Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions / Dorothy E. Kessler in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 326-337 Titre : Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions Type de document : texte imprimé Auteurs : Dorothy E. Kessler ; Mary Y. Egan ; Claire-Jehanne Dubouloz ; Sara McEwen ; Fiona P. Graham Année de publication : 2018 Article en page(s) : p. 326-337 Langues : Anglais (eng) Mots-clés : Client-centred therapy  coaching  occupational therapy  psychological theory  social participation  stroke rehabilitation Résumé : 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. Permalink : ./index.php?lvl=notice_display&id=80152 [article] Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions [texte imprimé] / Dorothy E. Kessler ; Mary Y. Egan ; Claire-Jehanne Dubouloz ; Sara McEwen ; Fiona P. Graham . - 2018 . - p. 326-337. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 326-337 Mots-clés : Client-centred therapy  coaching  occupational therapy  psychological theory  social participation  stroke rehabilitation Résumé : 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. Permalink : ./index.php?lvl=notice_display&id=80152

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Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. / Dorothy E. Kessler in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) Titre : Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. Type de document : texte imprimé Auteurs : Dorothy E. Kessler, Auteur ; Mary Y. Egan, Auteur ; Claire-Jehanne Dubouloz, Auteur Année de publication : 2017 Langues : Américain (ame) Mots-clés : Réadaptation après un accident vasculaire cérébral  Survivants  ergothérapie  Intégration communautaire Résumé : 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. Permalink : ./index.php?lvl=notice_display&id=49294 [article] Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. [texte imprimé] / Dorothy E. Kessler, Auteur ; Mary Y. Egan, Auteur ; Claire-Jehanne Dubouloz, Auteur . - 2017. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) Mots-clés : Réadaptation après un accident vasculaire cérébral  Survivants  ergothérapie  Intégration communautaire Résumé : 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. Permalink : ./index.php?lvl=notice_display&id=49294

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Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy / Mina Ahmadi Kahjoogh in The British Journal of Occupational Therapy, Vol. 85 Issue 4 (Avril 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 85 Issue 4 (Avril 2019) . - p. 213-219 Titre : Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy Type de document : texte imprimé Auteurs : Mina Ahmadi Kahjoogh ; Dorothy E. Kessler ; Seyed Ali Hosseini ; Mehdi Rassafiani ; Nazila Akbarfahimi ; Hamid Reza Khankeh ; Akbar Biglarian Année de publication : 2019 Article en page(s) : p. 213-219 Note générale : doi.org/10.1177/0308022618799944 Langues : Anglais (eng) Mots-clés : Cerebral palsy  children  mothers  coaching  occupational therapy Résumé : Introduction The purpose of this study was to assess the efficacy of occupational performance coaching in mothers of children with cerebral palsy. Method A randomized controlled trial was used. Thirty mothers of children with cerebral palsy were randomly assigned to an occupational performance coaching group or control group. The Canadian Occupational Performance Measure and Sherer General Self-efficacy Scale were measured before and after the study. Results Occupational performance coaching had significant effects on participants’ occupational performance and self-efficacy. In child-related goals, there was also a statistically significant difference between two groups (p = 0.05). Conclusion The results indicated that occupational performance coaching could be an effective intervention to increase the self-efficacy of mothers and improve the occupational performance of children and mothers of children with cerebral palsy. This trial is registered at NCT02915926 at clinicaltrials.gov Permalink : ./index.php?lvl=notice_display&id=80406 [article] Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy [texte imprimé] / Mina Ahmadi Kahjoogh ; Dorothy E. Kessler ; Seyed Ali Hosseini ; Mehdi Rassafiani ; Nazila Akbarfahimi ; Hamid Reza Khankeh ; Akbar Biglarian . - 2019 . - p. 213-219. doi.org/10.1177/0308022618799944 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 85 Issue 4 (Avril 2019) . - p. 213-219 Mots-clés : Cerebral palsy  children  mothers  coaching  occupational therapy Résumé : Introduction The purpose of this study was to assess the efficacy of occupational performance coaching in mothers of children with cerebral palsy. Method A randomized controlled trial was used. Thirty mothers of children with cerebral palsy were randomly assigned to an occupational performance coaching group or control group. The Canadian Occupational Performance Measure and Sherer General Self-efficacy Scale were measured before and after the study. Results Occupational performance coaching had significant effects on participants’ occupational performance and self-efficacy. In child-related goals, there was also a statistically significant difference between two groups (p = 0.05). Conclusion The results indicated that occupational performance coaching could be an effective intervention to increase the self-efficacy of mothers and improve the occupational performance of children and mothers of children with cerebral palsy. This trial is registered at NCT02915926 at clinicaltrials.gov Permalink : ./index.php?lvl=notice_display&id=80406

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