نوع مقاله : مقاله مروری
نویسندگان
1 گروه آموزشی کاردرمانی، دانشکده علوم توان بخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
2 دکترای تخصصی کاردرمانی، دانشیار گروه کاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
3 گروه آموزشی کاردرمانی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
چکیده
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aims: stroke survivors often face a combination of post-stroke impairments that can limit activity and participation. Various treatment approaches are used in stroke rehabilitation by occupational therapists, but these approaches have poor evidence for improving generalization and transfer of occupational skills and maintaining the improvement achieved in the long term. Therefore, in recent years, the use of the Cognitive Orientation to Daily Occupational Performance (CO-OP) approach in the rehabilitation of people with stroke has received attention. In previous studies, caregiver participation, which is one of the key features of the CO-OP approach, has received less attention. Therefore, the aim of the present study was to investigate the effectiveness of the CO-OP approach based on caregiver training on occupational performance (generalization and transfer) and self-efficacy in people with chronic stroke.
Materials and Methods: This double-blind clinical trial will include 20 participants with chronic stroke with a history of 6 months to 5 years. In this study, the effect of CO-OP based on caregiver training on occupational performance and self-efficacy of chronic stroke survivors will be compared with CO-OP implemented directly by an occupational therapist. The CO-OP intervention will be provided in both groups by a CO-OP-trained occupational therapist, in 10 to 12 sessions, twice a week. In the experimental group, caregivers will be required to attend all sessions. The assessments will be conducted by an assessor unaware of the group allocation before the intervention, immediately after the intervention, and one month after the intervention. Patients will also be unaware of the grouping. Primary outcomes will be Canadian Occupational Performance Measure (COPM), Performance Quality Rating Scale (PQRS), and General Self-Efficacy Scale (GSE-10) tests, and secondary outcomes will be assessed by assessing the quality of life of participating caregivers through the WHO-QOL-BREF test.
Conclusion
It is expected that the results of this study will provide useful information about the effect of applying the CO-OP approach based on caregiver training on occupational performance and self-efficacy in people with chronic stroke.
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Keywords: caregivers, cognition, occupational therapy, stroke, protocol
کلیدواژه‌ها [English]
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