CO-OPerative Training for Stroke Rehabilitation (CO-OP)
CO-OP, Attention Control
About this trial
This is an interventional treatment trial for CO-OP focused on measuring Stroke, Rehabilitation, Cognition, Intervention, Strategy training
Eligibility Criteria
Inclusion Criteria:
- primary diagnosis of acute stroke
- admission to acute inpatient rehabilitation
- impairment in cognitive functions (Quick Executive Interview ≥ 3)
Exclusion Criteria:
- dementia diagnosis (as indicated in the medical record)
- severe aphasia as indicated by score ≥ 2 on the Boston Diagnostic Aphasia Examination (3rd Edition) Severity Rating Scale (BDAE-3)
- current major depressive disorder (unless treated and in partial remission), bipolar or any other psychotic disorder (Primary Care Evaluation of Mental Disorders)
- drug or alcohol abuse within 3 months (Mini-International Neuropsychiatric Interview)
- anticipated length of stay less than 5 days
Sites / Locations
- University of Pittsburgh
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
CO-OP
Attention Control
Cognitive Orientation to daily Occupational Performance (CO-OP) is a strategy training approach that trains individuals to identify problems in the performance of their daily activities, develop strategies to address these problems, and monitor their own performance in the course of their daily routines. Participants use a workbook to support their application of the strategy training.
The attention control intervention controls for the non-specific effects of strategy training. The therapists administer the standardized and dose-matched protocol, using scripted open-ended questions to facilitate participants' reflections on their rehabilitation activities and experiences. Participants complete a daily journal, merely reviewing their rehabilitation activities.