RecruitingNot ApplicableNCT07127536

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

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

Sponsor

Hacettepe University

Enrollment

66 participants

Start Date

Jan 1, 2024

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

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.

Eligibility

Min Age: 40 YearsMax Age: 65 Years

Inclusion Criteria5

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 Criteria4

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

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Interventions

BEHAVIORALCO-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 usual care protocols for stroke rehabilitation at the study site.

BEHAVIORALStandard 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.