scholarly journals Occupational performance coaching for stroke survivors delivered via telerehabilitation using a single-case experimental design

2021 ◽  
pp. 030802262098847
Author(s):  
Dorothy Kessler ◽  
Nicole D Anderson ◽  
Deirdre R Dawson
Keyword(s):  
Experimental Design ◽  
Single Case ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Occupational Performance ◽  
Effective Interventions ◽  
Performance Coaching ◽  
Potential Efficacy ◽  
High Satisfaction ◽  
Long Term Impact

Introduction Sustaining a stroke has a devastating, long-term impact on participation in everyday life. Despite the recognition of participation as a key outcome of stroke rehabilitation, there are few effective interventions that address participation. Occupational performance coaching is a promising intervention designed to improve participation among stroke survivors. Delivery of occupational performance coaching using telerehabilitation could improve access. This study examined the feasibility, acceptability and potential efficacy of telerehabilitation occupational performance coaching. Method A single-case experimental design was used. Six community-dwelling stroke survivors received 10 sessions of telerehabilitation occupational performance coaching over 16 weeks. We examined the feasibility and acceptability of telerehabilitation occupational performance coaching, improvement in performance and satisfaction with identified goals. Results Telerehabilitation occupational performance coaching was feasible and acceptable to deliver; participants who started the intervention completed it and reported high satisfaction and a strong therapeutic relationship. All participants experienced technological issues that required resolution. Goal-performance and/or satisfaction improved for five of six participants. Sixty-four percent of goals showed trends for improvement and 43% showed significant improvements. Conclusions Findings support the feasibility and acceptability of telerehabilitation occupational performance coaching, along with its efficacy for improving performance and satisfaction with performance of goals. Further research is needed to prove the effectiveness of telerehabilitation occupational performance coaching and to determine who may benefit most.

Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions

2018 ◽  
Vol 81 (6) ◽  
pp. 326-337
Author(s):  
Dorothy Kessler ◽  
Mary Y Egan ◽  
Claire-Jehanne Dubouloz ◽  
Sara McEwen ◽  
Fiona P Graham
Keyword(s):  
Problem Solving ◽  
Therapeutic Relationship ◽  
Qualitative Content Analysis ◽  
Critical Role ◽  
Stroke Survivors ◽  
Occupational Performance ◽  
Theoretical Understanding ◽  
Post Stroke ◽  
Performance Coaching

Introduction Occupational performance coaching modified for stroke survivors is a promising new intervention to improve occupational performance post stroke. In the intervention, following client-centred occupational goal-setting, clients are led through strengths-based problem-solving and experimentation. Emotional support, individualized education and goal-focused problem-solving are hypothesized as key elements. Examination of clients’ experiences is necessary to better understand how occupational performance coaching modified for stroke survivors works, and improve its potential effectiveness. Method A descriptive qualitative study was embedded in a pilot randomized controlled trial. Semi-structured interviews were completed with seven participants in the treatment arm who received occupational performance coaching modified for stroke survivors. Qualitative content analysis was used for analysis. Findings Three categories were identified related to participants’ experiences of occupational performance coaching modified for stroke survivors: (a) the coaching was helpful; (b) the coaching provided opportunity for insightful reflection and (c) a different approach was preferred. Findings also lend support to the critical role of hypothesized key components and theorized mechanisms of action, and demonstrate the overarching role of the therapeutic relationship and the contribution of personal characteristics. Conclusion The revised theoretical understanding of occupational performance coaching modified for stroke survivors provides a valuable framework for communicating the actions that occupational therapists take in enabling occupation and emphasizes the role of the therapeutic relationship in client-centred approaches to improving occupational performance post stroke.

Self-perceived occupational performance of community-dwelling adults living with stroke

2018 ◽  
Vol 85 (5) ◽  
pp. 378-385
Author(s):  
Ala’a F. Jaber ◽  
Dory Sabata ◽  
Jeff D. Radel
Keyword(s):  
Functional Performance ◽  
Retrospective Chart Review ◽  
Personal Characteristics ◽  
Performance Measure ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Daily Activities ◽  
Stroke Survivors ◽  
Occupational Performance ◽  
The Mean

Background. Stroke has long-term consequences for functional performance of daily activities. Evaluating client-perceived occupational performance provides insight for designing stroke-specific programs supporting home and community participation. Purpose. This study describes the personal characteristics and self-perceived occupational performance in community-dwelling adults with stroke. Method. A retrospective chart review was undertaken of 25 stroke survivors who sought services at a community-based centre. The outcome measures were the Canadian Occupational Performance Measure (COPM) to evaluate self-perceived occupational performance and the Montreal Cognitive Assessment (MoCA) to screen for cognitive impairment. The analysis used descriptive statistics. Findings. Mean participant age was 64 years, and most participants were Caucasian males (72%). The mean cognitive function score was 22.1 on MoCA, and the mean COPM performance and satisfaction subscores were 4.1 and 3.9, respectively. The top three challenging daily activities were driving, seeking employment, and functional mobility. Implications. Stroke-specific community programs should emphasize the diverse performance concerns important to stroke survivors.

scholarly journals Biodynamic Lighting and Functional Disability: A Single-Case Experimental Design in Three Community Dwelling People with Dementia

2021 ◽  
Vol 11 (20) ◽  
pp. 9433
Author(s):  
Noortje Aarden-van Delft ◽  
Manon Peeters ◽  
Liselore Snaphaan
Keyword(s):  
Experimental Design ◽  
Functional Activity ◽  
Functional Disability ◽  
Single Case ◽  
Community Dwelling ◽  
Term Care ◽  
Functional Activities ◽  
People With Dementia ◽  
Over Time ◽  
At Home

Functional disability in people with dementia is associated with placement in long-term care facilities, feelings of depression and caregiver burden. As there is currently no cure for dementia, more attention is needed for personalised support for people living with dementia at home. A promising non-pharmacological innovation for reducing problems in functional activities is biodynamic lighting. This type of artificial lighting resembles a normal daylight curve, including changes in light intensity and colour during the day. The aim of this pilot study with three participants is to explore the possible influence of biodynamic lighting on functional activities over time on people with dementia living at home. The study used an A-B-A-B withdrawal single-case experimental design. In the intervention phases, the participants were exposed to biodynamic lighting, while in the placebo phases, the participants were exposed to placebo light. Both light phases came from the same light system. Based on this study protocol, the quantitative effects of biodynamic light related with functional activity did not reach significance. However, the qualitative results of lighting seem promising with a stabilisation of functional activity experienced over time. Future research should examine the effects that light may have on functional activity more in-depth. This study offers recommendations for longitudinal research.

LSVT BIG in late stroke rehabilitation: A single-case experimental design study

2019 ◽  
Vol 86 (2) ◽  
pp. 87-94
Author(s):  
Valerie Metcalfe ◽  
Mary Egan ◽  
Katrine Sauvé-Schenk
Keyword(s):  
Experimental Design ◽  
Repeated Measures ◽  
Stroke Rehabilitation ◽  
Single Case ◽  
Performance Measure ◽  
Occupational Performance ◽  
Self Assessment ◽  
Canadian Occupational Performance Measure ◽  
Improved Performance ◽  
Daily Occupation

Background. Late stroke rehabilitation interventions often target impairment with limited carryover to daily occupation. Purpose. This study explored whether the LSVT BIG program could lead to improved performance in client-identified occupations and decreased impairment late poststroke. Method. A single-case experimental design with one repetition was completed. Participants were two adults who had experienced a stroke 3 and 12 years previously. Each participant selected up to six occupational goals, and the intervention was applied to half. Repeated measures were taken using the Canadian Occupational Performance Measure and the Rating of Everyday Arm-Use in the Community and Home. Additional measures of performance and impairment were applied pre- and postintervention. Findings. Performance improved on either self-assessment or blinded-rater assessment for all but one activity (trained or untrained). Implications. LSVT BIG is a promising intervention to improve occupational performance. Further research is required to clarify elements of the program essential to improving occupational performance.

Occupational Performance Coaching adapted for Stroke Survivors (OPC-Stroke): A Feasibility Evaluation

2014 ◽  
Vol 32 (1) ◽  
pp. 42-57 ◽  
Author(s):  
Dorothy Kessler ◽  
Ines Ineza ◽  
Harshida Patel ◽  
Melanie Phillips ◽  
Claire-Jehanne Dubouloz
Keyword(s):  
Stroke Survivors ◽  
Occupational Performance ◽  
Performance Coaching ◽  
Feasibility Evaluation
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