title: Comparison of Cognitive Orientation to daily Occupational Performance and conventional occupational therapy on occupational performance in individuals with stroke: A randomized controlled trial.
abstract: BACKGROUND
  Cognitive Orientation to daily Occupational Performance (CO-OP) approach based on cognitive strategy in occupational therapy.
  
  
  OBJECTIVE
  To investigate the effects of CO-OP approach on occupational performance in individuals with hemiparetic stroke.
  
  
  METHODS
  This study was designed as a 5-week, randomized, single-blind. Forty-three participants who had a diagnosis of first stroke were enrolled in this study. The participants were randomly assigned to the experimental group (n = 20) or the control group (n = 23). The experimental group conducted CO-OP approach while the control group conducted conventional occupational therapy based on occupational performance components. This study measured Canadian Occupational Performance Measure (COPM) and Performance Quality Rating Scale (PQRS). Outcome measurements were performed at baseline and post-intervention.
  
  
  RESULTS
  After training, the scores of COPM and PQRS in trained task were significantly higher for the score in the experimental group than the control group. In addition, the non-trained task was significantly higher for the score in the experimental group than the control group in COPM and the PQRS.
  
  
  CONCLUSIONS
  This study suggests that the CO-OP approach is beneficial effects on the occupational performance to improvement in individuals with hemiparetic stroke, and have positive effects on generalization and transfer of acquired skills.
authors.affiliation: Department of Occupational Therapy, The Graduate School, Yonsei University, Republic of Korea.
authors.forename: Si-Nae
authors.initials: SN
authors.lastname: Ahn
authors.affiliation: Department of Occupational Therapy, Yonsei University, Republic of Korea.
authors.forename: Eun-Young
authors.initials: EY
authors.lastname: Yoo
authors.affiliation: Department of Occupational Therapy, Yonsei University, Republic of Korea.
authors.forename: Min-Ye
authors.initials: MY
authors.lastname: Jung
authors.affiliation: Department of Occupational Therapy, Yonsei University, Republic of Korea.
authors.forename: Hae-Yean
authors.initials: HY
authors.lastname: Park
authors.affiliation: Department of Occupational Therapy, Dongnam Health University, Republic of Korea.
authors.forename: Ji-Yeon
authors.initials: JY
authors.lastname: Lee
authors.affiliation: Department of Occupational Therapy, Wonkwang University, Republic of Korea.
authors.forename: Yoo-Im
authors.initials: YI
authors.lastname: Choi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods / Q000523:psychology*; D009949:Orientation / Q000502:physiology*; D011597:Psychomotor Performance / Q000502:physiology*; D056910:Republic of Korea / Q000453:epidemiology; D016037:Single-Blind Method; D020521:Stroke / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D000071939:Stroke Rehabilitation / Q000379:methods / Q000523:psychology*
keywords: Cognitive Orientation to daily Occupational Performance (CO-OP); occupational therapy; stroke; transfer