Supporting Re-engagement in Life: Coaching to Enhance Participation in Valued Activities Following Stroke

NCT07759791 | Recruiting

• 2 other identifiers: G-25-0040433G-24-0036389
• Study Type: interventional
• Target: 118
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this clinical trial is to determine whether Occupational Performance Coaching (OPC), a person-centered, strength-based intervention, can improve participation in valued activities among adults who have experienced a stroke and recently completed community- or clinic-based stroke rehabilitation. The main questions it aims to answer are: Does OPC improve performance and satisfaction with participation in personally valued activities? Does OPC improve participation self-efficacy, physical activity, cognition, and emotional well-being compared to an active attention control intervention? Researchers will compare the OPC group to an active attention control group to see if OPC leads to greater improvements in participation and secondary outcomes. Participants will: Be randomized to receive either OPC (delivered virtually, including collaborative goal-setting and problem-solving) or an active attention control intervention. Complete assessments of participation in valued activties, physical activity (using movement sensors), self-efficacy, cognition, and mood immediately after treatment and at 3 months. A subset of 20 participants from intervention group will take part in interviews to share their experiences.

Conditions

Stroke

Keywords

Stroke rehabilitation; Participation; Occupational Performance Coaching

Outcome Measures

Primary Outcomes (1)

• Canadian Occupational Performance Measure (COPM)

  The Canadian Occupational Performance Measure (COPM) is a reliable, valid, and responsive tool frequently used in stroke rehabilitation outcome studies. Using the COPM, participants identify problems related to participation in valued activities that are then rated by participants for performance and satisfaction with current status on a scale of 1-10, where 10 indicates optimal performance or satisfaction. Numbers are summed and divided by the number of goals.

  Baseline, periprocedural, and 3-months after periprocedural assessment

Secondary Outcomes (5)

• Participation Strategies Self-Efficacy Scale (PS-SES)

  Baseline, periprocedural, and 3-months after periprocedural assessment

• Time spent in active veruss sedentary activity

  Baseline, periprocedural, and 3-months after periprocedural assessment

• Generalized Anxiety Disorders Scale-7 (GAD-7)

  Baseline, periprocedural, and 3-months after periprocedural assessment

• Executive Functioning

  Baseline, periprocedural, and 3-months after periprocedural assessment

• Brief Patient Health Questionnaire (PhQ-9)

  Baseline, periprocedural, and 3-months after periprocedural assessment

Study Arms (2)

OPC Intervention Group (occupational performance couching groups

EXPERIMENTAL

Participants will receive 10 one-hour telerehabilitation sessions delivered via Zoom (Zoom Video Communications Inc., San Jose, CA) over a 15-week period. Sessions will be delivered by an Occupational Therapist trained in the Occupational Performance Coaching (OPC) approach and in telerehabilitation service delivery. The 15-week period allows flexibility for scheduling (e.g., to accommodate appointments or vacations).

Behavioral: Occupational Performance Coaching (OPC)

Active Control (AC) Group

ACTIVE COMPARATOR

Participants will receive access to the CogniFit (computer cognitive training program (CogniFit Inc. © 2024) for 15 weeks. There will be 10 virtual contacts via Zoom. The AC interventionist will be trained in telerehabilitation service delivery. The program is designed to train perception, attention, memory, and reasoning.

Device: computer cognitive training program (CogniFit)

Interventions

Occupational Performance Coaching (OPC) BEHAVIORAL

Occupational Performance Coaching (OPC) is an innovative, person-centered, strengths-based intervention designed to enhance participation in valued activities after stroke. OPC targets modifiable factors such as goal setting, self-efficacy, emotional support, problem-solving, and individualized education. Through a collaborative process, therapists partner with stroke survivors to identify challenges, set meaningful goals, and experiment with tailored solutions, refining them until successful strategies are found. Research shows OPC is feasible, acceptable, and effective, with participants demonstrating significant improvements in performance, satisfaction, and re-engagement in valued activities within 8-10 sessions, both in-person and via telerehabilitation. By fostering physical, cognitive, and emotional well-being, OPC addresses barriers like social isolation, physical inactivity, and low self-efficacy. Delivered virtually, OPC overcomes challenges in accessing rehabilitation, parti

OPC Intervention Group (occupational performance couching groups

computer cognitive training program (CogniFit) DEVICE

Active control (AC) group will receive access to the CogniFit computer-based cognitive training program, a personalized brain training tool designed to target perception, attention, memory, and reasoning.While cognitive training can improve global cognition, working memory, attention, and executive function, it has not shown effects on daily activities or depression.

Active Control (AC) Group

Eligibility Criteria

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

You may qualify if:

• Be living in the community (home, retirement home)
• Have completed publicly funded rehabilitation
• Are 3 to 12 months post-first stroke.
• Be able to communicate in English
• Have adequate comprehension and memory to participate in the coaching process. (Must have FIM scores of at least 3 (needs assistance less than 50% of the time) for comprehension and memory at the time of discharge from inpatient rehabilitation).

You may not qualify if:

• We will exclude individuals with unstable major psychiatric conditions or neurodegenerative conditions.

Sponsors & Collaborators

• Queen's University: lead
• Providence Care Hospital: collaborator
• Bruyère Health Research Institute.: collaborator

Study Sites (2)

Providence care Hospital

Kingston, Ontario, Canada

RECRUITING

Bruyere Health

Ottawa, Ontario, K1N 5C8, Canada

NOT YET RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Dorothy Kessler, PhD

CONTACT

613-533-6551; dk75@queensu.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: July 31, 2026
• First Posted: August 12, 2026
• Study Start: November 10, 2025
• Primary Completion (Estimated): November 27, 2027
• Study Completion (Estimated): June 30, 2028
• Last Updated: August 12, 2026

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: IPD wil be shared following study completion
• Access Criteria: Ethics approval will be required to addess the data that is available through the Queen's University repository

Locations

CA (2)