Effectiveness of the functional and cognitive occupational therapy (Faco t) intervention for improving daily functioning and participation of individuals with mild stroke: A randomized controlled trial

Tal Adamit; Jeffrey Shames; Debbie Rand

doi:10.3390/ijerph18157988

Effectiveness of the functional and cognitive occupational therapy (Fac_o t) intervention for improving daily functioning and participation of individuals with mild stroke: A randomized controlled trial

Tal Adamit, Jeffrey Shames, Debbie Rand

Department of Occupational Therapy

Tel Aviv University

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Mild stroke can cause subtle cognitive–behavioral symptoms, which although might be hidden, can restrict community reintegration and participation. Cognitive rehabilitation programs exist for stroke but not specifically for mild stroke and the research evidence varies. The Functional and Cognitive Occupational Therapy (FaC_o T) intervention was developed specifically for this population. Objective: To examine the effectiveness of FaC_o T intervention for improving daily functioning and participation compared with standard care. Method: A single blind randomized controlled trial with assessments pre (T1), post (T2) and 3-month follow-up (T3). Individuals in the FaC_o T group received 10 weekly sessions practicing cognitive and behavioral strategies. The Canadian Occupational Performance Measure (COPM) was the primary outcome measure, IADL-questionnaire, Reintegration to Normal Living questionnaire (RNL) were secondary measures. Results: In total, 66 community-dwelling individuals with mild stroke were randomly allocated to FaC_o T (n = 33, mean (SD) age 64.6 (8.2), 33% women), or control group (n = 33, mean (SD) age 64.4 (10.8), 45% women). Time X Group interaction effects were found for the COPM performance (F(1.4,90.3) = 11.75, p < 0.000) and satisfaction (F(1.5,96.8) = 15.70, p < 0.000), with large effect size values. Significant between-group effects were found for RNL (F = 10.02, p < 0.002, ï_P² = 0.13). Most participants in FaC_o T achieved a clinically important difference in COPM between T1–T2, T1–T3, and in RNL between T1 to T3 compared with the control group. Conclusions: FaC_o T intervention is effective to improve daily functioning, participation and satisfaction of individuals with mild stroke compared with standard care, therefore FaC_o T should be implemented in community rehabilitation settings.

Original language	English
Article number	7988
Journal	International Journal of Environmental Research and Public Health
Volume	18
Issue number	15
DOIs	https://doi.org/10.3390/ijerph18157988
State	Published - 1 Aug 2021

Keywords

Cognitive–functional interventions
PROMs
Participation
Stroke rehabilitation

All Science Journal Classification (ASJC) codes

Pollution
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3390/ijerph18157988

Cite this

Adamit, T., Shames, J., & Rand, D. (2021). Effectiveness of the functional and cognitive occupational therapy (Fac_o t) intervention for improving daily functioning and participation of individuals with mild stroke: A randomized controlled trial. International Journal of Environmental Research and Public Health, 18(15), Article 7988. https://doi.org/10.3390/ijerph18157988

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title = "Effectiveness of the functional and cognitive occupational therapy (Faco t) intervention for improving daily functioning and participation of individuals with mild stroke: A randomized controlled trial",

abstract = "Background: Mild stroke can cause subtle cognitive–behavioral symptoms, which although might be hidden, can restrict community reintegration and participation. Cognitive rehabilitation programs exist for stroke but not specifically for mild stroke and the research evidence varies. The Functional and Cognitive Occupational Therapy (FaCo T) intervention was developed specifically for this population. Objective: To examine the effectiveness of FaCo T intervention for improving daily functioning and participation compared with standard care. Method: A single blind randomized controlled trial with assessments pre (T1), post (T2) and 3-month follow-up (T3). Individuals in the FaCo T group received 10 weekly sessions practicing cognitive and behavioral strategies. The Canadian Occupational Performance Measure (COPM) was the primary outcome measure, IADL-questionnaire, Reintegration to Normal Living questionnaire (RNL) were secondary measures. Results: In total, 66 community-dwelling individuals with mild stroke were randomly allocated to FaCo T (n = 33, mean (SD) age 64.6 (8.2), 33% women), or control group (n = 33, mean (SD) age 64.4 (10.8), 45% women). Time X Group interaction effects were found for the COPM performance (F(1.4,90.3) = 11.75, p < 0.000) and satisfaction (F(1.5,96.8) = 15.70, p < 0.000), with large effect size values. Significant between-group effects were found for RNL (F = 10.02, p < 0.002, {\"i}P2 = 0.13). Most participants in FaCo T achieved a clinically important difference in COPM between T1–T2, T1–T3, and in RNL between T1 to T3 compared with the control group. Conclusions: FaCo T intervention is effective to improve daily functioning, participation and satisfaction of individuals with mild stroke compared with standard care, therefore FaCo T should be implemented in community rehabilitation settings.",

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Adamit, T, Shames, J & Rand, D 2021, 'Effectiveness of the functional and cognitive occupational therapy (Fac_o t) intervention for improving daily functioning and participation of individuals with mild stroke: A randomized controlled trial', International Journal of Environmental Research and Public Health, vol. 18, no. 15, 7988. https://doi.org/10.3390/ijerph18157988

Effectiveness of the functional and cognitive occupational therapy (Fac_o t) intervention for improving daily functioning and participation of individuals with mild stroke: A randomized controlled trial. / Adamit, Tal; Shames, Jeffrey; Rand, Debbie.
In: International Journal of Environmental Research and Public Health, Vol. 18, No. 15, 7988, 01.08.2021.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Effectiveness of the functional and cognitive occupational therapy (Faco t) intervention for improving daily functioning and participation of individuals with mild stroke

T2 - A randomized controlled trial

AU - Adamit, Tal

AU - Shames, Jeffrey

AU - Rand, Debbie

PY - 2021/8/1

Y1 - 2021/8/1

N2 - Background: Mild stroke can cause subtle cognitive–behavioral symptoms, which although might be hidden, can restrict community reintegration and participation. Cognitive rehabilitation programs exist for stroke but not specifically for mild stroke and the research evidence varies. The Functional and Cognitive Occupational Therapy (FaCo T) intervention was developed specifically for this population. Objective: To examine the effectiveness of FaCo T intervention for improving daily functioning and participation compared with standard care. Method: A single blind randomized controlled trial with assessments pre (T1), post (T2) and 3-month follow-up (T3). Individuals in the FaCo T group received 10 weekly sessions practicing cognitive and behavioral strategies. The Canadian Occupational Performance Measure (COPM) was the primary outcome measure, IADL-questionnaire, Reintegration to Normal Living questionnaire (RNL) were secondary measures. Results: In total, 66 community-dwelling individuals with mild stroke were randomly allocated to FaCo T (n = 33, mean (SD) age 64.6 (8.2), 33% women), or control group (n = 33, mean (SD) age 64.4 (10.8), 45% women). Time X Group interaction effects were found for the COPM performance (F(1.4,90.3) = 11.75, p < 0.000) and satisfaction (F(1.5,96.8) = 15.70, p < 0.000), with large effect size values. Significant between-group effects were found for RNL (F = 10.02, p < 0.002, ïP2 = 0.13). Most participants in FaCo T achieved a clinically important difference in COPM between T1–T2, T1–T3, and in RNL between T1 to T3 compared with the control group. Conclusions: FaCo T intervention is effective to improve daily functioning, participation and satisfaction of individuals with mild stroke compared with standard care, therefore FaCo T should be implemented in community rehabilitation settings.

AB - Background: Mild stroke can cause subtle cognitive–behavioral symptoms, which although might be hidden, can restrict community reintegration and participation. Cognitive rehabilitation programs exist for stroke but not specifically for mild stroke and the research evidence varies. The Functional and Cognitive Occupational Therapy (FaCo T) intervention was developed specifically for this population. Objective: To examine the effectiveness of FaCo T intervention for improving daily functioning and participation compared with standard care. Method: A single blind randomized controlled trial with assessments pre (T1), post (T2) and 3-month follow-up (T3). Individuals in the FaCo T group received 10 weekly sessions practicing cognitive and behavioral strategies. The Canadian Occupational Performance Measure (COPM) was the primary outcome measure, IADL-questionnaire, Reintegration to Normal Living questionnaire (RNL) were secondary measures. Results: In total, 66 community-dwelling individuals with mild stroke were randomly allocated to FaCo T (n = 33, mean (SD) age 64.6 (8.2), 33% women), or control group (n = 33, mean (SD) age 64.4 (10.8), 45% women). Time X Group interaction effects were found for the COPM performance (F(1.4,90.3) = 11.75, p < 0.000) and satisfaction (F(1.5,96.8) = 15.70, p < 0.000), with large effect size values. Significant between-group effects were found for RNL (F = 10.02, p < 0.002, ïP2 = 0.13). Most participants in FaCo T achieved a clinically important difference in COPM between T1–T2, T1–T3, and in RNL between T1 to T3 compared with the control group. Conclusions: FaCo T intervention is effective to improve daily functioning, participation and satisfaction of individuals with mild stroke compared with standard care, therefore FaCo T should be implemented in community rehabilitation settings.

KW - Cognitive–functional interventions

KW - PROMs

KW - Participation

KW - Stroke rehabilitation

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U2 - 10.3390/ijerph18157988

DO - 10.3390/ijerph18157988

M3 - مقالة

C2 - 34360299

SN - 1661-7827

VL - 18

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

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