Occupational Performance Coaching for Stroke Survivors - Full Text View

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

Further study details as provided by Ottawa Hospital Research Institute:

Primary Outcome Measures:

Change in Reintegration to Normal Living Index score [ Time Frame: Baseline, average of 14 weeks, and 6 months ] [ Designated as safety issue: No ]
Measurement of change in level of participation from baseline to immediately post-intervention(average of 14 weeks) and to 6 months.

Secondary Outcome Measures:

Change in Canadian Occupational Performance Measure scores [ Time Frame: Baseline, average of 14 weeks, and 6 months ] [ Designated as safety issue: No ]
Change in Hospital Anxiety and Depression Scale score [ Time Frame: Baseline, average of 14 weeks, and 6 months ] [ Designated as safety issue: No ]
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 ] [ Designated as safety issue: No ]
Measure of change in goal self-efficacy
Change in Montreal Cognitive Assessment score [ Time Frame: Baseline, average of 14 weeks, and 6 months ] [ Designated as safety issue: No ]
Measure of change in cognition

Other Outcome Measures:

Participant experience of intervention [ Time Frame: Average of 14 weeks for intervention group only ] [ Designated as safety issue: No ]


Estimated Enrollment:	32
Study Start Date:	February 2013
Estimated Study Completion Date:	September 2015
Estimated 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

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Eligibility


Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

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 Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01800461

Locations


Canada, Ontario
Bruyere Continuing Care
Ottawa, Ontario, Canada, K1N 5C8
Ottawa Hospital
Ottawa, Ontario, Canada, K1H 8L6

Sponsors and Collaborators

Ottawa Hospital Research Institute

University of Ottawa

Investigators


Principal Investigator:	Dorothy Kessler, M. Sc.	University of Ottawa

More Information

No publications provided by Ottawa Hospital Research Institute

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Kessler DE, Egan MY, Dubouloz CJ, Graham FP, McEwen SE. Occupational performance coaching for stroke survivors: a pilot randomized controlled trial protocol. Can J Occup Ther. 2014 Dec;81(5):279-88.


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 15, 2014
Health Authority:	Canada: Ethics Review Committee

Keywords provided by Ottawa Hospital Research Institute:


Participation Occupational Therapy Valued Activities

Additional relevant MeSH terms:


Cerebral Infarction Stroke Brain Diseases Brain Infarction Brain Ischemia	Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

ClinicalTrials.gov processed this record on February 26, 2015