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However, individuals with ID often experience reduced access to inclusive group leisure opportunities, which contributes to decreased participation and engagement. This capstone project addresses gaps in adaptive group leisure programming within a community-based setting through program development, implementation, and evaluation of both quantitative and qualitative data. This project aimed to enhance accessibility, engagement, participation, and sustainability of group leisure opportunities for individuals with ID through the use of structured adaptation strategies and staff training. Findings support the value of structured adaptations and staff training in improving inclusive programming, increasing participation, and promoting sustainability in community-based settings.) /E (Participation in meaningful leisure activities is essential for promoting social participation, well-being, and overall quality of life \(QoL\) for individuals with intellectual disabilities \(ID\). However, individuals with ID often experience reduced access to inclusive group leisure opportunities, which contributes to decreased participation and engagement. This capstone project addresses gaps in adaptive group leisure programming within a community-based setting through program development, implementation, and evaluation of both quantitative and qualitative data. This project aimed to enhance accessibility, engagement, participation, and sustainability of group leisure opportunities for individuals with ID through the use of structured adaptation strategies and staff training. Findings support the value of structured adaptations and staff training in improving inclusive programming, increasing participation, and promoting sustainability in community-based settings.) /Pg 9 0 R /K [9] >> endobj 122 0 obj << /Type /StructElem /S /H4 /P 110 0 R /T (The purpose of this Program Development and Evaluation type capstone project is to increase group leisure opportunities for individuals with ID for engagement in social participation. This capstone will result in improved social and emotional health and QoL for individuals with ID. As a result, this capstone intends to evaluate program effectiveness for community-based organizations serving individuals with ID and expand program opportunities for group leisure and social participation. This capstone will serve as a platform for training staff and educating parents in adaptive group leisure programming. Lastly, this capstone aims to provide current community resource networking to support families.) /E (The purpose of this Program Development and Evaluation type capstone project is to increase group leisure opportunities for individuals with ID for engagement in social participation. This capstone will result in improved social and emotional health and QoL for individuals with ID. As a result, this capstone intends to evaluate program effectiveness for community-based organizations serving individuals with ID and expand program opportunities for group leisure and social participation. This capstone will serve as a platform for training staff and educating parents in adaptive group leisure programming. Lastly, this capstone aims to provide current community resource networking to support families.) /Pg 9 0 R /K [10] >> endobj 123 0 obj << /Type /StructElem /S /H3 /P 110 0 R /T (PURPOSE STATEMENT) /E (PURPOSE STATEMENT) /Pg 9 0 R /K [11] >> endobj 124 0 obj << /Type /StructElem /S /H4 /P 110 0 R /T (Individuals with ID have reduced group leisure participation opportunities for social participation which results in diminished social and emotional health and QoL \(Borland et al., 2020; Lohani et al., 2021; Ristevski et al., 2024\).) /E (Individuals with ID have reduced group leisure participation opportunities for social participation which results in diminished social and emotional health and QoL \(Borland et al., 2020; Lohani et al., 2021; Ristevski et al., 2024\).) /Pg 9 0 R /K [12] >> endobj 125 0 obj << /Type /StructElem /S /H3 /P 110 0 R /T (PROBLEM STATEMENT) /E (PROBLEM STATEMENT) /Pg 9 0 R /K [13] >> endobj 126 0 obj << /Type /StructElem /S /H1 /P 110 0 R /T (Problem & Purpose) /E (Problem & Purpose) /Pg 9 0 R /K [14] >> endobj 127 0 obj << /Type /StructElem /S /H4 /P 110 0 R /T (An adaptive group leisure program was developed and implemented at DCO. Activities were modified to support varying skill levels and promote participation and engagement. Program included:) /E (An adaptive group leisure program was developed and implemented at DCO. Activities were modified to support varying skill levels and promote participation and engagement. Program included:) /Pg 9 0 R /K [15] >> endobj 128 0 obj << /Type /StructElem /S /H4 /P 487 0 R /T (Two staff training workshops) /E (Two staff training workshops) /Pg 9 0 R /K [16] >> endobj 129 0 obj << /Type /StructElem /S /H4 /P 488 0 R /T (Two structured adaptive group leisure activities) /E (Two structured adaptive group leisure activities) /Pg 9 0 R /K [17] >> endobj 130 0 obj << /Type /StructElem /S /H4 /P 489 0 R /T (Adaptive Bowling) /E (Adaptive Bowling) /Pg 9 0 R /K [18] >> endobj 131 0 obj << /Type /StructElem /S /H4 /P 490 0 R /T (Adaptive Volleyball) /E (Adaptive Volleyball) /Pg 9 0 R /K [19] >> endobj 132 0 obj << /Type /StructElem /S /H4 /P 110 0 R /T (Evaluation Plan and Outcome Measures) /E (Evaluation Plan and Outcome Measures) /Pg 9 0 R /K [20] >> endobj 133 0 obj << /Type /StructElem /S /H4 /P 491 0 R /T (Pre- and post- program staff surveys \(see Figure 1\)) /E (Pre- and post- program staff surveys \(see Figure 1\)) /Pg 9 0 R /K [21] >> endobj 134 0 obj << /Type /StructElem /S /H4 /P 492 0 R /T (Attendance and observation logs) /E (Attendance and observation logs) /Pg 9 0 R /K [22] >> endobj 135 0 obj << /Type /StructElem /S /H4 /P 493 0 R /T (Program satisfaction surveys \(see Figure 2-4\)) /E (Program satisfaction surveys \(see Figure 2-4\)) /Pg 9 0 R /K [23] >> endobj 136 0 obj << /Type /StructElem /S /H4 /P 110 0 R /T (The capstone experience included developing resources and staff training procedures for DCO to support adaptive leisure participation and expand inclusive programming opportunities.) /E (The capstone experience included developing resources and staff training procedures for DCO to support adaptive leisure participation and expand inclusive programming opportunities.) /Pg 9 0 R /K [24] >> endobj 137 0 obj << /Type /StructElem /S /H2 /P 110 0 R /T (Executive Summary The Importance of Group Leisure Participation in Individuals with Intellectual Disabilities Madison Froeschle, OTS, Carrie Miller, OTD, OTR/L, Jacque Sample, DrOT, M.Ed., OTR/L, FAOTA, Carrie Bywater, Jamie L. Bergner, OTD, OTR/L, CHT, COMT) /E (Executive Summary The Importance of Group Leisure Participation in Individuals with Intellectual Disabilities Madison Froeschle, OTS, Carrie Miller, OTD, OTR/L, Jacque Sample, DrOT, M.Ed., OTR/L, FAOTA, Carrie Bywater, Jamie L. Bergner, OTD, OTR/L, CHT, COMT) /Pg 9 0 R /K [25] >> endobj 138 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Figure 1 Mean Pre- and Post- Staff Survey Results \(n=21\)) /E (Figure 1 Mean Pre- and Post- Staff Survey Results \(n=21\)) /Pg 9 0 R /K [26] >> endobj 139 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Note. Pre- and post- results from staff surveys utilized before Staff Training Workshop #1 and after Staff Training Workshop #2. Survey questions are rated on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /E (Note. Pre- and post- results from staff surveys utilized before Staff Training Workshop #1 and after Staff Training Workshop #2. Survey questions are rated on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /Pg 9 0 R /K [27] >> endobj 140 0 obj << /Type /StructElem /S /H1 /P 110 0 R /T (Methods) /E (Methods) /Pg 9 0 R /K [28] >> endobj 141 0 obj << /Type /StructElem /S /H1 /P 110 0 R /T (Results) /E (Results) /Pg 9 0 R /K [29] >> endobj 142 0 obj << /Type /StructElem /S /H1 /P 110 0 R /T (Abstract) /E (Abstract) /Pg 9 0 R /K [30] >> endobj 143 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Consumer enjoyed the activities) /Pg 9 0 R /K [31] >> endobj 144 