Effects of the CO-OP Approach on Occupational Performance and Executive Function in Adults With Stroke

Hacettepe University

Status: Enrolling

Conditions: Stroke

Treatments: Behavioral: CO-OP (Cognitive Orientation to daily Occupational Performance); Behavioral: Standard Occupational Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07127536

AEŞH-EK1-2023-218

Details and patient eligibility

About

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.

Enrollment: 66 estimated patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being in the subacute phase after stroke (3 months < stroke onset < 2 years)
• First-ever stroke
• Brunnstrom stage 2 or above
• Ability to read and write
• Receiving rehabilitation services at Ankara Etlik City Hospital, Physical Medicine and Rehabilitation Hospital

Exclusion criteria

• Having any orthopedic, psychological, or neurological disorder other than stroke
• Having moderate to severe aphasia
• Having cognitive impairment (Mini-Mental State Examination score ≤ 24)
• Not willing to participate in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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66 participants in 2 patient groups

Intervention Group

Experimental group

Description:

Participants in this group will receive standard occupational therapy plus the CO-OP (Cognitive Orientation to daily Occupational Performance) approach. CO-OP sessions will be delivered 5 days per week for 4 weeks, with each session lasting 45 minutes. The intervention focuses on improving performance in meaningful daily activities and enhancing cognitive skills.

Treatment:

Behavioral: CO-OP (Cognitive Orientation to daily Occupational Performance)

Control Group

Active Comparator group

Description:

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.

Treatment:

Behavioral: Standard Occupational Therapy