Capstone Development
Statement of Purpose
The purpose of the doctoral capstone is to determine the feasibility of, the benefit of, and the need for integrating occupational therapy (OT) services into women’s health clinics (such as obstetrics, gynecology [OB/GYN], and/or urogynecology [UroGYN]) in the Cincinnati area in order to improve women’s unmet health needs, like pelvic floor dysfunctions (PFDs).
Summary of the Problem
In the United States, roughly 1 in 4 women will suffer from at least one pelvic floor dysfunction (PFD) in their lifetime (Dieter et al., 2016; Luber et al., 2001) causing pain and discomfort in the pelvic region and/or incontinence which leads to decreases in sleep, sexual activity, social outings, recreational activities, and increased medical expenses (Burkhart et al., 2020; Wu et al., 2009). The pain and embarrassment associated with PFDs results in issues with mental health including increased anxiety, social isolation and alienation, feelings of helplessness, depression, and mood deterioration with decreases in work and social participation and overall self-esteem (Radzimińska et al., 2018). Many women and even medical professionals are uneducated on and/or unaware of pelvic floor dysfunctions, thus many women do not seek treatment and many doctors do not assess these issues nor refer them for less-invasive treatments (Berzuk & Shay, 2015; Fante et al., 2019; Lamin et al., 2016; Parden et al., 2016). At TriHealth, pelvic floor dysfunctions can be referred to outpatient clinics, but they are located outside of the primary women’s health service buildings and these dysfunctions are typically treated by physical therapists as their option is called: Pelvic Floor Physical Therapy at TriHealth (TriHealth, 2022). There is a need for a holistic and client-centered treatment approach for pelvic floor dysfunctions in order to enhance occupational participation for these women.
Topic of Interest: OT's role in women's health
Focus Areas of Interest: Advocacy, Leadership, and Program Development
Scholarship Type: Scholarship of Application
PIO Question:
Is integrating occupational therapy (OT) services into an OB/GYN/UroGyn clinic feasible and beneficial for OTs, physicians, and patients?
Literature Review: Capstone Project Form (Year 2)
Literature Review Project form
SWOT Analysis: Capstone Elevator Pitch (OCTD 705)
SWOT Analysis Document
Site Identification:
TriHealth OB/GYN and Urogyn
Communication Log:
Communication Record
Site Research and Assessment:
TriHealth Research and Assessment
Capstone Goals and Objectives:
Capstone Presentation (12/6/2022):
Capstone Presentation Video
Capstone Coordinator:
Marnie Renda, OTD, M.Ed., OTR/L, ECHM
Expert Mentor:
Expert Mentor:
Site Mentor:
Lisa Drake, Director of Operations for Women's Health
References
Berzuk, K., & Shay, B. (2015). Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: A randomized controlled trial. International Urogynecology Journal, 26(6), 837–844. https://doi.org/10.1007/s00192-014-2599-z
Burkhart, R., Couchman, K., Crowell, K., Jeffries, S., Monvillers, S., & Vilensky, J. (2020). Pelvic floor dysfunction after childbirth: Occupational impact and awareness of available treatment. Occupational Therapy Journal of Research, 41(2), 108–115. https://doi.org/10.1177/1539449220970881
Dieter, A. A., Wilkins, M. F., & Wu, J. M. (2016). Epidemiological trends and future care needs for pelvic floor disorders. Current Opinion in Obstetrics & Gynecology, 27(5), 380–384. https://doi.org/10.1097/gco.0000000000000200
Fante, J. F., Silva, T. D., Mateus-Vasconcelos, E. C., Ferreira, C. H., & Brito, L. G. (2019). Do women have adequate knowledge about pelvic floor dysfunctions? A systematic review. Revista Brasileira De Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 41(08), 508–519. https://doi.org/10.1055/s-0039-1695002
Lamin, E., Parrillo, L. M., Newman, D. K., & Smith, A. L. (2016). Pelvic floor muscle training: Underutilization in the USA. Current Urology Reports, 17(2). https://doi.org/10.1007/s11934-015-0572-0
Luber, K. M., Boero, S., & Choe, J. Y. (2001). The demographics of pelvic floor disorders: Current observations and future projections. American Journal of Obstetrics and Gynecology, 184(7), 1496–1503. https://doi.org/10.1067/mob.2001.114868
Parden, A. M., Griffin, R. L., Hoover, K., Ellington, D. R., Gleason, J. L., Burgio, K. L., & Richter, H. E. (2016). Prevalence, awareness, and understanding of pelvic floor disorders in adolescent and young women. Female pelvic Medicine & Reconstructive Surgery, 22(5), 346–354. https://doi.org/10.1097/SPV.0000000000000287
Radzimińska, A., Strączyńska, A., Weber-Rajek, M., Styczyńska, H., Strojek, K., & Piekorz, Z. (2018). The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging, Volume 13, 957–965. https://doi.org/10.2147/cia.s160057
TriHealth. (2022). Pelvic health physical therapy. TriHealth. Retrieved September 8, 2022, from https://www.trihealth.com/institutes-and-services/rehabilitation/pelvic-pain-urinary-incontinence-program