Effects of the CO-OP Approach on Occupational Performance and Executive Function in Adults With Stroke

Официальное название

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

Обзор

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.

Вмешательства

• Поведенческое 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
• Поведенческое 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.

Первичные конечные точки

• Canadian Occupational Performance Measure [Срок оценки: Baseline and 4 weeks after the start of intervention.]

Вторичные конечные точки (3)

• Performance Quality Rating Scale [Срок оценки: Baseline and 4 weeks.]
• Executive Function Performance Test [Срок оценки: Baseline and 4 weeks.]
• Stroke Impact Scale version-3.0 [Срок оценки: Baseline and 4 weeks.]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Etlik City Hospital — Ankara

Идентификаторы

NCT: NCT07127536 · AEŞH-EK1-2023-218

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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