Graduation Year


Document Type


Degree Type

Open Access Capstone

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy


Background: College students with intellectual disabilities (ID) experience occupational performance barriers, impeding participation. Limited evidence-based techniques are available to therapists working with this population. Telehealth Occupational Performance Coaching (OPC) has been found to be an effective treatment technique for improving occupational performance and self-determination for populations outside of college students with ID.

Purpose: The purpose of this experimental case study was to test whether participation in a telehealth OPC program for college students with ID increases occupational performance, occupational satisfaction, and self-determination.

Theoretical Framework: Self-Determination Theory and the Canadian Model of Occupational Performance and Engagement (CMOP-E) provide for the theoretical framework for this project.

Methods: This study utilizes a case-study design. Pre/Post-testing was completed with the Canadian Occupational Performance Measure and Self Determination Adult Report (SDI:AR) and post-testing with the Telehealth Usability Questionnaire (TUQ) to provide descriptive quantitative analysis; field notes, the OPC fidelity measure, and recordings of the sessions provide for fidelity and reliability.

Results: Three students initiated participation in telehealth OPC, and one completed the program in full. There were increases in targeted goals of the COPM as well as in self-determination in the participant that completed the program.

Conclusions: This study provides preliminary support for the use of Telehealth OPC in certain students with ID who attend college. Further research is needed to determine which factors determine the appropriateness of this method in certain individuals.

Faculty Mentor

Laura Bray PhD, OTR/L

Department Affiliation

Occupational Therapy

Committee Member

Shirley P. O'Brien, Ph.D., OTR/L, FAOTA

Department Affiliation

Occupational Therapy

Department Affiliation

Occupational Therapy

IRB Approval Number (if applicable)