For Madie DeGennaro, understanding how children develop self-regulation is more than academicāitās a mission.
As she prepares to graduate from Ļć½¶Šćās Occupational Therapy Doctoral Program this spring, DeGennaro is completing a capstone project focused on the role of attunement, interoception, and social interaction in a childās ability to self-regulate.
Her research examines how children, particularly those with autism or a history of trauma, can develop self-regulation skills through the guidance of caregivers. The study highlights three key components: attunementāthe connection between a child and their caregiver, interoceptionārecognizing internal bodily sensations like hunger or a racing heart, and social interactionāprimarily developed through play.
āAttunement is that initial connection when a baby cries and the caregiver understands what the cry means,ā DeGennaro explained. āInteroception helps children recognize their emotions and physical sensations, while social interaction, especially through play, strengthens their ability to regulate themselves.ā
Her passion for pediatric occupational therapy developed unexpectedly. Initially, DeGennaro intended to work with adults in hospital settings or veterans’ care. However, a pediatric OT class changed everything. She became fascinated with childhood development, particularly the milestones that shape a childās growth and well-being.
āI love the puzzle aspect of itāobserving a child in their environment and figuring out how to help them develop in a space where they feel safe, loved, and cared for,ā she said.
At her capstone site, DeGennaro observes therapists working with children and also leads a nine-week educational curriculum for caregivers. Each session includes a 30-minute lecture followed by a discussion question, such as: How do you know if your child is regulated? or How do you know if you are regulated?
Her mentor at , occupational therapist Dillen Hartley, plays a key role in helping translate theory into practice.
āHe is fantasticāvery knowledgeable,ā she said. āHe helps apply what Iāve lectured on to real-life situations with the children we work with.ā
From Ļć½¶Šć undergrad to a future in OT
DeGennaroās ties to Ļć½¶Šć run deep. She completed her undergraduate studies at Ļć½¶Šć, earning a biology degree while playing two years of softball. Originally from a military family, she moved frequently before her family settled in Ohio. Yet, Ļć½¶Šć became a place of stability and belonging.
āI love the close-knit feel,ā she said. āThe professors, both in OT school and in undergrad, have been incredibly supportive. The relationships and connections Iāve built here are special.ā
Her OT class is smallāonly 18 or 19 studentsāwhich has fostered a strong sense of camaraderie. The group collaborates, sharing research articles, class notes, and conference insights to help each other succeed.
āWeāve really become like a family,ā she said. āWe show up for each other in every way possible. If one of us finds a research article that could help anotherās capstone, we send it over. If someone canāt make a conference, we take notes and share them.ā
Looking ahead, DeGennaro envisions herself working in pediatric occupational therapy, though she remains open to exploring other areas of the field. She also sees a future in academia, potentially as an adjunct professor.
āAfter gaining some experience in practice, I think it would be amazing to teach,ā she said. āI love presenting, sharing knowledge, and having conversations about OT. Maybe one day, Iāll come back and teach here at Ļć½¶Šć.ā
A passion for service
Beyond her academic and professional aspirations, DeGennaro has long been committed to service. She grew up volunteering with her father, a veteran involved in multiple service organizations, including Folds of Honor. Her experiences in Ļć½¶Šćās OT program have reinforced this passion.
āWe did a lot of community outreach,ā she said. āWe worked with the , set up a market where clients could sell handmade items, and participated in clinics to offer support and assistance.ā
Her belief in the power of service aligns with Ļć½¶Šćās core values.
āThereās something so special about giving back,ā she said. āEspecially in a community where itās needed and appreciated.ā
Advice for future OT students
DeGennaro hopes to inspire future students by encouraging them to follow their passions.
āBeing passionate about what you do makes a huge difference,ā she said. āIn undergrad, I did well, but I wasnāt passionate about my classes. When I found OT, everything changed. I was invested in every aspect of my education, and that made me more successful.ā
She also reassures students that itās okay to take time finding the right path.
āI didnāt decide on OT until my junior year of undergrad,ā she said. āI explored different directions, and in the end, OT was one of the best decisions Iāve ever made.ā
With graduation around the corner, DeGennaro is excited about the future. Whether working directly with children, mentoring caregivers, or stepping into the classroom as an educator, she is committed to making a lasting impact.
āI feel like Iām in my element here,ā she said. āAnd thatās a great sign.ā
