Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial

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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 (η2partiald = .075) and satisfaction (η2partiald = .078) and a large effect for cognition (η2partiald = .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.

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