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Positive change in mood/ engagement) /Pg 9 0 R /K [32] >> endobj 145 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Future adaptive activity programming) /Pg 9 0 R /K [33] >> endobj 146 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Promotion of inclusion and social participation) /Pg 9 0 R /K [34] >> endobj 147 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Caregiver Satisfaction Survey \(n = 9\)) /E (Caregiver Satisfaction Survey \(n = 9\)) /Pg 9 0 R /K [35] >> endobj 148 0 obj << /Type /StructElem /S /P /P 110 0 R /E (I like the activities in this program.) /Pg 9 0 R /K [36] >> endobj 149 0 obj << /Type /StructElem /S /P /P 110 0 R /E (The activities were fun.) /Pg 9 0 R /K [37] >> endobj 150 0 obj << /Type /StructElem /S /P /P 110 0 R /E (I felt included.) /Pg 9 0 R /K [38] >> endobj 151 0 obj << /Type /StructElem /S /P /P 110 0 R /E (I got to spend time with friends or meet new people.) /Pg 9 0 R /K [39] >> endobj 152 0 obj << /Type /StructElem /S /P /P 110 0 R /E (I want to do more activities like this.) /Pg 9 0 R /K [40] >> endobj 153 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Participant Satisfaction Survey \(n = 62\)) /E (Participant Satisfaction Survey \(n = 62\)) /Pg 9 0 R /K [41] >> endobj 154 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Maybe) /Pg 9 0 R /K [42] >> endobj 155 0 obj << /Type /StructElem /S /P /P 110 0 R /E (3.2%) /Pg 9 0 R /K [43] >> endobj 156 0 obj << /Type /StructElem /S /P /P 110 0 R /E (No) /Pg 9 0 R /K [44] >> endobj 157 0 obj << /Type /StructElem /S /P /P 110 0 R /E (1.6%) /Pg 9 0 R /K [45] >> endobj 158 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Strongly Disagree) /Pg 9 0 R /K [46] >> endobj 159 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Staff Satisfaction Survey \(n = 18\)) /E (Staff Satisfaction Survey \(n = 18\)) /Pg 9 0 R /K [47] >> endobj 160 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Figure 2 Caregiver Satisfaction Survey Results) /E (Figure 2 Caregiver Satisfaction Survey Results) /Pg 9 0 R /K [48] >> endobj 161 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Note. Caregiver satisfaction survey results were distributed after the adaptive leisure program. Survey questions are rated on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /E (Note. Caregiver satisfaction survey results were distributed after the adaptive leisure program. Survey questions are rated on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /Pg 9 0 R /K [49] >> endobj 162 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Figure 3 Participant Satisfaction Survey Results) /E (Figure 3 Participant Satisfaction Survey Results) /Pg 9 0 R /K [50] >> endobj 163 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Note. Participant satisfaction survey results were distributed after the adaptive leisure program. Survey questions are rated on a 3-Point Likert Scale: Yes, Maybe, No.) /E (Note. Participant satisfaction survey results were distributed after the adaptive leisure program. Survey questions are rated on a 3-Point Likert Scale: Yes, Maybe, No.) /Pg 9 0 R /K [51] >> endobj 164 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Figure 4 Staff Satisfaction Survey Results) /E (Figure 4 Staff Satisfaction Survey Results) /Pg 9 0 R /K [52] >> endobj 165 0 obj << /Type /StructElem /S /H5 /P 110 0 R /T (Note. Staff satisfaction survey results were distributed after the adaptive leisure program. Results are presented as percentages of respondents for each item on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /E (Note. Staff satisfaction survey results were distributed after the adaptive leisure program. Results are presented as percentages of respondents for each item on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /Pg 9 0 R /K [53] >> endobj 166 0 obj << /Type /StructElem /S /H4 /P 110 0 R /T (This capstone project describes the development, implementation, and evaluation of an adaptive group leisure program at the Developmental Center of the Ozarks \(DCO\). The project involved designing and