A Performance‐Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

Aviva Beit Yosef*, Jeremy Michael Jacobs, Jeffrey Shames, Isabella Schwartz, Yafit Gilboa

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

This pilot study aimed to investigate the initial effect of a remotely delivered performancebased client‐centered intervention on activity performance and participation among adults in the chronic phase after acquired brain injury (ABI). Sixteen participants living at home with little to no assistance in basic daily activities were allocated into intervention or waitlist control groups. Assessments were conducted at the baseline, after the 3‐month intervention/wait period, and at a 3‐ month follow‐up. The primary outcomes were activity performance using the Canadian Occupational Performance Measure (COPM) and the Performance Quality Rating Scale (PQRS) and participation using the Mayo‐Portland Adaptability Inventory‐4 (MPAI‐4). The intervention included weekly videoconferencing sessions using the Cognitive Orientation to Daily Occupational Performance approach (tele‐CO‐OP). The participants identified five functional goals, of which three were directly addressed. Wilcoxon signed‐ranks test results showed no significant improvements in the control group at the end of the 3‐month wait period. Pooled data from both groups showed significant improvements in COPM scores for trained and untrained goals following the intervention. Significant improvements were also found in the PQRS and MPAI‐4 scores. Improvements were partially maintained at follow‐up. Our preliminary results suggest that tele‐CO‐OP may positively impact the lives of adults after ABI who are coping with long‐term disability.

Original languageAmerican English
Article number213
JournalBrain Sciences
Volume12
Issue number2
DOIs
StatePublished - 3 Feb 2022

Bibliographical note

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Chronic stroke
  • Cognitive rehabilitation
  • Executive functions
  • Metacognitive strategy training
  • Neurorehabilitation
  • Occupational therapy
  • Occupation‐based intervention
  • Participation
  • Self‐efficacy
  • Telerehabilitation

Fingerprint

Dive into the research topics of 'A Performance‐Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study'. Together they form a unique fingerprint.

Cite this