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Occupational Performance Coaching for Stroke Survivors
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Purpose
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 | Intervention |
|---|---|
| Stroke | Other: OPC-Stroke Other: Usual care |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (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 |
- 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.
- Change in Canadian Occupational Performance Measure scores [ Time Frame: Baseline, average of 14 weeks, and 6 months ]
- 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
- 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
- Change in Montreal Cognitive Assessment score [ Time Frame: Baseline, average of 14 weeks, and 6 months ]Measure of change in cognition
- Participant experience of intervention [ Time Frame: Average of 14 weeks for intervention group only ]
| Enrollment: | 21 |
| Study Start Date: | February 2013 |
| Study Completion Date: | March 2015 |
| Primary Completion Date: | February 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
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
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
| 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.
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT01800461
| Canada, Ontario | |
| Ottawa Hospital | |
| Ottawa, Ontario, Canada, K1H 8L6 | |
| Bruyere Continuing Care | |
| Ottawa, Ontario, Canada, K1N 5C8 | |
| Principal Investigator: | Dorothy Kessler, M. Sc. | University of Ottawa |
More Information
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Dorothy Kessler, PhD Candidate, Ottawa Hospital Research Institute |
| ClinicalTrials.gov Identifier: | NCT01800461 History of Changes |
| Other Study ID Numbers: |
20120844-01H |
| Study First Received: | February 22, 2013 |
| Last Updated: | October 18, 2015 |
Keywords provided by Dorothy Kessler, Ottawa Hospital Research Institute:
|
Participation Occupational Therapy Valued Activities |
Additional relevant MeSH terms:
|
Stroke Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 22, 2017