implementing structured group leisure sessions using activity adaptations, environmental modifications, and activity grading to support participation for individuals with ID.) /E (This capstone project describes the development, implementation, and evaluation of an adaptive group leisure program at the Developmental Center of the Ozarks \(DCO\). The project involved designing and implementing structured group leisure sessions using activity adaptations, environmental modifications, and activity grading to support participation for individuals with ID.) /Pg 9 0 R /K [54] >> endobj 167 0 obj << /Type /StructElem /S /H3 /P 110 0 R /T (EXPLANATION OF THE BRIEF) /E (EXPLANATION OF THE BRIEF) /Pg 9 0 R /K [55] >> endobj 168 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Program organization) /Pg 9 0 R /K [56] >> endobj 169 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Training improved confidence) /Pg 9 0 R /K [57] >> endobj 170 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Comfort facilitating activities) /Pg 9 0 R /K [58] >> endobj 171 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Increased participant engagement) /Pg 9 0 R /K [59] >> endobj 172 0 obj << /Type /StructElem /S /P /P 110 0 R /E (Useful materials and ideas) /Pg 9 0 R /K [60] >> endobj 173 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [494 0 R 0] /K [61] >> endobj 174 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [495 0 R 0] /K [62] >> endobj 175 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [496 0 R 0] /K [63] >> endobj 176 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [497 0 R 0] /K [64] >> endobj 177 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [498 0 R 0] /K [65] >> endobj 178 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [499 0 R 0] /K [66] >> endobj 179 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [500 0 R 0] /K [67] >> endobj 180 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [501 0 R 0] /K [68] >> endobj 181 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [502 0 R 0] /K [69] >> endobj 182 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [503 0 R 0] /K [70] >> endobj 183 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [504 0 R 0] /K [71] >> endobj 184 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [505 0 R 0] /K [72] >> endobj 185 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [506 0 R 0] /K [73] >> endobj 186 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [507 0 R 0] /K [74] >> endobj 187 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [508 0 R 0] /K [75] >> endobj 188 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [509 0 R 0] /K [76] >> endobj 189 0 obj << /Type /StructElem /S /Figure /P 110 0 R /Pg 9 0 R /A [510 0 R 0] /K [77] >> endobj 190 0 obj << /Type /StructElem /S /H5 /P 111 0 R /T ( This capstone supports AOTA Vision 2030 by advancing OT as an evidence-based profession that promotes health, well-being, and QoL for all \(AOTA, 2020\). By addressing barriers to adaptive leisure, this project advances health equity and occupational justice. Research shows that leisure participation improves social skills, self-satisfaction, and overall well-being for individuals with ID \(Alanazi, 2023; Borland et al., 2020\).) /E ( This capstone supports AOTA Vision 2030 by advancing OT as an evidence-based profession that promotes health, well-being, and QoL for all \(AOTA, 2020\). By addressing barriers to adaptive leisure, this project advances health equity and occupational justice. Research shows that leisure participation improves social skills, self-satisfaction, and overall well-being for individuals with ID \(Alanazi, 2023; Borland et al., 2020\).) /Pg 10 0 R /K [0] >> endobj 191 0 obj << /Type /StructElem /S /H5 /P 511 0 R /T (Practice: OT practitioners can implement adaptive group leisure programs to increase participation, engagement, and QoL for individuals with ID. The use of task modification and graded activity approaches supports inclusion and occupational performance.) /E (Practice: OT practitioners can implement adaptive group leisure