Graduation Date


Document Type

Capstone Project

Project Type


Degree Name

Master of Science in Occupational Therapy


Occupational Therapy

Program Chair

Julia Wilbarger, PhD, OTR/L

Faculty Advisor

Laura Greiss Hess, PhD, OTR/L


Background: Limited resources exist to support adaptive gaming in school programming using Microsoft® Xbox Adaptive Controller for children. On the other hand, there is abundant evidence supporting motor, cognitive, and social benefits to gaming in rehabilitation.

Objectives: The goal of this program development project was to create a virtual gaming toolkit to support the interdisciplinary team’s use of adaptive gaming during school programming.

Methods: Through our needs assessment and collaboration with our community partner, we discussed the parent and caregiver need for guidance in order to use the Microsoft® Xbox Adaptive Controller and facilitate gameplay with peers. Through an extensive review of the literature and in-depth activity analysis of the gaming console and games, we developed a resource website containing: informative game sheets, visual overlays, links to relevant California Common Core State Standards, and instructional videos.

Results: An in-depth survey was developed as part of the website. Ten surveyors analyzed the gaming toolkit had positive attitudes towards the content and the relation to the school criteria.

Conclusion: Literature identifies video games as a way to improve a child's motor, cognitive, and social skills. However, no research demonstrates the Microsoft® Xbox Adaptive Controller’s role in-school programming. We designed a virtual gaming toolkit to promote the use of the controller so it can be used by the interprofessional team.


Please visit our project-related website: Adaptive Gaming

Available for download on Friday, December 01, 2023