Date of Doctor of Nursing Practice Project Completion
Summer 8-8-2025
Faculty Advisor
Rebecca Tsusaki PhD, APRN-CNP, WHNP-BC, IBCLC
Abstract
Purpose: This QI project evaluated the impact of four tailored group therapeutic recreation modules on six recovery outcomes: satisfaction, engagement belief, participation likelihood, motivation to seek help, perceived usefulness, and perceived importance, among adolescents at a residential treatment facility in Houston, TX, targeting ≥ 20% improvement in each domain.
Background: Adolescents in short-term, often court-mandated, treatment lack personalized leisure activities that promote emotional expression and resilience. Structured leisure engagement is linked to positive affect and treatment motivation, yet interest-based programs for court-involved youth remain underexplored.
Methodology: Using Plan-Do-Study-Act cycles and Self-Determination Theory, weekly 90-minute modules (mindfulness trivia, art Jeopardy, music trivia, kickball) ran over four weeks. Of 29 enrollees, 25 began the intervention; five briefly attended a conflicting activity in Week 2 but returned to finish. Baseline and post-session bipolar Likert surveys measured each domain. Process metrics included attendance logs, mixed-method opt-out tracking, staff focus groups, and safety-incident reports. After funding was rescinded, incentives were personally covered to preserve voluntary participation.
Results: All six domains improved by >20%. Satisfaction rose from 55.2% to 89%, engagement belief from 58.6% to 92%, participation likelihood from 41.4% to 89%, motivation from 41.3% to 76%, perceived importance from 62.1% to 83%, and perceived usefulness averaged 88%.
Implications: Co-designed, autonomy-supportive recreation can substantially boost recovery engagement in mandated settings. Embedding these modules into standard programming, securing dedicated incentive funding, and using suggestion-box feedback will sustain gains. Future work should assess scalability, cost-effectiveness, and durability at 3- and 6-month follow-ups.
Keywords
Therapeutic recreation, adolescent substance use recovery, residential treatment programs, program engagement, patient satisfaction, behavioral health interventions, mental health equity, quality improvement in nursing, adolescent mental health, substance use treatment outcomes
Recommended Citation
Kabresha R. Potts, "Reclaiming Teen Recovery: Tailored Therapeutic Recreation To Boost Engagement, Satisfaction, and Participation" (2025). Doctor of Nursing Practice Final Project Abstract. 124.
https://digitalcommons.library.tmc.edu/dnp_abstract/124