programs to increase participation, engagement, and QoL for individuals with ID. The use of task modification and graded activity approaches supports inclusion and occupational performance.) /Pg 10 0 R /K [1] >> endobj 192 0 obj << /Type /StructElem /S /H5 /P 512 0 R /T (Education: Education programs should incorporate training in adaptive leisure programming, activity analysis, and facilitation strategies to improve future readiness when implementing inclusive programming.) /E (Education: Education programs should incorporate training in adaptive leisure programming, activity analysis, and facilitation strategies to improve future readiness when implementing inclusive programming.) /Pg 10 0 R /K [2] >> endobj 193 0 obj << /Type /StructElem /S /H5 /P 513 0 R /T (Advocacy: This program highlights the role of OT in promoting equitable access to meaningful leisure opportunities. OT practitioners can advocate for inclusive community programming that supports participation for individuals with ID.) /E (Advocacy: This program highlights the role of OT in promoting equitable access to meaningful leisure opportunities. OT practitioners can advocate for inclusive community programming that supports participation for individuals with ID.) /Pg 10 0 R /K [3] >> endobj 194 0 obj << /Type /StructElem /S /H5 /P 514 0 R /T (Leadership: OTs can support the implementation and sustainability of adaptive leisure programming by allocating resources for staff training, program development, and interdisciplinary collaboration within community settings.) /E (Leadership: OTs can support the implementation and sustainability of adaptive leisure programming by allocating resources for staff training, program development, and interdisciplinary collaboration within community settings.) /Pg 10 0 R /K [4] >> endobj 195 0 obj << /Type /StructElem /S /H2 /P 111 0 R /T (References) /E (References) /Pg 10 0 R /K [5] >> endobj 196 0 obj << /Type /StructElem /S /H5 /P 515 0 R /T (Expand adaptive leisure programming, resources, and staff training to additional settings and programs) /E (Expand adaptive leisure programming, resources, and staff training to additional settings and programs) /Pg 10 0 R /K [6] >> endobj 197 0 obj << /Type /StructElem /S /H5 /P 516 0 R /T (Increase caregiver involvement to support carryover of skills and participation outside of day programming) /E (Increase caregiver involvement to support carryover of skills and participation outside of day programming) /Pg 10 0 R /K [7] >> endobj 198 0 obj << /Type /StructElem /S /H5 /P 517 0 R /T (Further evaluate long-term outcomes related to participation, engagement, and QoL) /E (Further evaluate long-term outcomes related to participation, engagement, and QoL) /Pg 10 0 R /K [8] >> endobj 199 0 obj << /Type /StructElem /S /H5 /P 518 0 R /T (Explore additional opportunities for adaptive leisure programming) /E (Explore additional opportunities for adaptive leisure programming) /Pg 10 0 R /K [9] >> endobj 200 0 obj << /Type /StructElem /S /H4 /P 111 0 R /T (NEXT STEPS) /E (NEXT STEPS) /Pg 10 0 R /K [10] >> endobj 201 0 obj << /Type /StructElem /S /H1 /P 111 0 R /T (Clinical Bottom Line) /E (Clinical Bottom Line) /Pg 10 0 R /K [11] >> endobj 202 0 obj << /Type /StructElem /S /H5 /P 111 0 R /T (Adaptive group leisure programming is an effective approach to promoting participation, inclusion, and QoL for individuals with ID. Staff Training and structured resources enhance program sustainability and support implementation. OT practitioners play a key role in developing and leading inclusive, evidence-based leisure programming.) /E (Adaptive group leisure programming is an effective approach to promoting participation, inclusion, and QoL for individuals with ID. Staff Training and structured resources enhance program sustainability and support implementation. OT practitioners play a key role in developing and leading inclusive, evidence-based leisure programming.) /Pg 10 0 R /K [12] >> endobj 203 0 obj << /Type /StructElem /S /H5 /P 519 0 R /T (All survey areas showed improvement from pre- to post-workshop) /E (All