Summer 2025 OTD Capstone Symposium

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  Equine Assisted Services to Increase Participation in Activities of Daily Living and Social Engagement for Veterans with PTSD

  Mackenzie A. Alexander, Rebecca King, and Gwen R. Morris

  Currently there are limited occupational therapy programs in equine assisted services that promote engagement in meaningful occupations for veterans who experience PTSD. This capstone project aims to increase occupational participation of veterans with PTSD by providing modules on education and interventions to therapy staff who work in equine assisted services. The modules focus on increasing engagement in activities of daily living and social participation to promote overall quality of life.

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  Preventing Injuries In CDL Drivers: An Occupational Therapy Approach

  Jerika Eumecha Arnsworth, Cassandra Nelson, and Lee Ann Hoffman

  Commercial drivers are at heightened risk for musculoskeletal disorders (MSDs) due to prolonged sitting, inadequate ergonomic environments, and limited access to health education. This doctoral capstone project aimed to address these challenges through the development, implementation, and evaluation of a five-week educational program focused on improving ergonomic awareness and occupational health among CDL drivers. Grounded in the Person-Environment-Occupation (PEO) model, the program was implemented in collaboration with a small commercial logging company in Texas and featured weekly modules on hydration, preparatory movements, assistive technology, seating posture, and mental health.

  A needs assessment revealed limited ergonomic knowledge among participants and a high incidence of fatigue and physical discomfort. Pre- and post-surveys indicated progressive increases in participant comprehension and engagement across the five modules. Results demonstrated a marked improvement in ergonomic understanding and self-reported application of principles taught throughout the program. Despite scheduling challenges, the flexible delivery format and participant feedback supported the program’s effectiveness and relevance.

  This project highlights the critical role of occupational therapy in addressing the ergonomic and health needs of commercial drivers. By offering evidence-based, practical interventions, occupational therapists can promote career longevity, reduce injury risk, and enhance the overall well-being of drivers, contributing to both occupational justice and public safety.

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  Addressing Psychosocial Barriers to Participation in People Experiencing Homelessness: An Occupational Therapy Workshop

  Preston Bender, Steven M. Gerardi, and Lacey Spark

  Despite the occupational therapy (OT) profession's emphasis on holistic, person-centered care, many OT practitioners and students report feeling a lack of self-efficacy and preparedness to navigate the complex psychological, social, and systemic barriers that hinder occupational participation in people experiencing homelessness (PEH). This capstone project aimed to address the perceived unpreparedness among clinicians through the creation of an 8-hour interactive educational workshop aligned with Experiential Learning Theory. The content is grounded in the Model of Human Occupation (MOHO) and informed by the Bridging the Transition from Homelessness: A Social Justice Framework (BTTF), trauma-informed care (TIC), harm reduction, and diversity, equity, and inclusion (DEI) principles. The workshop includes case studies, group activities, and discussions to build necessary skills, knowledge, and confidence for more effective, person-centered care.

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  The Benefits of Music in Occupational Therapy for Individuals with Dementia

  Keanu Butler, Rebecca King, and Keegan McKay

  Alzheimer’s disease is the most common cause of dementia in older adults, leading to progressive declines in memory, behavior, and daily functioning. Music interventions, whether live or recorded, have been shown to improve mood, reduce agitation, and enhance quality of life for individuals with dementia by fostering emotional connection and relaxation. The Model of Human Occupation supports these interventions by addressing volition, routines, and performance skills, helping therapists create meaningful, structured strategies to improve daily living and engagement.

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  Factors that Contribute to Occupational Burnout Among Occupational Therapists and Certified Occupational Therapy Assistants: A Qualitative Design

  M'Kayla Davis, Kim Broussard, and Mary Jan Greer

  This capstone project investigates the prevalence, contributing factors, and impact of occupational burnout and compassion fatigue among occupational therapists (OTs) and certified occupational therapy assistants (COTAs) in inpatient rehabilitation facilities. Using a qualitative research design, structured interviews and thematic analysis, the study identifies heavy workloads, staffing limitations, emotional demands, and sleep deprivation as primary contributors to burnout. The research employs occupational adaptation theory to explore adaptive strategies practitioners utilize, such as boundary setting and seeking professional or interrelationship support, to mitigate these effects. Findings highlight the pervasive nature of burnout among participants on professional performance and personal well-being, and the urgent need for systematic support, mental health awareness, and the integration of preventative strategies within the occupational therapy profession. These results underscore the critical necessity for systemic changes to enhance both practitioner well-being and the quality of care they provide in the field of occupational therapy.

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  Occupational Therapy in Adolescent and Young Adult Oncology: An Educational Guidebook

  Bailee N. Fleming and Lesley Khan-Farooqi

  Adolescent and young adult (AYA) cancer patients, typically aged 15 to 39, face numerous physical, emotional, and psychological challenges during and after treatment, which can significantly affect their quality of life and ability to engage in daily activities. While occupational therapy has proven effective in addressing these challenges, its integration into AYA cancer care remains underutilized. This project aimed to bridge the gap by developing a comprehensive guidebook for AYA oncology patients and their oncology care teams, providing an in-depth understanding of the impact of cancer and its treatments on occupational performance, and promoting the role of occupational therapy in improving the quality of life for these individuals. Through this guidebook, AYA oncology patients and their healthcare providers are equipped with knowledge of occupational therapy practices, strategies for overcoming functional deficits, and guidance on timely referrals for occupational therapy services. By increasing awareness of the benefits occupational therapy has, this project seeks to enhance collaboration between oncologists, healthcare team members, and occupational therapists, ultimately ensuring AYA oncology patients receive holistic, patient-centered care. This guidebook was designed to address common occupational barriers faced by AYA oncology patients and improve the accessibility and frequency of occupational therapy services, fostering long-term well-being and successful reintegration into daily life during and post-cancer treatment.

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  Helping Children Cope With Sensory Overstimulation at Theme Parks: An Educational Video Series for Parents

  Ashley M. Garcia and Steven M. Gerardi PhD, OTD, MSS, OTR

  Parents of children with sensory processing challenges often feel overwhelmed and unprepared when visiting high-stimulation environments such as theme parks. Loud sounds, bright lights, crowded walkways, and unpredictable routines can contribute to sensory overload, creating distress for both children and caregivers. Although theme parks aim to provide joyful family experiences, they may not fully account for the needs of neurodivergent children, including those with autism spectrum disorder, attention-deficit/hyperactivity disorder, or sensory processing disorder. Parents of children with debilitating sensory issues are unsure and uncertain on how to prepare to assist their child to cope with the overwhelming sensory stimuli at theme parks. The purpose pf this project was to create an educational video series for parents on how to help their children cope with debilitating sensory stimuli at theme parks. The six-episode series, grounded in occupational therapy principles and informed by current literature, neurodivergent voices, and parent perspectives, offers proactive and affirming strategies to promote participation and enjoyment. This paper describes the project's development, presents a review of the literature, and discusses its strengths, limitations, and implications for future practice. Links to the full video series and transcripts are included as appendices.

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  Occupational Therapy for Individuals with Low Vision Affecting their Mental Health

  De'Aundria M. Gipson, Jaimee Fielder, and Becky King

  Low vision is a prevalent public health issue among older adults, often leading to functional limitations, reduced participation in activities of daily living (ADLs), and increased risk of mental health challenges such as depression, anxiety, and social isolation. This capstone project explored the relationship between low vision and mental health by developing and evaluating a program to address both functional and psychosocial needs. Guided by the Person-Environment-Occupation (PEO) model, the program was implemented at Envision Dallas and included a needs assessment, tailored strategies, and group activities targeting emotional well-being, independence, and social participation. Data from surveys, interviews, and observation indicated that participants experienced improved mood, increased engagement, and greater confidence in daily activities. Findings support the role of OT in delivering holistic interventions that integrate physical rehabilitation with psychosocial support to enhance quality of life for older adults with low vision.

