Article

OBJECTIVE: To evaluate, before undertaking a larger trial, feasibility of the
study processes to determine the effectiveness of occupation-based strategy
training for producing changes on trained real-world behaviors, and to determine
whether far transfer of training effects to measures of real-world impact,
including participation in everyday life, could be achieved.
DESIGN: Partially
randomized controlled trial with pre- and postintervention assessments done by
assessors masked to the treatment arm. SETTING: Testing occurred at a research
institute, interventions at participants' homes. PARTICIPANTS: People (N=13) with
chronic traumatic brain injury (TBI), 7 in the experimental group (mean age,
42.6y; mean time post-TBI, 9.8y; 4 men) and 6 in the control arm (mean age,
40.5y; mean time post-TBI, 10.8y; 3 men), were assessed immediately before and
after the intervention phase. INTERVENTION: Occupation-based strategy training,
an adapted version of the Cognitive Orientation to daily Occupational Performance
(CO-OP), was provided in two 1-hour sessions per week for 10 weeks. MAIN OUTCOME
MEASURES: Canadian Occupational Performance Measure, Dysexecutive Questionnaire,
Mayo-Portland Adaptability Inventory-4 Participation Index, and Assessment of
Motor and Process Skills. RESULTS: The study processes (testing and intervention)
were acceptable to all participants. Evidence of far transfer was found as the
experimental group improved significantly more than the control group on
performance and satisfaction with performance ratings on untrained goals (P<.05),
and reported increased levels of participation (P<.01). CONCLUSIONS: Findings
must be interpreted with caution since the sample is small and comparisons are
made with a no-treatment control. Nevertheless, they suggest that the training is
feasible and a larger trial warranted.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS