Effects of the CO-OP Approach on Occupational Performance and Executive Function in Adults With Stroke
Trial Parameters
Brief Summary
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.
Eligibility Criteria
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