Graduation Year


Document Type


Degree Type

Open Access Capstone

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy



Background: Older adults who plan to go home from a SNF after having injuries have increased concerns about their transition and feel they have limited knowledge and information on community resources. There is research on the critical roles of occupational therapy in preparing community-dwelling older adults to transition home from SNF. However, limited research on community-dwelling older adults' perception of their self-efficacy and discharge preparedness after receiving occupational therapy services at SNF.

Purpose: This project examines the perceptions of community-dwelling older adults’ preparedness and self-efficacy after receiving occupational therapy services in a SNF to increase their quality of life and decrease hospital readmissions after they return home.

Theoretical Framework: The Value and Meaning in Occupations Model (ValMO) and Model of Occupational Wholeness theoretical framework were used to frame and provide context for this study to assess community-dwelling older adults’ self-perceived occupational performance and satisfaction and the effectiveness of the intervention.

Methods: A convergent mixed-method, pretest, and posttest design. This design selected participants admitted to a skilled nursing facility to address community-dwelling older adults’ perception and self-efficacy during SNF discharge preparation.

Results: The quantitative pretest, posttest, and two-week phone call follow-up results reveal a statistical significance (p

Faculty Mentor

Leah Simpkins, OTD, OTR/L, CPAM, CDP, PNAP

Department Affiliation

Occupational Therapy

Committee Member

Renee Causey-Upton, PhD, OTD, OTR/L, CLA, FAOTA

Department Affiliation

Occupational Therapy

Department Affiliation

Occupational Therapy

IRB Approval Number (if applicable)