Award Date

5-1-2024

Degree Type

Dissertation

Degree Name

Occupational Therapy Doctorate

Department

Brain Health

First Committee Member

Donnamarie Krause

Second Committee Member

Jefferson Kinney

Number of Pages

108

Abstract

Objective: Stroke has been considered a leading cause of functional impairment (Tsao et al., 2022). Recent evidence has supported a treatment approach that increases dosage (Scheets et al., 2021). High-intensity training (HIT) has shown promising evidence for functional recovery poststroke (Crozier et al., 2018). There have been minimal programs related to Occupational therapy (OT) and HIT have been created (Lamoureux, 2023). This doctoral capstone focused on program development of the OT-based HIT program. Theoretical frameworks included the Model of Human Occupation and Motor Learning Theory to provide a foundational structure.

Methods: A needs assessment was performed at the Saint George Regional Hospital NeuroSpecialty Rehabilitation Center. Methods included interviews, observation, and quality improvement questionnaires from clinician input. The program was evaluated for perceived feasibility and quality using a SWOT analysis.

Findings: The SWOT analysis indicated two overarching themes: patient empowerment and reluctance to change. Information acquired through feedback from these questionnaires and findings was disseminated into meaningful content. The program was redesigned based on input from the participants. No differences were seen in Likert Scale responses within the quality improvement questionnaire between participants with or without formal training with HIT.

Conclusion: Findings from this capstone project and experience suggested that the OT-based HIT program was perceived as a viable program that can contribute to the quality of the profession, clearly delineating physical therapy and OT-driven HIT regarding scope of practice. Future projects and research are needed to understand the program’s feasibility with patient care.

Keywords

Feasibility; High-intensity training; occupation-based; occupational therapy; program development; stroke

Disciplines

Occupational Therapy

File Format

pdf

File Size

1812 KB

Degree Grantor

University of Nevada, Las Vegas

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

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