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  Habit Formation among Individuals Alcohol Use Disorder

  Blaire Guidry and Cynthia Haynes

  This capstone project aimed to determine the efficacy of a newly developed and delivered online program that focuses on educating individuals experiencing Alcohol Use Disorder (AUD) on how to create habits with decreased executive functioning skills. With the rise in substance use and addiction related disorders throughout the United States, the urge to implement various intervention approaches that support long term recovery is crucial (Radesi, 2025). By focusing on habit formation, the goal of this capstone is to educate individuals on how to create habits that promote increased participation in meaningful occupations.

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  Caregiver Training Program for Optimal Recovery of Neuro Accidents: An Occupational Therapy Approach

  Bennie L. Huitt Jr., Jennifer Featheringham, and Cassandra Nelson

  Caregivers of individuals recovering from stroke, traumatic brain injury (TBI), or experiencing onset of dementia often are provided limited education and support after discharge, negatively impacting confidence and recovery outcomes. The Caremaster program was designed to bridge the educational gap between occupational therapists in the clinical setting and caregivers in the home settings through accessible online modules, support groups, and in-person demonstrations. Module topics included understanding neuro accidents and role of the caregiver, returning home (transition and adaptation), ADLs and Mobility, returning to roles, and social reintegration. This program aims to guide future development of scalable, community-based caregiver education that enhances caregiver preparedness, self-efficacy, and advocacy, and ultimately improves outcomes for both caregivers and the individuals they are caring for.

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  Addressing Anxiety in the Pediatric Population: An OT Perspective

  Joshua D. Johnson, Mary Jan Greer, Wendy Tremaine, and Justine Faghihifar

  This capstone develops and evaluates a trauma-informed training for RBTs and caregivers in outpatient ABA clinics serving children with ASD and anxiety. Grounded in MOHO, the seven-module program teaches trigger→support mapping, sensory strategies, visual tools, and brief co-regulation routines. Findings show improved knowledge and confidence, with recommendations to embed a fidelity rubric, booster sessions, and ready-to-use templates.

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  Expanding Occupational Therapists’ Role in Youth Adaptive Sports: A Comprehensive Guidebook

  Alexandria K. Lannoo and Lesley Khan-Farooqi

  Children with disabilities are less likely to participate in adaptive sports or physical activity than typically developing children, despite the proven benefits adaptive sports provide for physical, social, and emotional well-being. Adaptive sports can be modified to accommodate a variety of ability levels and can improve quality of life (QoL) of children with disabilities through enhanced mobility, social participation, and self efficacy. However many occupational therapists (OTs) underutilize adaptive sports within their practice and are unaware of their role in promoting participation and of resources within their community. Guided by the Synthesis of Child, Occupational Performance, and Environment in Time (SCOPE-IT) frame of reference, this project explores how OTs can be advocates for, support, and facilitate access to adaptive sports for children with disabilities. By providing OTs with community resources within the San Antonio community, this guidebook aims to bridge knowledge gaps, empower OTs to advocate and integrate adaptive sports into their scope of practice, and overall enhance the QoL for children with disabilities.

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  Accessible Outdoor Recreation for Individuals with Physical Disabilities: An Educational Series

  Ashlyn Leonard and Zeida Gutierrez

  This capstone paper explores the effects of physical disabilities on outdoor recreation. An educational workshop was designed and delivered to occupational therapy students at the University of St. Augustine for Health Sciences. The purpose of the workshop was to increase their awareness of accessible outdoor recreation that way they can better mitigate barriers experienced by their future clients when trying to participate in desired outdoor activities. A pre- and post-survey was administered and analyzed to determine the applicability and effectiveness of the workshop in delivering the information.

