Feasibility and Effects of the CO-OP Approach for Post-concussion Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3
- 试验地点
- 2
- 主要终点
- Change in Occupational Performance and Satisfaction (Canadian Occupational Performance Measure)
研究概览
简要总结
The purpose of this study is to evaluate the feasibility and effects of a cognitive intervention for youth following concussion
详细描述
Concussion, a form of mild traumatic brain injury, is one of the most commonly reported injuries in youth. While most recover quickly, a substantial subset (30-58.5%) report symptoms that persist at one month with a reported 11-14% who continue to report symptoms beyond three months. Currently, there are no evidence-based guidelines for treatment that address occupational (meaningful activity) concerns for youth who are slower to recover post-concussion. It is postulated that a top-down rehabilitation approach with metacognitive strategy training as the core of the intervention might be effective.The Cognitive Orientation to Occupational Performance (CO-OP) Approach is a metacognitive strategy training approach with a growing body of literature supporting it's value in improving participation in meaningful activity and achieving self-selected occupation-based goals for adults with brain injury and youth with moderate to severe brain injury.Given the long-term occupational concerns in youth with persistent post-concussion symptoms, and the lack of evidence based interventions for these youth, it is hypothesized that the CO-OP Approach may facilitate return to meaningful occupation in this population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •concussion diagnosed by a physician;
- •presence of at least one post-concussion symptom for three months or more; -experiencing challenges with usual daily activities secondary to post-concussive symptoms;
- •able to identify four or more occupation-based goals;
- •12-18 years of age;
- •no concurrent serious medical or psychiatric diagnoses.
- •has a parent who can support participation and participate in a post intervention interview
排除标准
- •non English speaking
结局指标
主要结局
Change in Occupational Performance and Satisfaction (Canadian Occupational Performance Measure)
时间窗: Measure will be administered at baseline, within one week post intervention (i.e. at 8 weeks) and again at 3 month follow up.
A change score of two points is considered clinically significant (McColl, Carswell, Law, Pollock, Baptiste, \& Polatajko 2006). During a semi-structured interview, clients are asked to identify a minimum of five occupational performance issues (OPI's). The five most important OPI's as determined by the client are identified using a ranking scale (1=not important at all to 10=extremely important) and then ranked according to performance and satisfaction with performance using 10 point scales (Performance score of 1=not able to do it to 10=able to do it extremely well; Satisfaction score of 1=not at all satisfied to 10=extremely satisfied).
次要结局
- Change in symptoms (Post Concussion Symptom Inventory)(Measure will be administered at baseline, within one week post intervention (i.e. at 8 weeks) and again at 3 month follow up.)
- Change in mood and self-concept (Beck Youth Inventories)(Measure will be administered at baseline, within one week post intervention (i.e. at 8 weeks) and again at 3 month follow up.)