Occupational Performance Coaching for Stroke Survivors

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01800461
Recruitment Status : Completed
First Posted : February 27, 2013
Last Update Posted : October 20, 2015
University of Ottawa
Information provided by (Responsible Party):
Dorothy Kessler, Ottawa Hospital Research Institute

Brief Summary:

Participation in valued activities following stroke is a recognized problem. Efficient and effective interventions to address this problem have not yet been established although the literature provides direction as to the needs of stroke survivors and important parts of interventions to address these needs. Occupational Performance Coaching (OPC) is an emerging approach to enabling occupational performance or participation in valued activities that includes these important parts of interventions. The primary goal of OPC is ability and satisfaction with participation in chosen activities, while promoting a client's ability to address future problems with participation. OPC has been successfully used with parents and their children in addressing problems with participation.

OPC has not been explored among adults who have experienced a stroke. For this study OPC-Stroke (OPC adapted for stroke survivors) will be tested to explore its potential effectiveness for increasing participation as well as how feasible and acceptable the research methods are. Sixteen participants who receive OPC-Stroke will be compared with sixteen who do not using measures of participation, goal achievement, well-being, self-efficacy and cognition. Those who receive OPC-Stroke will also be interviewed about their experience of the treatment.

Condition or disease Intervention/treatment Phase
Stroke Other: OPC-Stroke Other: Usual care Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 21 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Occupational Performance Coaching for Stroke Survivors: A Novel Patient-centered Intervention to Improve Participation in Personally Valued Activities
Study Start Date : February 2013
Actual Primary Completion Date : February 2015
Actual Study Completion Date : March 2015

Arm Intervention/treatment
Experimental: OPC-Stroke, Usual care
OPC-Stroke - 10 weekly sessions of goal setting followed by problem solving process
Other: OPC-Stroke
Occupational therapy coaching intervention

Other: Usual care
Usual community care

Usual care
Usual care - Follow-up by physician and possible receipt of home care services
Other: Usual care
Usual community care

Primary Outcome Measures :
  1. Change in Reintegration to Normal Living Index score [ Time Frame: Baseline, average of 14 weeks, and 6 months ]
    Measurement of change in level of participation from baseline to immediately post-intervention(average of 14 weeks) and to 6 months.

Secondary Outcome Measures :
  1. Change in Canadian Occupational Performance Measure scores [ Time Frame: Baseline, average of 14 weeks, and 6 months ]
  2. Change in Hospital Anxiety and Depression Scale score [ Time Frame: Baseline, average of 14 weeks, and 6 months ]
    Measure of change in overall well-being

  3. Change in Goals Systems Assessment Battery - Directive Functions Indicators score [ Time Frame: Baseline, average of 14 weeks, and 6 months ]
    Measure of change in goal self-efficacy

  4. Change in Montreal Cognitive Assessment score [ Time Frame: Baseline, average of 14 weeks, and 6 months ]
    Measure of change in cognition

Other Outcome Measures:
  1. Participant experience of intervention [ Time Frame: Average of 14 weeks for intervention group only ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • first hospitalization with a diagnosis of stroke (previous experience of adjustment to stroke may influence outcomes),
  • discharge from acute care hospital, inpatient rehabilitation or outpatient occupational therapy to a non-institutionalized setting,
  • FIM scores at rehabilitation discharge of at least 3 for expression, comprehension, memory and problem-solving (to ensure potential participants' ability to participate in coaching process) and
  • live within the City of Ottawa.

Exclusion Criteria:

  • Those discharged from acute or inpatient rehabilitation and are referred to outpatient stroke rehabilitation for occupational therapy will be excluded until they complete their outpatient occupational therapy (due to potential overlap of client goals while in outpatient occupational therapy)
  • have other degenerative neurological diagnoses (such as Parkinson's, Multiple Sclerosis) or
  • have a current major depressive or psychotic disorder.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01800461

Canada, Ontario
Ottawa Hospital
Ottawa, Ontario, Canada, K1H 8L6
Bruyere Continuing Care
Ottawa, Ontario, Canada, K1N 5C8
Sponsors and Collaborators
Ottawa Hospital Research Institute
University of Ottawa
Principal Investigator: Dorothy Kessler, M. Sc. University of Ottawa

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Dorothy Kessler, PhD Candidate, Ottawa Hospital Research Institute Identifier: NCT01800461     History of Changes
Other Study ID Numbers: 20120844-01H
First Posted: February 27, 2013    Key Record Dates
Last Update Posted: October 20, 2015
Last Verified: October 2015

Keywords provided by Dorothy Kessler, Ottawa Hospital Research Institute:
Occupational Therapy
Valued Activities

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases