Effects of the CO-OP Approach on Occupational Performance and Executive Function in Adults With Stroke

Effects of the Cognitive Orientation to Daily Occupational Performance (CO-OP) Approach on Occupational Performance and Executive Function in Adults With Stroke: A Randomised Controlled Trial

The purpose of this research study is to use the Cognitive Orientation to Daily Occupational Performance (CO-OP) approach with people who have experienced a stroke. This method helps individuals improve how they perform daily tasks by teaching them problem-solving strategies.

This study will answer the following main questions:

Does the CO-OP approach help participants perform their daily activities more easily? Does the CO-OP approach support thinking skills such as planning and attention?

Researchers will look at changes in participants' daily activity performance and thinking skills before and after the CO-OP sessions.

Participants will be randomly assigned to one of two groups:

Complete simple tests before and after the sessions Practice real-life daily activities that are meaningful to them Intervention group: Will receive standard occupational therapy plus CO-OP sessions. The CO-OP sessions will take place 5 days a week for 4 weeks, with each session lasting 45 minutes.

Control group: Will receive only standard occupational therapy as part of usual care.

Inclusion Criteria:

• Being in the subacute phase after stroke (3 months < stroke onset < 2 years)
• First-ever stroke
• Brunnstrom stage 2 or above
• Ability to read and write
• Receiving rehabilitation services at Ankara Etlik City Hospital, Physical Medicine and Rehabilitation Hospital

Exclusion Criteria:

• Having any orthopedic, psychological, or neurological disorder other than stroke
• Having moderate to severe aphasia
• Having cognitive impairment (Mini-Mental State Examination score ≤ 24)
• Not willing to participate in the study