survey areas showed improvement from pre- to post-workshop) /Pg 10 0 R /K [13] >> endobj 204 0 obj << /Type /StructElem /S /H5 /P 520 0 R /T (Staff reported increased knowledge and confidence in leading adaptive leisure activities) /E (Staff reported increased knowledge and confidence in leading adaptive leisure activities) /Pg 10 0 R /K [14] >> endobj 205 0 obj << /Type /StructElem /S /H5 /P 521 0 R /T /E /Pg 10 0 R /K [15] >> endobj 206 0 obj << /Type /StructElem /S /H5 /P 522 0 R /T /E /Pg 10 0 R /K [16] >> endobj 207 0 obj << /Type /StructElem /S /H5 /P 523 0 R /T /E /Pg 10 0 R /K [17] >> endobj 208 0 obj << /Type /StructElem /S /H5 /P 524 0 R /T (64 consumers participated in one or both activities) /E (64 consumers participated in one or both activities) /Pg 10 0 R /K [18] >> endobj 209 0 obj << /Type /StructElem /S /H5 /P 525 0 R /T (Over time, participants showed increased participation, independence, confidence, and skill development) /E (Over time, participants showed increased participation, independence, confidence, and skill development) /Pg 10 0 R /K [19] >> endobj 210 0 obj << /Type /StructElem /S /H1 /P 111 0 R /T (Key Findings) /E (Key Findings) /Pg 10 0 R /K [20] >> endobj 211 0 obj << /Type /StructElem /S /H5 /P 526 0 R /T (Limited implementation timeframe) /E (Limited implementation timeframe) /Pg 10 0 R /K [21] >> endobj 212 0 obj << /Type /StructElem /S /H5 /P 527 0 R /T (Staff-reported measures may introduce response bias) /E (Staff-reported measures may introduce response bias) /Pg 10 0 R /K [22] >> endobj 213 0 obj << /Type /StructElem /S /H5 /P 528 0 R /T (Absence of follow-up data limits evaluation of long-term sustainability) /E (Absence of follow-up data limits evaluation of long-term sustainability) /Pg 10 0 R /K [23] >> endobj 214 0 obj << /Type /StructElem /S /H4 /P 111 0 R /T (LIMITATIONS) /E (LIMITATIONS) /Pg 10 0 R /K [24] >> endobj 215 0 obj << /Type /StructElem /S /H1 /P 111 0 R /T (Implications for Occupational Therapy) /E (Implications for Occupational Therapy) /Pg 10 0 R /K [25] >> endobj 216 0 obj << /Type /StructElem /S /P /P 111 0 R /E (Komenda, S., Springstein, T., Zrnic, I., Zeilinger, E., Franken, F., & Weber, G. \(2022\). Satisfaction with life in special Olympic athletes: The role of autonomy support and basic need fulfillment. International Journal of Developmental Disabilities, 68\(6\), 964-972. https://doi.org/10.1980/20473869.2021.1917110 ) /Pg 10 0 R /K [26] >> endobj 217 0 obj << /Type /StructElem /S /P /P 111 0 R /E (Lloyd. M., Temple, V. A., Foley, J. T., Yeatman, S., Lunsky, Y., Huang, A., & Balogh, R. \(2023\). Young adults with intellectual and developmental disabilities who participate in special Olympics are less likely to be diagnosed with depression. Social Psychiatry and Psychiatric Epidemiology, 5, 1699-1708. https://doi.org/10.1007/s00127-022-02406-8) /Pg 10 0 R /K [27] >> endobj 218 0 obj << /Type /StructElem /S /P /P 111 0 R /E (Lohani, G., Yadav, S., Khattar, S., Saxena, A., Kaushik, N., Sahni, S., Menna, S. K. \(2021\). A qualitative study: Effect of sport participation on general mental health of athletes with intellectual disabilities from Special Olympics Bharat. The International Journal of Indian Psychology, 9\(1\). https://doi.org/10.25215/0901.050 ) /Pg 10 0 R /K [28] >> endobj 219 0 obj << /Type /StructElem /S /P /P 111 0 R /E (Ristevski, E., McCook, F., Thompson, S., Duncan, Z., Lawler, B., & Broxham, C. \(2024\). Initiatives to facilitate the social inclusion of people with intellectual disability in physical activities with others in community-based sporting, recreation and leisure activities: A scoping review. 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By addressing barriers to adaptive leisure, this project advances health equity and occupational justice. 