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  The Professional and Occupational Identities of NICU Occupational Therapists

  Lindsay M. Marquardt and Karen Park

  Occupational therapists in the neonatal intensive care unit (NICU) provide specialized care, including infant positioning, feeding, handling techniques, and anticipatory guidance. While the American Occupational Therapy Association has outlined the role, little research has explored how therapists perceive their own occupational and professional identities in this highly specialized setting. This study explored the perspectives of NICU occupational therapists to better understand how their roles and identities are shaped within the NICU environment. A mixed-methods descriptive design was used. Data was collected through an electronic survey including Likert-scale and open-ended questions, with optional 30-minute follow-up interviews. Snowball and convenience sampling were used through social media outlets, occupational therapy discussion forums, and professional contacts. Quantitative data was analyzed using descriptive statistics; qualitative responses were examined using thematic analysis following Braun and Clarke’s six-phase process (2021). Eighteen occupational therapists working in the NICU completed the survey, and four participated in follow-up interviews. Thematic analysis revealed four overarching themes: emotional labor and motivational factors, identity development in the NICU context, navigating and defining the OT role, and systemic and cultural influences. Quantitative data supported the themes by showing significant statistical correlations between feelings of pressure to conform, professional identity, sense of value on the team, and strength of occupational identity, which revealed key professional identity patterns. Professional identity in the NICU is shaped by emotional labor, dynamic personal values, and interdisciplinary challenges. Identity is lived, not static, and evolves through experience. Role ambiguity and systemic barriers affect clarity and support. Findings highlight the need for advocacy, role definition, and stronger structural supports to reinforce NICU OT identity.

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  The Professional and Occupational Identities of NICU Occupational Therapists

  Lindsay M. Marquardt and Karen Park

  Occupational therapists in the neonatal intensive care unit (NICU) provide specialized care, including infant positioning, feeding, handling techniques, and anticipatory guidance. While the American Occupational Therapy Association has outlined the role, little research has explored how therapists perceive their own occupational and professional identities in this highly specialized setting. This study explored the perspectives of NICU occupational therapists to better understand how their roles and identities are shaped within the NICU environment. A mixed-methods descriptive design was used. Data was collected through an electronic survey including Likert-scale and open-ended questions, with optional 30-minute follow-up interviews. Snowball and convenience sampling were used through social media outlets, occupational therapy discussion forums, and professional contacts. Quantitative data was analyzed using descriptive statistics; qualitative responses were examined using thematic analysis following Braun and Clarke’s six-phase process (2021). Eighteen occupational therapists working in the NICU completed the survey, and four participated in follow-up interviews. Thematic analysis revealed four overarching themes: emotional labor and motivational factors, identity development in the NICU context, navigating and defining the OT role, and systemic and cultural influences. Quantitative data supported the themes by showing significant statistical correlations between feelings of pressure to conform, professional identity, sense of value on the team, and strength of occupational identity, which revealed key professional identity patterns. Professional identity in the NICU is shaped by emotional labor, dynamic personal values, and interdisciplinary challenges. Identity is lived, not static, and evolves through experience. Role ambiguity and systemic barriers affect clarity and support. Findings highlight the need for advocacy, role definition, and stronger structural supports to reinforce NICU OT identity.

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  Impact of Occupational Therapy Based Enrichment Program on Children in Transitional Housing

  Taylor Lynn Miller, Dana Madalon, and Cynthia Haynes

  Development, implement and evaluation of occupational therapy based enrichment program for children in transitional housing who have previously experienced homelessness.

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  Increasing Implementation of the Comfortable Cafeteria Program to Promote School-Age Children’s Mental Health and Well-Being

  Reinecka Mondesir and Angela Labrie Blackwell Phd, OTR

  Every Moment Counts (EMC) is a positive mental health promotion initiative that offers several initiatives to create inclusive environments that support student participation and emotional well-being throughout the school day. Comfortable Cafeteria, part of EMC, fosters positive mealtime experiences supporting peer interaction, emotional regulation, and inclusion. Many SBOT practitioners lack the resources to implement Comfortable Cafeteria, despite its benefits. This capstone project addresses the need for practical tools to help school-based occupational therapy (SBOT) practitioners integrate the Comfortable Cafeteria program into daily practice. Using the Multi-Tiered System of Supports (MTSS) framework, the project developed and disseminated an interactive, evidence-based video module designed to promote positive mealtime experiences, peer interaction, emotional regulation, and inclusion in school cafeterias. The module provides self-paced learning, real-life implementation examples, and downloadable resources to enhance practitioner competency. By equipping SBOT practitioners with accessible, adaptable strategies, this work aims to improve children’s participation, mental health, and overall well-being, while supporting long-term adoption of Every Moment Counts initiatives.

