linked to poorer quality of life (QoL) in youth compared to peers (Conelea et al., 2011). To manage this lessened QoL, mental health providers have historically treated these youth (Woods et al., 2008). More recently, occupational therapists have noted success in treating these children (Rowe, Yuen & Dure, 2013). In general, occupational therapists address QoL by assessing and treating occupations, roles, and habits of their clients (American Occupational Therapy Association [AOTA], 2014). With the disruption caused by tics and the high prevalence of co-occurring conditions, occupational therapists can serve as a fundamental team member in improving the life satisfaction in these youth. However, with the limited entry-level education focus on these diagnoses, lack of diagnosis-specific occupation-based assessments, and the insufficient number of certified tic trained occupational therapists in the country, few youths with Tourette syndrome receive occupational therapy treatment (Liao, 2015). Thus, occupational therapy lacks a tool to support the development of an occupational profile and intervention plan specific for youth with tic disorders and Tourette syndrome. Therefore, the purpose of this capstone project was to seek expert clinicians’ feedback on a draft modification of a popular occupational therapy assessment of participation in daily activities for use in youth with tic disorders and Tourette syndrome. Certified Comprehensive Behavioral Intervention for Tics (CBIT) therapists around the country reviewed the draft modification and provided written feedback through email. This expert opinion guided the determination of the conceptual basis of assessing occupational adaption as well as the occupational statement applicability, client appropriateness, and clinical feasibility of the draft assessment. Consideration of the expert feedback directed creation the final product, the Tic Adapted Child Occupational Self-Assessment (COSA-t).

Comments

Capstone project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Occupational Therapy.

Download

Share

COinS