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However, individuals with ID often experience reduced access to inclusive group leisure opportunities, which contributes to decreased participation and engagement. This capstone project addresses gaps in adaptive group leisure programming within a community-based setting through program development, implementation, and evaluation of both quantitative and qualitative data. This project aimed to enhance accessibility, engagement, participation, and sustainability of group leisure opportunities for individuals with ID through the use of structured adaptation strategies and staff training. 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Survey questions are rated on a 3-Point Likert Scale: Yes, Maybe, No.) /Dest [9 0 R /Fit] /Parent 611 0 R /Prev 681 0 R >> endobj 647 0 obj << /Title (Staff reported increased knowledge and confidence in leading adaptive leisure activities) /Dest [10 0 R /Fit] /Parent 531 0 R /Prev 612 0 R /Next 682 0 R >> endobj 648 0 obj << /Title (Over time, participants showed increased participation, independence, confidence, and skill development) /Dest [10 0 R /Fit] /Parent 531 0 R /Prev 683 0 R /Next 613 0 R >> endobj 649 0 obj << /Title (Limited implementation timeframe) /Dest [10 0 R /Fit] /Parent 613 0 R /Next 684 0 R >> endobj 650 0 obj << /Title (Absence of follow-up data limits evaluation of long-term sustainability) /Dest [10 0 R /Fit] /Parent 613 0 R /Prev 684 0 R >> endobj 651 0 obj << /Title (Increase caregiver involvement to support carryover of skills and participation outside of day programming) /Dest [10 0 R /Fit] /Parent 533 0 R /Prev 614 0 R /Next 652 0 R >> endobj 652 0 obj << /Title (Further evaluate long-term outcomes related to participation, engagement, and QoL) /Dest [10 0 R /Fit] /Parent 533 0 R /Prev 651 0 R /Next 615 0 R >> endobj 653 0 obj << /Title (Advocacy: This program highlights the role of OT in promoting equitable access to meaningful leisure opportunities. 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This capstone will result in improved social and emotional health and QoL for individuals with ID. As a result, this capstone intends to evaluate program effectiveness for community-based organizations serving individuals with ID and expand program opportunities for group leisure and social participation. This capstone will serve as a platform for training staff and educating parents in adaptive group leisure programming. Lastly, this capstone aims to provide current community resource networking to support families.) /Dest [9 0 R /Fit] /Parent 643 0 R >> endobj 678 0 obj << /Title (An adaptive group leisure program was developed and implemented at DCO. Activities were modified to support varying skill levels and promote participation and engagement. Program included:) /Dest [9 0 R /Fit] /Parent 644 0 R /Next 697 0 R >> endobj 679 0 obj << /Title (The capstone experience included developing resources and staff training procedures for DCO to support adaptive leisure participation and expand inclusive programming opportunities.) /Dest [9 0 R /Fit] /Parent 644 0 R /Prev 698 0 R >> endobj 680 0 obj << /Title (Note. Pre- and post- results from staff surveys utilized before Staff Training Workshop #1 and after Staff Training Workshop #2. Survey questions are rated on a 7-Point Likert Scale, 1= Strongly Disagree, 2= Disagree, 3= Somewhat Disagree, 4= Neutral, 5= Somewhat Agree, 6= Agree, 7= Strongly Agree.) /Dest [9 0 R /Fit] /Parent 611 0 R /Prev 645 0 R /Next 699 0 R >> endobj 681 0 obj << /Title (Figure 3 Participant Satisfaction Survey Results) /Dest [9 0 R /Fit] /Parent 611 0 R /Prev 700 0 R /Next 646 0 R >> endobj 682 0 obj << /Title /Dest [10 0 R /Fit] /Parent 531 0 R /Prev 647 0 R /Next 701 0 R >> endobj 683 0 obj << /Title (64 consumers participated in one or both activities) /Dest [10 0 R /Fit] /Parent 531 0 R /Prev 702 0 R /Next 648 0 R >> endobj 684 0 obj << /Title (Staff-reported measures may introduce response bias) /Dest [10 0 R /Fit] /Parent 613 0 R /Prev 649 0 R /Next 650 0 R >> endobj 685 0 obj << /Length 6572 /Length1 21796 /Filter /FlateDecode >> stream x{ pu9/xHO zj.L`O͆/`:O|-ցHҧ#?չҵ k>U:Y3K+ ..߸^ |= X@# | . 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Caregiver satisfaction survey results were distributed after the adaptive leisure program. 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