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  Applying Trauma-Informed Care Principles for Adolescents that are Transitioning to College and Work-Life: An Educational Workshop

  Annie Patel and Lakeisa Boykin

  Trauma can impact an individual’s ability to function in daily occupations and tasks (SAMHSA, 2014). Traumainformed care focuses on six principles in order to support individuals who have experienced trauma: safety; trustworthiness and transparency; peer support; collaboration and empowerment; choice; and cultural, historical, and gender sensitivity (SAMHSA, 2014). Incorporating these principles allows trauma-informed care to shift the focus from “what is wrong with you?” to “what happened to you?” (Sweeney et al., 2018). This focus allows for a client-centered approach to best assist individuals to address their trauma. 62% of adolescents have been exposed to at least one lifetime traumatic event and 19% have been exposed to three or more traumatic events (Darnell et al., 2019). Mental health concerns may have negative impacts on adolescents’ academics, interactions, self-regulation, and coping mechanisms.

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  Empowering Independence: Strategies for Safe Aging in the Home and Community for the Older Adult Population

  Madelyn Rashford, Becky King, and Keegan McKay

  This capstone project created an occupational therapy–based guidebook to promote safe aging in place for community-dwelling older adults. The guidebook includes fall prevention exercises, home safety strategies, and community resources to support independence in daily activities. Implementation showed increased safety awareness and confidence, reinforcing occupational therapy’s role in fostering independence and quality of life.

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  Advancing Mental Health Awareness Among Persons of Color: An Occupational Therapy Perspective

  Irene Rattitham and Cassandra Nelson

  This capstone project aimed to advance mental health awareness among persons of color (POC) residing in a skilled nursing facility by developing and implementing a culturally responsive psychoeducational program. Informed by the Person-Environment-Occupation (PEO) model, trauma-informed care, and mindfulness-based practices, the program addressed barriers such as stigma, limited awareness, and cultural perceptions of mental health. A needs assessment guided the creation of an 8-module curriculum covering topics like emotional regulation, family involvement, and accessing support. Educational materials were translated into Spanish, Korean, Japanese, and Vietnamese to enhance accessibility. The program was delivered through group and individual sessions, in-service presentations, and recreational wellness activities. Pre- and post-surveys, along with staff feedback, helped assess changes in residents' awareness, stigma, coping skills, and help-seeking behaviors.

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  Harmony in Motion: An Adaptive Dance Program for Enhancing Motor Skills and Social Engagement in Children with Down Syndrome

  Diamond D. Sampson, Mary Jan Greer, and Jennifer Johnson

  Harmony in Motion is an occupational therapy–inspired adaptive dance program designed to create inclusive, sensory-friendly ballet experiences for children with disabilities, including those with Down syndrome. Through tailored movement activities, environmental modifications, and the use of adaptive props, the program promotes participation, social connection, and self-expression.

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  Use of Motivational Interviewing to Increase Compliance in Therapy to Improve Work and Education Preparation for At-Risk and Underserved Youth

  Javon Smith, Jan Greer, and Sean Tory

  At-risk and underserved youth often face barriers to educational attainment, employment, and psychosocial well-being, which can limit their long-term occupational engagement. This doctoral capstone project implemented an eight-week, occupational therapy–informed program at R.I.S.E. Homes in Las Vegas, Nevada, integrating the Model of Human Occupation (MOHO) and Motivational Interviewing (MI) frameworks. The program aimed to enhance life skills, emotional regulation, conflict resolution, and career readiness among youth in transitional living. Using a trauma-informed, client-centered approach, sessions combined didactic instruction, interactive activities, and role-play to foster skill acquisition and self-efficacy. Outcomes were measured through pre- and post-program self-assessments and qualitative feedback from participants and staff. Results indicated improved self-reported emotional regulation, communication skills, and confidence in job-seeking behaviors. Findings support the role of occupational therapy in community-based, psychosocial interventions and highlight the potential for sustainable, multi-disciplinary collaborations to address the needs of at-risk youth.

