Effects of the CO-OP Approach on Occupational Performance and Executive Function in Adults With Stroke
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: CO-OP (Cognitive Orientation to daily Occupational Performance), Standard Occupational Therapy.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 40 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of the Cognitive Orientation to Daily Occupational Performance (CO-OP) Approach on Occupational Performance and Executive Function in Adults With Stroke: A Randomised Controlled Trial
Overview
The purpose of this research study is to use the Cognitive Orientation to Daily Occupational Performance (CO-OP) approach with people who have experienced a stroke. This method helps individuals improve how they perform daily tasks by teaching them problem-solving strategies. This study will answer the following main questions: Does the CO-OP approach help participants perform their daily activities more easily? Does the CO-OP approach support thinking skills such as planning and attention? Researchers will look at changes in participants' daily activity performance and thinking skills before and after the CO-OP sessions. Participants will be randomly assigned to one of two groups: Complete simple tests before and after the sessions Practice real-life daily activities that are meaningful to them Intervention group: Will receive standard occupational therapy plus CO-OP sessions. The CO-OP sessions will take place 5 days a week for 4 weeks, with each session lasting 45 minutes. Control group: Will receive only standard occupational therapy as part of usual care.
Interventions
- Behavioral CO-OP (Cognitive Orientation to daily Occupational Performance)
The CO-OP approach is a client-centered, performance-based intervention that uses cognitive strategies to help individuals improve performance in meaningful daily activities. In this study, CO-OP sessions will be delivered in addition to standard occupational therapy, 5 days per week for 4 weeks, with each session lasting 45 minutes. The intervention group will receive standard occupational therapy intervention in addition to CO-OP. Standard Occupational Therapy Therapy sessions will follow the - Behavioral Standard Occupational Therapy
Participants in this group will receive standard occupational therapy only, without the additional CO-OP intervention. Therapy sessions will follow the usual care protocols for stroke rehabilitation at the study site.
Primary outcome measures
- Canadian Occupational Performance Measure [Time frame: Baseline and 4 weeks after the start of intervention.]
Secondary outcome measures (3)
- Performance Quality Rating Scale [Time frame: Baseline and 4 weeks.]
- Executive Function Performance Test [Time frame: Baseline and 4 weeks.]
- Stroke Impact Scale version-3.0 [Time frame: Baseline and 4 weeks.]
Eligibility criteria
Inclusion criteria
- Being in the subacute phase after stroke (3 months < stroke onset < 2 years)
- First-ever stroke
- Brunnstrom stage 2 or above
- Ability to read and write
- Receiving rehabilitation services at Ankara Etlik City Hospital, Physical Medicine and Rehabilitation Hospital
Exclusion criteria
- Having any orthopedic, psychological, or neurological disorder other than stroke
- Having moderate to severe aphasia
- Having cognitive impairment (Mini-Mental State Examination score ≤ 24)
- Not willing to participate in the study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Etlik City Hospital — Ankara
Identifiers
NCT: NCT07127536 · AEŞH-EK1-2023-218