Award Date

May 2023

Degree Type


Degree Name

Occupational Therapy Doctorate


Brain Health

First Committee Member

Donnamarie Krause

Second Committee Member

Jefferson Kinney

Number of Pages



This quality improvement project explored the implementation of the Alert Program's (AP) first and second phases within the Foundation for Positively Kids social skills program, PK Social ETC. This study focused on three staff members' perception of the Alert Program's usefulness on their clients' self-regulation skills and occupational participation when engaged in their daily social skills group. The Alert Program was delivered through weekly education sessions for the staff, followed by two groups involving the children to provide visual demonstrations for the staff over eight weeks. Data was collected through a pre- and post-survey using a Qualtrics survey to capture changes in teachers' perceptions, and the questions included a mixture of quantitative and qualitative data. Areas addressed within the surveys were the staff members perceived attitudes, confidence, and satisfaction levels in their knowledge of self- regulation and the methods currently used to help their clients self-regulate. Although no significant improvements to the staff's perceptions were observed within the data, anecdotal feedback noted significant changes in the children's behaviors following participation in the Alert Program groups. These mixed findings can provide a step forward in future research through a better structure of deliverance of the program and its content with this population and their age group; additionally, improving the staff's instruction method will strengthen their perception and understanding of the Alert Program.


Alert Program; Children with delays; developmental delay; Intervention; Self-regulation


Occupational Therapy

Degree Grantor

University of Nevada, Las Vegas




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