Overview
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
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