Comparing the effect of “Cognitive Orientation to Daily Occupational Performance” (CO-OP) with “Motivational Interviewing” (MI) on occupational performance in chronic stroke patients: a randomized controlled trial

- Comparison of the effect of "Cognitive Orientation to Daily Occupational Performance" and "motivational interviewing" on the functional independence of chronic stroke patients in performing activities of daily living. 2- Comparing the effect of "Cognitive Orientation to Daily Occupational Performance" and "motivational interviewing" on the occupational performance of chronic stroke patients. 3- Comparing the effect of "Cognitive Orientation to Daily Occupational Performance" and "motivational interviewing" on self-efficacy of chronic stroke patients.

Clinical trial with control group, with parallel groups, single-blind, randomized, on 60 stroke patients. Randomization is done using the block random allocation using the website www.sealedenvelope.com.

Patients who are eligible to enter are referred to a private clinic. After obtaining the written consent, the evaluations will be done by an evaluator who is unaware of the allocation. people will be randomly placed in each of the three groups. The intervention in all three control groups will be CO-OP and MI two sessions per week for five weeks for chronic stroke patients. ​

Inclusion criteria: A volunteer to enter the study, chronic ischemic stroke, over 18 years old, sufficient cognitive ability, the lowest level of depression or mild depression to moderate depression, being in stage 3 or higher of Brunnstrom, no disorder in verbal comprehension. Exclusion criteria: non-cooperation of the patient during the intervention or unwillingness to continue cooperation in the intervention, non-follow-up of the patient to participate in at least two treatment sessions, recurrence of stroke

1-Control Group 2- Cognitive Orientation to Daily Occupational Performance (CO-OP) 3- Motivational Interviewing (MI)

Occupational Performance

Block random allocation method is used for data allocation. This allocation is done in several steps. First, using the website www.sealedenvelope.com, a random sequence with blocks of six is created. Then, to hide the random allocation, sealed and waxed opaque envelopes are used in a random sequence. Based on the size of the research sample, a number of envelopes with aluminum wrapping (in view of the lack of clarity of the contents of the envelopes), preparation and each of the random sequences created on a card are recorded and the cards inside the envelopes are called They are placed in order. In order to preserve the random sequence, the outer surface of the envelopes is numbered in the same order. Finally, the lid of the letter envelopes is glued and placed in a box in order. At the time of registration of the participants, according to the order of entry of the eligible participants to the study, one of the letter envelopes will be opened and the assigned group of that participant will be revealed.

This will be a single-blind study. It should be noted that all evaluations are done by a trained evaluator therapist who does not know about the allocation of people in each of the groups, which is different from the examiner who performs the intervention in three groups.

All data is potentially shareable after de-identifying individuals.

The access period starts 6 months after the results are published.

The data will be available to researchers working in academic and scientific institutions and rehabilitation professionals in clinical settings.

Providing the medical system card to ensure the clinical competence of people to provide services.

Sending an email to an address named Shiva Abedi, sending an SMS to the contact number of Shiva Abedi, making a call to the number of Shiva Abedi, visiting in person Dr. Nazila Akbarfahimi at the University of Social Welfare and Rehabilitation Sciences.

First, the applicant must send a request to receive the documents to an email address named Shiva Abedi, if there is no response after 10 days, send an SMS or call the contact number of Shiva Abedi, then the responsible person ( Abedi) makes the necessary arrangements to send the documents to the applicant. If the responsible person (Abedi) did not respond within 7 days after sending the text message and making the call, the requesting person can send his request to the email address of Dr. Nazila Akbarfahimi.