Compensation-Based Intervention to Improve Activities of Daily Living in Individuals with Stroke: Randomized Controlled Pilot Study.
Objective: Individuals with stroke frequently experience limitations in activities of daily living, and compensation-based approaches have the potential to enhance functional adaptation. This study aimed to develop and evaluate the feasibility and preliminary effects of a novel intervention, Compens...
| Publicado en: | NeuroRehabilitation Vol. 58; no. 2; pp. 261 - 272 |
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| Autores principales: | , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192081142&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192081142 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Mar2026 vid: 58 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 192081142 191283241 192081142 192081142 10.1177/10538135261416119 192081142 ppf: 261 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Compensation-Based Intervention to Improve Activities of Daily Living in Individuals with Stroke: Randomized Controlled Pilot Study. aug: au: Kaya Ozturk, Leyla Huri, Meral Umay, Ebru affil: Mardin Training and Research Hospital, Mardin, Turkey sug: subj: Stroke Patients Psychosocial Factors Activities of Daily Living Problem Solving Methods Stroke Rehabilitation Occupational Therapy Methods Treatment Outcomes Evaluation Human Male Female Middle Age Aged Randomized Controlled Trials Pilot Studies Control Group Random Assignment Checklists Physical Therapy Occupational Therapists Training Effect (Physiology) Clinical Assessment Tools Descriptive Statistics Data Analysis Software Mann-Whitney U Test Wilcoxon Signed Rank Test Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: Individuals with stroke frequently experience limitations in activities of daily living, and compensation-based approaches have the potential to enhance functional adaptation. This study aimed to develop and evaluate the feasibility and preliminary effects of a novel intervention, Compensation-Based Problem-Solving Therapy (CBPST), on participation and activities of daily living in individuals with stroke. Methods: CBPST was developed by trained occupational therapists, emphasizing in Occupational Adaptation Model and compensatory strategies. The CBPST was delivered individually in five sessions weekly (during four week and approximately 40 min)and including identifying the problem, developing strategies, selecting strategy and implementing and evaluating the selected strategy. Participants were randomly assigned to intervention or control group. This study involved 50 individuals with stroke assigned to either an intervention (n = 24 and mean age 54.58 ± 7.86) or control group (n = 26 and mean age 54.56 ± 7.09). Outcomes were assessed at baseline and immediately post-intervention using the Functional Independence Measure (FIM), Lawton-Brody Instrumental Activities of Daily Living (Lawton-Brody IADL), Frenchay Activity Indeks (FAI) and the Canadian Occupational Performance Measure (COPM). Statistical analyses included Wilcoxon signed-rank, Mann-Whitney U tests and effect sizes. Results: Both groups showed significant improvements (p < 0.05) in participation and activities of daily living. Effect size estimates in the intervention group indicated moderate to large clinical effects across outcome measures (COPM performance and satisfaction: 0.62; FIM: 0.62; Lawton–Brody IADL: 0.53; FAI: 0.55), supporting the preliminary efficacy of CBPST. Conclusion: CBPST appears to be a feasible and promising approach to enhance adaptive participation after stroke by integrating problem-solving and compensatory strategies. Larger studies are warranted to confirm its clinical effectiveness. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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