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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
66
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.
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.
Etlik City Hospital
Ankara, Turkey (Türkiye)
RECRUITINGCanadian Occupational Performance Measure
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.
Time frame: Baseline and 4 weeks after the start of intervention.
Performance Quality Rating Scale
It is a performance-based observational rating scale used to evaluate the actual performance of activities selected by the individual. It is used together with the Canadian Occupational Performance Measure (COPM) to assess the quality of activity performance. The scale is scored from 1 to 10, where a score of 1 indicates that the individual is unable to perform the activity, and a score of 10 indicates that the activity is completed successfully. The activities identified in the COPM are performed without any verbal or physical guidance.
Time frame: Baseline and 4 weeks.
Executive Function Performance Test
It is an assessment tool that evaluates the individual's need for assistance while performing simple daily tasks. It examines the execution of four essential instrumental activities of daily living required for self-care and independent living: simple cooking, telephone use, medication management, and bill payment. The test assesses the ability to meet executive function components in all four tasks: (1) task initiation, (2) task execution, and (3) task completion. The level of cueing required to support task performance is recorded on a five-point scale: 0 = no cueing needed, 1 = verbal guidance, 2 = gestural or physical cueing, 3 = direct verbal assistance, 4 = physical assistance, 5 = the examiner performs the task. The scoring range is 0-25 for each task, with a total score ranging from 0 to 100 across all four tasks. Higher scores indicate greater difficulty in executive functioning.
Time frame: Baseline and 4 weeks.
Stroke Impact Scale version-3.0
This scale is designed to evaluate the quality of life after stroke as perceived by patients themselves or their caregivers. It consists of 8 subscales and 59 items. Each item is scored using a 5-point Likert scale based on the level of difficulty experienced during the past week. Scores for each domain range from 0 to 100. In addition, the scale includes a single-item visual analog scale from 0 to 100 to assess perceived recovery after stroke (0 = no recovery, 100 = full recovery). Higher scores indicate better function and less impact of stroke.
Time frame: Baseline and 4 weeks.
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