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Occupational performance coaching for stroke survivors: a pilot randomized controlled trial protocol.
This study will explore the potential efficacy of OPC-Stroke and the feasibility of the research methods for use in a larger trial. METHOD: A pilot randomized controlled trial will be undertaken. Participants will be randomly assigned to receive 10 sessions of OPC-Stroke or usual care. Participation, perceived goal performance, satisfaction and self-efficacy, emotional well-being, and cognition will be measured at three time points. IMPLICATIONS: This research will test the potential usefulness of OPC-Stroke as well as the study methods, and thereby inform the continuing development of OPC-Stroke and further stud...
Source: Canadian Journal of Occupational Therapy - December 1, 2014 Category: Occupational Health Authors: Kessler DE, Egan MY, Dubouloz CJ, Graham FP, McEwen SE Tags: Can J Occup Ther Source Type: research

Intention to Return to Work after Stroke Following Rehabilitation in Ontario.
This study examined the prevalence of intention to return to work after discharge among stroke rehabilitation inpatients. METHODS.: We performed secondary analysis of National Rehabilitation Reporting System data for all stroke rehabilitation inpatients across Ontario (2012-2017). Intention to return to work was examined by gender, age, and level of disability. FINDINGS.: Among 25,691 stroke rehabilitation inpatients, 4,668 (18.2%) were employed pre-stroke and 2,039 (43.7%) of them intended to return to work. Intention to return to work was somewhat higher among younger and middle-aged stroke survivors and those ...
Source: Canadian Journal of Occupational Therapy - February 12, 2020 Category: Occupational Health Authors: Duong PK, Egan MY, Meyer MJ, Morrison TL Tags: Can J Occup Ther Source Type: research

Sensory Modulation and Participation in Daily Occupations in Stroke Survivors : Modulation sensorielle et participation aux occupations quotidiennes chez les survivants d'un AVC
Can J Occup Ther. 2021 Oct 9:84174211047372. doi: 10.1177/00084174211047372. Online ahead of print.ABSTRACTBackground. Stroke may alter sensory modulation and restrict participation in daily occupations. Although studies highlight the relationship between altered sensory modulation and reduced participation, this relationship in stroke survivors has not been studied enough. Purpose. To examine the prevalence of altered sensory modulation among stroke survivors; to compare sensory modulation and participation between stroke survivors and healthy controls; to estimate the relationship between sensory modulation and participa...
Source: Canadian Journal of Occupational Therapy - October 11, 2021 Category: Occupational Health Authors: Avivit Fuks Sharony Batya Engel-Yeger Source Type: research

Experiences of occupational performance in survivors of stroke attending peer support groups.
This study explores the experiences of occupational performance in survivors of stroke attending an outpatient peer support group. METHOD.: An interpretive qualitative study using semi-structured interviews was conducted with seven survivors of stroke attending an outpatient peer support group. Data was thematically analyzed. FINDINGS.: Four themes related to the experience of peer support on occupational performance emerged: finding hope to return to meaningful occupation, a place for belonging, problem-solving occupational concerns, and finding purpose beyond oneself. IMPLICATIONS.: This research adds to t...
Source: Canadian Journal of Occupational Therapy - February 29, 2020 Category: Occupational Health Authors: Wijekoon S, Wilson W, Gowan N, Ferreira L, Phadke C, Udler E, Bontempo T Tags: Can J Occup Ther Source Type: research

A qualitative study of stroke survivors' experience of sensory changes.
This study utilized a qualitative description method. Researchers used semi-structured interviews with probing questions. Inductive content analysis approach was used to analyze the data. Researchers recruited 13 stroke survivors ≤75 years old who participated in a community-based stroke program. FINDINGS.: Emerging themes included daily life impact of sensory function changes, and experience and timing of sensory changes. Participants experienced changes in various sensory systems including touch and proprioception, visual, auditory, and taste. Survivors also reported sensitivity to environmental stimuli. Sensory c...
Source: Canadian Journal of Occupational Therapy - July 21, 2020 Category: Occupational Health Authors: Alwawi DA, Dean E, Heldstab A, Lawson LM, Peltzer J, Dunn W Tags: Can J Occup Ther Source Type: research

Front Desk Duty Multitasking Test after Mild Stroke: Preliminary Reliability and Validity.
Abstract BACKGROUND.: Performance-based multitasking assessments may be more sensitive than cognitive screens to detect executive dysfunction after a mild stroke. PURPOSE.: This cross-sectional study examined inter-rater reliability and preliminary convergent and discriminant validity of the Front Desk Duty Test (FDDT). METHOD.: Adults with mild stroke (n = 35) and community controls (n = 33) were administered the FDDT and other measures of executive functions. FINDINGS.: Inter-rater reliability of the FDDT subscores were high (ICC 0.971-0.999). There were weak but statistically significant correlat...
Source: Canadian Journal of Occupational Therapy - August 31, 2020 Category: Occupational Health Authors: Carroll GL, Radomski M, Halsten J, Meyers A, Rabusch S, Takimoto R, Kreiger R Tags: Can J Occup Ther Source Type: research

Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
Can J Occup Ther. 2022 Jul 19:84174221114670. doi: 10.1177/00084174221114670. Online ahead of print.ABSTRACTBackground: As stroke can result in functional impairments that impact driving ability, many jurisdictions mandate a 30-day period of driving restriction post-stroke. However, between 26% and 38% of clients drive against medical advice during this period. Purpose: Informed by critical reflexivity of the literature and the first author's practice, this critical analysis paper (1) explicates and critiques how adherence to guidelines regarding driving after stroke in the first 30 days is conceptualized in individualisti...
Source: Canadian Journal of Occupational Therapy - July 20, 2022 Category: Occupational Health Authors: April Vander Veen Debbie Laliberte Rudman Source Type: research

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