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  An OT-Based Program for the Hispanic Community

  Ruby Vargas and Cassandra Nelson

  Hispanic older adults experience significant health disparities, including higher rates of functional limitations and limited access to rehabilitation services due to language and cultural barriers. Guided by the Person-Environment-Occupation-Performance (PEOP) model, this doctoral capstone implemented the Step by Step program across multiple community sites to improve health literacy, independence, and awareness of occupational therapy (OT). The program delivered bilingual, culturally tailored education, ADL-based strategies, and fall prevention activities. Needs assessments and pre/post surveys indicated increased confidence in daily activities, improved understanding of OT’s role, and greater engagement in health-promoting behaviors. Findings support community-based, culturally responsive OT programs as effective in addressing systemic barriers, fostering inclusion, and promoting aging in place.

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  Infusing OT Principles into a Program for Women Survivors of Domestic Violence

  Lark M. Wilkerson, Mary Jan Greer, Kim Broussard, and Wendy Tremaine

  This capstone project proposes the development and implementation of a trauma-informed occupational therapy (OT) program designed to support women survivors of domestic violence. Grounded in trauma-informed care principles, the program aims to address the psychosocial, emotional, and functional disruptions commonly experienced by survivors, including trauma-related stress, anxiety, and difficulty engaging in meaningful daily activities. A comprehensive needs assessment informed the development of structured interventions focused on improving emotional regulation, promoting self-care, fostering social participation, and enhancing overall occupational performance. Using both qualitative and quantitative methods, the project evaluates changes in participants’ functional abilities, psychosocial well-being, and perceived quality of life. The findings are intended to guide OT practitioners and community programs in delivering accessible, evidence-informed care to a highly vulnerable population, while demonstrating the value of occupational therapy in trauma recovery and empowerment.

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  Fostering Inclusive Care: Advancing Cultural Humility in Healthcare Professional Education: A Micro-Credential

  Delaney A. Williams, Lacey Spark, and Angela Blackwell

  Health outcomes are the results of healthcare and rehabilitative therapy interventions and describe what a client can accomplish through the rehabilitative therapy process. To achieve positive outcomes, practitioners identify possible barriers impacting clients’ participation in tasks and administer interventions to address these barriers in order to facilitate participation. As a result, cultural humility has been labeled as “paramount in therapeutic practice” (American Occupational Therapy Association [AOTA], 2020) due to it being a foundational principle underpinning effective client care and professionalism. Cultural humility is an ongoing process of acknowledging one’s biases and limitations through self-reflection and self-critique, while actively seeking to learn to honor another person’s values, beliefs, and culture through collaboration (Stubbe, 2020). Cultural humility promotes quality care and positive health outcomes by encouraging practitioners to acknowledge that clients’ identities are complex and that physicians will never be entirely competent in an individual’s ever-evolving identity and experiences (Hook et al., 2013). Due to cultural humility being a newer concept compared to broader and earlier ideas like cultural awareness and cultural competence, there is limited literature describing cultural humility training within rehabilitative therapy education (Foronda et al., 2018). As a result, the presence or absence of cultural humility in rehabilitative therapy can vary depending upon individual practitioners, settings, and systemic factors. While speaking with occupational, physical, and speech therapy faculty at the University of St. Augustine for Health Sciences (USAHS) Austin campus, there was a consensus that there is a lack of cultural humility exercises available in the curriculum (E. Frank, L. Johnston, and L. Spark, personal communication, 2024). Therefore, this micro-credential course will provide several cultural humility training opportunities for USAHS students and faculty to develop cultural humility.