A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study
This pilot study aimed to investigate the initial effect of a remotely delivered performance-based client-centered intervention on activity performance and participation among adults in the chronic phase after acquired brain injury (ABI). Sixteen participants living at home with little to no assista...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/12/2/213 |
| _version_ | 1827656434854133760 |
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| author | Aviva Beit Yosef Jeremy Michael Jacobs Jeffrey Shames Isabella Schwartz Yafit Gilboa |
| author_facet | Aviva Beit Yosef Jeremy Michael Jacobs Jeffrey Shames Isabella Schwartz Yafit Gilboa |
| author_sort | Aviva Beit Yosef |
| collection | DOAJ |
| description | This pilot study aimed to investigate the initial effect of a remotely delivered performance-based client-centered intervention on activity performance and participation among adults in the chronic phase after acquired brain injury (ABI). Sixteen participants living at home with little to no assistance in basic daily activities were allocated into intervention or waitlist control groups. Assessments were conducted at the baseline, after the 3-month intervention/wait period, and at a 3-month follow-up. The primary outcomes were activity performance using the Canadian Occupational Performance Measure (COPM) and the Performance Quality Rating Scale (PQRS) and participation using the Mayo-Portland Adaptability Inventory-4 (MPAI-4). The intervention included weekly videoconferencing sessions using the Cognitive Orientation to Daily Occupational Performance approach (tele-CO-OP). The participants identified five functional goals, of which three were directly addressed. Wilcoxon signed-ranks test results showed no significant improvements in the control group at the end of the 3-month wait period. Pooled data from both groups showed significant improvements in COPM scores for trained and untrained goals following the intervention. Significant improvements were also found in the PQRS and MPAI-4 scores. Improvements were partially maintained at follow-up. Our preliminary results suggest that tele-CO-OP may positively impact the lives of adults after ABI who are coping with long-term disability. |
| first_indexed | 2024-03-09T22:27:22Z |
| format | Article |
| id | doaj.art-d291347825c542f6a0db4251c3d51eba |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T22:27:22Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-d291347825c542f6a0db4251c3d51eba2023-11-23T19:03:21ZengMDPI AGBrain Sciences2076-34252022-02-0112221310.3390/brainsci12020213A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover StudyAviva Beit Yosef0Jeremy Michael Jacobs1Jeffrey Shames2Isabella Schwartz3Yafit Gilboa4School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9124001, IsraelFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9124001, IsraelMedical and Health Professions Division, Maccabi Health Services, Tel Aviv 6812509, IsraelFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9124001, IsraelSchool of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9124001, IsraelThis pilot study aimed to investigate the initial effect of a remotely delivered performance-based client-centered intervention on activity performance and participation among adults in the chronic phase after acquired brain injury (ABI). Sixteen participants living at home with little to no assistance in basic daily activities were allocated into intervention or waitlist control groups. Assessments were conducted at the baseline, after the 3-month intervention/wait period, and at a 3-month follow-up. The primary outcomes were activity performance using the Canadian Occupational Performance Measure (COPM) and the Performance Quality Rating Scale (PQRS) and participation using the Mayo-Portland Adaptability Inventory-4 (MPAI-4). The intervention included weekly videoconferencing sessions using the Cognitive Orientation to Daily Occupational Performance approach (tele-CO-OP). The participants identified five functional goals, of which three were directly addressed. Wilcoxon signed-ranks test results showed no significant improvements in the control group at the end of the 3-month wait period. Pooled data from both groups showed significant improvements in COPM scores for trained and untrained goals following the intervention. Significant improvements were also found in the PQRS and MPAI-4 scores. Improvements were partially maintained at follow-up. Our preliminary results suggest that tele-CO-OP may positively impact the lives of adults after ABI who are coping with long-term disability.https://www.mdpi.com/2076-3425/12/2/213chronic strokeparticipationneurorehabilitationcognitive rehabilitationtelerehabilitationoccupation-based intervention |
| spellingShingle | Aviva Beit Yosef Jeremy Michael Jacobs Jeffrey Shames Isabella Schwartz Yafit Gilboa A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study Brain Sciences chronic stroke participation neurorehabilitation cognitive rehabilitation telerehabilitation occupation-based intervention |
| title | A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study |
| title_full | A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study |
| title_fullStr | A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study |
| title_full_unstemmed | A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study |
| title_short | A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study |
| title_sort | performance based teleintervention for adults in the chronic stage after acquired brain injury an exploratory pilot randomized controlled crossover study |
| topic | chronic stroke participation neurorehabilitation cognitive rehabilitation telerehabilitation occupation-based intervention |
| url | https://www.mdpi.com/2076-3425/12/2/213 |
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