Date of Award


Document Type

Critically Appraised Topic


Occupational Therapy

First Advisor

Anne Haskins

Second Advisor

Breann Lamborn

Third Advisor

Gail Bass/Devon Olson Lambert


First-year occupational therapy students at the University of North Dakota School of Medicines and Health Sciences completed this CAT. The general topic assigned was the completion of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) by older adults in a skilled nursing facility (SNF). Students formed a focus question, a case scenario, and then researched and presented key findings. Students then presented implications for practice in occupational therapy with the evidence of scholarly research in the areas of theory, environment, population, and interventions. The intervention that was chosen for this CAT was the Green House Project. The Green House Project is an intervention strategy in which the proponents of this intervention suggest remodeling skilled nursing facilities into small homes (10 or fewer residents per home) that are designed to be similar to the clients’ home environments (Cutler & Kane, 2009). The population of older adults living in SNF in urban areas was further explored to grasp a better understanding of their unique characteristics. The Person-Environment-Occupation model (PEO) (Law et al., 1996) was the theory chosen to guide scholarly research for this CAT. The founders of PEO emphasized the importance of goodness of fit (Law et al., 1996). Law et al. (1996) suggested that the person, environment, and occupation should be interdependent upon one another, creating an optimal performance for the individual in whichever context he or she is performing his or her occupation.