Graduation Year


Document Type


Degree Type

Open Access Capstone

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy


Background: When the COVID-19 pandemic and telehealth was utilized, it was apparent that most client families did not have occupation-based play objects in the home due to having to drive 30 minutes to the closest store, difficulty affording toys, or did not know age-appropriate toys for their child.

Purpose: The study explored home program education strategies, and the relationships between store access, socioeconomic status, and parental education levels on having age-appropriate play-based occupational items in the home.

Theoretical Framework. Occupational Performance Coaching (OPC) is a coaching intervention that helps parents to recognize and implement changes for more successful occupational performance for themselves and their child (Graham et al., 2009).

Methods. The study was a quantitative one group pretest/posttest design conducted one time a week for four weeks in 20-minute therapy sessions with the parent and their child. The parent was educated on a particular area of occupation, and framed with the three domains of OPC (Kraversky, 2019).

Results. The increase in confidence in choosing a toy for addressing therapeutic goals was found to be statistically significant, and remainder of survey questions resulted in a positive result. However, parents marked that this study was very valuable to them, that they had improved interactions with their child, and had improved carryover of therapeutic goals.

Conclusions: While only one pre/post question was statistically significant, it was significant in the fact that the post-tests show OPC was valuable to the parents and had the potential to be statistically significant with a larger participant group.

Faculty Mentor

Leslie J. Hardman, OTD, OTR/L

Department Affiliation

Occupational Therapy

Committee Member

Julie Duckart, PhD, OTR/L

Department Affiliation

Occupational Therapy

Committee Member

Shirley P. O'Brien, PhD, OTR/L, FAOTA

Department Affiliation

Occupational Therapy

IRB Approval Number (if applicable)