For Madie DeGennaro, understanding how children develop self-regulation is more than academic鈥攊t鈥檚 a mission.
As she prepares to graduate from 小猪视频鈥檚 Occupational Therapy Doctoral Program this spring, DeGennaro is completing a capstone project focused on the role of attunement, interoception, and social interaction in a child鈥檚 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: attunement鈥攖he connection between a child and their caregiver, interoception鈥攔ecognizing internal bodily sensations like hunger or a racing heart, and social interaction鈥攑rimarily developed through play.
鈥淎ttunement is that initial connection when a baby cries and the caregiver understands what the cry means,鈥 DeGennaro explained. 鈥淚nteroception helps children recognize their emotions and physical sensations, while social interaction, especially through play, strengthens their ability to regulate themselves.鈥
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 child鈥檚 growth and well-being.
鈥淚 love the puzzle aspect of it鈥攐bserving a child in their environment and figuring out how to help them develop in a space where they feel safe, loved, and cared for,鈥 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.
鈥淗e is fantastic鈥攙ery knowledgeable,鈥 she said. 鈥淗e helps apply what I鈥檝e lectured on to real-life situations with the children we work with.鈥
From PC undergrad to a future in OT
DeGennaro鈥檚 ties to 小猪视频 run deep. She completed her undergraduate studies at PC, 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, PC became a place of stability and belonging.
鈥淚 love the close-knit feel,鈥 she said. 鈥淭he professors, both in OT school and in undergrad, have been incredibly supportive. The relationships and connections I鈥檝e built here are special.鈥
Her OT class is small鈥攐nly 18 or 19 students鈥攚hich has fostered a strong sense of camaraderie. The group collaborates, sharing research articles, class notes, and conference insights to help each other succeed.
鈥淲e鈥檝e really become like a family,鈥 she said. 鈥淲e show up for each other in every way possible. If one of us finds a research article that could help another鈥檚 capstone, we send it over. If someone can鈥檛 make a conference, we take notes and share them.鈥
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.
鈥淎fter gaining some experience in practice, I think it would be amazing to teach,鈥 she said. 鈥淚 love presenting, sharing knowledge, and having conversations about OT. Maybe one day, I鈥檒l come back and teach here at PC.鈥
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 PC鈥檚 OT program have reinforced this passion.
鈥淲e did a lot of community outreach,鈥 she said. 鈥淲e worked with the , set up a market where clients could sell handmade items, and participated in clinics to offer support and assistance.鈥
Her belief in the power of service aligns with PC鈥檚 core values.
鈥淭here鈥檚 something so special about giving back,鈥 she said. 鈥淓specially in a community where it鈥檚 needed and appreciated.鈥
Advice for future OT students
DeGennaro hopes to inspire future students by encouraging them to follow their passions.
鈥淏eing passionate about what you do makes a huge difference,鈥 she said. 鈥淚n undergrad, I did well, but I wasn鈥檛 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.鈥
She also reassures students that it鈥檚 okay to take time finding the right path.
鈥淚 didn鈥檛 decide on OT until my junior year of undergrad,鈥 she said. 鈥淚 explored different directions, and in the end, OT was one of the best decisions I鈥檝e ever made.鈥
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.
鈥淚 feel like I鈥檓 in my element here,鈥 she said. 鈥淎nd that鈥檚 a great sign.鈥
