Dorothy Kessler, Mary Egan, Claire-Jehanne Dubouloz, Sara McEwen, Fiona P. Graham; Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. Am J Occup Ther 2017;71(3):7103190020. https://doi.org/10.5014/ajot.2017.024216
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© 2019 American Occupational Therapy Association
OBJECTIVE. We examined the feasibility of study procedures and explored the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC–Stroke), an intervention designed to improve participation after stroke.
METHOD. In this pilot randomized controlled trial, 21 participants were randomized to receive the intervention or usual care. Recruitment, retention, and outcome completion rates were calculated. Direction of change and effect sizes were examined for the outcomes of participation, goal performance and satisfaction, goal self-efficacy, emotional well-being, and cognition.
RESULTS. Rates of recruitment (66%) and retention (81%) were satisfactory. Participation scores improved for both groups with different trajectories. Results showed a moderate effect of OPC–Stroke for goal performance (η2partial d = .075) and satisfaction (η2partial d = .078) and a large effect for cognition (η2partial d = .167). Other outcome measures did not change as expected.
CONCLUSION. Study procedures were generally feasible. Preliminary findings support testing to examine the efficacy of OPC–Stroke.
The study procedures are feasible as indicated by recruitment and retention rates, respondent outcome measure completion, and attendance.
Compared with those receiving usual care, participants receiving OPC–Stroke will
Although OPC–Stroke appears to be promising for promoting improved performance and satisfaction with performance of self-identified goals and cognition, more research is needed to prove its efficacy.
Goal setting with a health care professional may, by itself, promote goal attainment for people living with stroke.
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