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
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 66
- 试验地点
- 2
- 主要终点
- Canadian Occupational Performance Measure
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Canadian Occupational Performance Measure
时间窗: Baseline and 4 weeks after the start of intervention.
It is an assessment tool used to evaluate individuals' activity performance and satisfaction levels, and to identify problems encountered in daily life through a semi-structured interview. In this assessment, the individual rates their occupations in terms of performance and importance. In the first stage, problems are identified; in the next stage, the individual is asked to rate the importance of the identified occupations on a scale from 1 to 10. In the final stage, the individual selects the five most important activities and rates both performance and satisfaction for these activities on a scale from 1 to 10. Higher scores indicate higher activity performance and satisfaction.
次要结局
- Performance Quality Rating Scale(Baseline and 4 weeks.)
- Executive Function Performance Test(Baseline and 4 weeks.)
- Stroke Impact Scale version-3.0(Baseline and 4 weeks.)
研究者
Damla Aygün Gürbüz
Principal Investigator - PhD Student in Occupational Therapy, Hacettepe University
Hacettepe University