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IRCT20210901052356N1 IRCT 2021-09-20 Tehran University of Medical Sciences Investigating effects of CO-OP approach in Individuals with Parkinson’s Disease Effectiveness of Cognitive Orientation to daily Occupational Performance (CO-OP) on Satisfaction and Occupational Performance in Individuals with Parkinson’s Disease 2021-09-16 anticipated 20 Complete https://irct.ir/trial/58501 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will select by convenience sampling. we use simple randomization for allocation of samples into the control and CO-OP group. For this purpose, before starting the intervention, through the site randomization.com, according to the sample size, a sequence of placing participants in two groups ( both are equal) is created. After the start of the study, each participant who was eligible to enter the study will receive a control or co-op intervention from a pre-prepared sequence list, Blinding description: Participants will not be aware of the group that they are entered. The assessments will be performed by participants and trained assessor who are blind to the study. N/A Parkinson's disease. Intervention 1: Intervention group: The intervention group receives the CO-OP approach in 12 sessions of 45-60 minutes and 2 sessions per week. This approach has a specific protocol. The first stage is preparation phase. In this stage, the necessary prerequisites for this approach are checked in the clients and also the purpose of treatment is given to the clients. The first session will be after the preparation phase and is evaluation session. In this session, participants select three performance goals based on the Canadian occupational performance measure Scale (COPM), And they score satisfaction and performance of three goals based on a ten-point scale. The second session will give the necessary explanations about the global cognitive strategy (Goal-Plan-Do-Check) to the clients, the focus of this session is on teaching this global strategy. Sessions three to eleven people acquire skills using these strategies, in these sessions the focus is on learning skills, in these sessions, dynamic performance analysis, guided discovery and the Enabling principles are used continuously, and session twelve Assessments are also performed again. Intervention 2: Control group: Patients in the control group received conventional occupational therapy. Evidence suggests that these interventions often include stretching and strengthening exercises, improving postural control, improving balance, relaxation techniques, breathing exercises, and gait training. Yes - There is a plan to make this available What will be shared: Article When: March 2022 To whom: The researcher and occupational therapists Conditions: Other research, critics, check and clinical usage Where to obtain: Tehran university of Medical Science, School of Rehabilitation Sciences, Occupational Therapy department How to obtain: The data and results of the study are available in the final version and are available at the Faculty of Rehabilitation. Comments:
public Atefeh Taheri
Tehran University of Medical Sciences - School of Rehabilitation, Enghelab St, Pich-e-Shemiran.
Tehran Iran (Islamic Republic of) 1148965111 +98 913 577 7223 Taheri.atefeh.ot@gmail.com Tehran University of Medical Sciences scientific Dr. Seyedeh tahmineh mousavi
Tehran University of Medical Sciences, School of Rehabilitation, Occupational Therapy department, Enghelab street, Piche-shemiran
Tehran Iran (Islamic Republic of) 1148965111 +98 21 7753 4133 t.mousavi@alumni.ubc.ca Tehran University of Medical Sciences Iran (Islamic Republic of) Diagnosis of Parkinson’s Disease by a neurologist Hoehn and Yahr scale score between stages 1-3 A minimum score of 16 out of 30 on the Montreal Test No other neurological or psychological problems Not having a verbal problem And the ability to understand the global strategy of the CO-OP approach no limit no limit Both Comorbidity with cognitive impairments such as: Alzheimer, stroke, brain injury, multiple sclerosis, etc. Lack of cooperation and willingness to continue cooperation G20 Parkinson's disease Rehabilitation Rehabilitation Intervention group: The intervention group receives the CO-OP approach in 12 sessions of 45-60 minutes and 2 sessions per week. This approach has a specific protocol. The first stage is preparation phase. In this stage, the necessary prerequisites for this approach are checked in the clients and also the purpose of treatment is given to the clients. The first session will be after the preparation phase and is evaluation session. In this session, participants select three performance goals based on the Canadian occupational performance measure Scale (COPM), And they score satisfaction and performance of three goals based on a ten-point scale. The second session will give the necessary explanations about the global cognitive strategy (Goal-Plan-Do-Check) to the clients, the focus of this session is on teaching this global strategy. Sessions three to eleven people acquire skills using these strategies, in these sessions the focus is on learning skills, in these sessions, dynamic performance analysis, guided discovery and the Enabling principles are used continuously, and session twelve Assessments are also performed again. Control group: Patients in the control group received conventional occupational therapy. Evidence suggests that these interventions often include stretching and strengthening exercises, improving postural control, improving balance, relaxation techniques, breathing exercises, and gait training. Performance and satisfaction scores of client-chosen goal. Timepoint: pretest , post test and follow-up (one months after last session). Method of measurement: Canadian Occupational Performance Measurement (COPM). Goal Attainment. Timepoint: Pretest, post test and follow-up. Method of measurement: Goal Attainment Scale (GAS). Activities of Daily Living. Timepoint: Pretest, post test and follow-up. Method of measurement: Functional Independence Measure (FIM). Fatigue. Timepoint: Pretest, post test and follow-up. Method of measurement: Parkinson Fatigue Scale (PFS). Tehran University of Medical Sciences Approved 2020-02-12 Ethics committee of Tehran university of medical sciences Tehran university of medical sciences, school of rehabilitation, Enghelab St, Pich-e-Shemiran Tehran Tehran Iran (Islamic Republic of)