Occupational Performance Coaching for Stroke Survivors

NCT01800461 | Completed

• 1 other identifier: 20120844-01H
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 2

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.

Conditions

Stroke

Keywords

Participation; Occupational Therapy; Valued Activities

Outcome Measures

Primary Outcomes (1)

• Change in Reintegration to Normal Living Index score

  Measurement of change in level of participation from baseline to immediately post-intervention(average of 14 weeks) and to 6 months.

  Baseline, average of 14 weeks, and 6 months

Secondary Outcomes (4)

• Change in Canadian Occupational Performance Measure scores

  Baseline, average of 14 weeks, and 6 months

• Change in Hospital Anxiety and Depression Scale score

  Baseline, average of 14 weeks, and 6 months

• Change in Goals Systems Assessment Battery - Directive Functions Indicators score

  Baseline, average of 14 weeks, and 6 months

• Change in Montreal Cognitive Assessment score

  Baseline, average of 14 weeks, and 6 months

Other Outcomes (1)

• Participant experience of intervention

  Average of 14 weeks for intervention group only

Study Arms (2)

OPC-Stroke, Usual care

EXPERIMENTAL

OPC-Stroke - 10 weekly sessions of goal setting followed by problem solving process

Other: OPC-Stroke; Other: Usual care

Usual care

OTHER

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

Other: Usual care

Interventions

OPC-Stroke OTHER

Occupational therapy coaching intervention

OPC-Stroke, Usual care

Usual care OTHER

Usual community care

OPC-Stroke, Usual care; Usual care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Ottawa Hospital Research Institute: lead
• University of Ottawa: collaborator

Study Sites (2)

Ottawa Hospital

Ottawa, Ontario, K1H 8L6, Canada

Location

Bruyere Continuing Care

Ottawa, Ontario, K1N 5C8, Canada

Location

Related Publications (2)

• Kessler D, Egan M, Dubouloz CJ, McEwen S, Graham FP. Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. Am J Occup Ther. 2017 May/Jun;71(3):7103190020p1-7103190020p7. doi: 10.5014/ajot.2017.024216.

  PMID: 28422628 DERIVED

• 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. doi: 10.1177/0008417414545869.

  PMID: 25702372 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Dorothy Kessler, M. Sc.

  University of Ottawa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Candidate

Study Record Dates

• First Submitted: February 22, 2013
• First Posted: February 27, 2013
• Study Start: February 1, 2013
• Primary Completion: February 1, 2015
• Study Completion: March 1, 2015
• Last Updated: October 20, 2015

Record last verified: 2015-10

Locations

CA (2)