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IRCT20160808029260N5 IRCT 2023-05-13 Iran University of Medical Sciences Investigating the impact of occupational therapy based on daily life activities on the performance and satisfaction level of stroke patients The effect of Occupational Therapy Intervention Process Model (OTIPM) on occupational performance and satisfaction of patients with chronic stroke and comparing it with conventional occupational therapy 2023-09-23 anticipated 30 Complete https://irct.ir/trial/69941 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Using a table of random numbers by a person who has no contact with the patients, the patients are placed in two groups in the form of random blocks, the patients in the first group received conventional occupational therapy treatments and in the second group received occupational therapy based on the OTIPM model (the main intervention), Blinding description: The present study is single blind (evaluator). N/A Stroke. Intervention 1: Intervention group: The intervention of the second occupational therapy group is based on the OTIPM model (main intervention). In this group, once the client has prioritized which activities of daily living should be addressed, the occupational therapist, after observing the challenging activities of daily living of the person in the natural context of the client, analyzes the ineffective skills and tasks in performing the performance of each prioritized task (occupation). And it takes into account person effective factors, including body function, task needs, or the influence of the environment in the implementation of occupation. After completing the performance analysis, the occupational therapist and the clients work together to create client-centered and occupation-centered goals, and there are four choices in the intervention stage: compensatory, educational, acquisition, and restoration (steps of implementing this intervention in the attached file) The full length has been described (23, 33). This group of interventions with the presence of an occupational therapist at home and three sessions a week, for ten weeks and each session is one hour, These interventions are implemented by the researcher who has trained the model implementation courses. Intervention 2: Control group: The intervention of the first group includes conventional occupational therapy interventions. These interventions included neurodevelopmental treatment, Bobath technique, facilitation of neuromuscular proprioception, pain management, hand manipulation skills and dexterity training were provided to the participants. These interventions are performed in the outpatient occupational therapy center in three sessions per week, for ten weeks and each session is one hour, These interventions are implemented by an occupational therapist who has at least 2 years of practical experience. Yes - There is a plan to make this available What will be shared: Demographic data of the study participants after making them unidentifiable; Primary and secondary outcome information When: After publishing the results of the study To whom: Researchers who are working in academic and scientific institutions Conditions: For doing meta-analysis review studies Where to obtain: Esmail sadeghi Phone number:00989120302534 Email address: sadeghi.ot87@gmail.com Address: School of Rehabilitation, Madadkaran Alley, Shahnazari Street, Madar Square, Mirdamad Boulevard, Tehran, Iran 2) Afsoon Hassani Mehraban Phone number: 0098 21 22228051 Email address: mehraban.a@iums.ac.ir Address: School of Rehabilitation, Madadkaran Alley, Shahnazari Street, Madar Square, Mirdamad Boulevard, Tehran, Iran How to obtain: The researcher can access the data of this research up to one month after sending the request and attaching the registered protocol of the review article to the introduced emails. Comments:
public Afsoon hassani mehraban
Mirdamad
Tehran Iran (Islamic Republic of) 13487-15459 +98 21 2222 7124 Mehraban.a@iums.ac.ir Iran University of Medical Sciences scientific Esmail Sadeghi
Mirdamad
Tehran Iran (Islamic Republic of) 13487-15459 +98 21 2222 7124 sadeghi.ot87@gmail.com Iran University of Medical Sciences Iran (Islamic Republic of) Occurrence of a stroke Age 18 to 65 years Branstrom above 3 MMSE above 21 Living at home At least 6 months have passed since the stroke The doctor has referred the person to receive occupational therapy services 18 years 65 years Both People have acute heart diseases (such as acute heart attack) People have serious psychological diseases (such as depression and psychiatric disorders) People have neurological diseases (such as recurrent stroke, Parkinson's, dementia, seizures) I67 Other cerebrovascular diseases Rehabilitation Rehabilitation Intervention group: The intervention of the second occupational therapy group is based on the OTIPM model (main intervention). In this group, once the client has prioritized which activities of daily living should be addressed, the occupational therapist, after observing the challenging activities of daily living of the person in the natural context of the client, analyzes the ineffective skills and tasks in performing the performance of each prioritized task (occupation). And it takes into account person effective factors, including body function, task needs, or the influence of the environment in the implementation of occupation. After completing the performance analysis, the occupational therapist and the clients work together to create client-centered and occupation-centered goals, and there are four choices in the intervention stage: compensatory, educational, acquisition, and restoration (steps of implementing this intervention in the attached file) The full length has been described (23, 33). This group of interventions with the presence of an occupational therapist at home and three sessions a week, for ten weeks and each session is one hour, These interventions are implemented by the researcher who has trained the model implementation courses. Control group: The intervention of the first group includes conventional occupational therapy interventions. These interventions included neurodevelopmental treatment, Bobath technique, facilitation of neuromuscular proprioception, pain management, hand manipulation skills and dexterity training were provided to the participants. These interventions are performed in the outpatient occupational therapy center in three sessions per week, for ten weeks and each session is one hour, These interventions are implemented by an occupational therapist who has at least 2 years of practical experience. Occupational performance (a dynamic interaction involving the person, context/environment, and activity or occupation) is the focus of occupational therapy practice. including skills (purposeful actions to perform occupations such as motor skills, processing skills, social interaction skills), patterns (temporal elements of occupation such as routines, habits, roles, rituals) and domains (work/productivity, play/leisure (such as play), sports, hobbies) are the basic and functional activities of daily living such as rest/sleep). Timepoint: Before the intervention, after 10 weeks of intervention, the first and third month after the end of the intervention. Method of measurement: Occupational performance is measured with the help of COPM and ADL taxonomy scores. Satisfaction: the degree of satisfaction of people with occupational performance and the match between occupational participation and performance expectations. Timepoint: Before the intervention, after 10 weeks of intervention, the first and third month after the end of the intervention. Method of measurement: The score of the COPM questionnaire. Functional performance: Physiological functions of body systems. Timepoint: Before the intervention, after 10 weeks of intervention, the first and third month after the end of the intervention. Method of measurement: In this study, body functions are measured with the help of ARAT, FMA and SIS questionnaire scores. Iran University of Medical Sciences Approved 2023-05-01 Research Ethics Committees of Iran University of Medical Sciences Iran University of Medical Sciences, Next to Milad tower, Hemmat Highway Tehran Tehran Iran (Islamic Republic of)