Cognitive Orientation to Daily Occupational Performance (CO-OP) in Parkinson's: Randomized Trial Findings.

IF 1.6 3区医学 Q2 REHABILITATION

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-03-26 DOI:10.1177/00084174251327307

Sarah Davies, Emmah Doig, Matthew Gullo, Hannah Gullo

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引用次数: 0

Abstract

Background: People with Parkinson's disease (PwPD) experience increasing disability due to progressive motor and non-motor symptoms. Comprehensive rehabilitation approaches are needed to maximize their daily functioning. CO-OP targets daily functioning and has established efficacy in populations with similar symptom profiles.

Purpose: To explore the potential of CO-OP for PwPD, a feasibility randomized controlled trial (RCT) was conducted.

Methods: Consenting PwPD (n = 20) were recruited to a parallel group, assessor masked RCT. Following baseline assessment, participants were randomized to CO-OP (20 sessions:10-weeks) or a waitlist control (WLC; 0 sessions: 10 weeks). Goal attainment, functional and cognitive status, quality of life, self-efficacy, transfer, and maintenance were measured. Data were analyzed using descriptive statistics and multiple regression analysis.

Results: Effort (M = 3.02/5) and enjoyment (M = 3.15/5) ratings; homework completion (M = 91%) and protocol adherence (M = 82%) indicate that CO-OP is feasible. CO-OP was superior to the WLC on Canadian Occupational Performance Measure (COPM) performance (p=<.001), COPM satisfaction (p=<.001), and Performance Quality Rating Scale (PQRS; p=<.001) but not the Goal Attainment Scale (GAS; p = .123).

Conclusions: Addressing a critical gap in Parkinson's disease management, findings suggest that CO-OP is implementable, feasible, and potentially beneficial for PwPD. Further research is warranted to further establish efficacy.

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帕金森病患者日常职业表现的认知取向：随机试验结果。

背景：帕金森病（PwPD）患者由于进行性运动和非运动症状而经历越来越多的残疾。需要全面的康复方法，以最大限度地发挥其日常功能。CO-OP以日常功能为目标，并在症状相似的人群中建立了疗效。目的：探讨CO-OP治疗PwPD的潜力，进行可行性随机对照试验（RCT）。方法：将同意的PwPD （n = 20）纳入平行组，采用评估者屏蔽RCT。在基线评估之后，参与者被随机分配到CO-OP组（20个疗程：10周）或等待名单组(WLC；0个疗程：10周)。测量目标实现、功能和认知状态、生活质量、自我效能、转移和维持。数据分析采用描述性统计和多元回归分析。结果：努力（M = 3.02/5）和享受（M = 3.15/5）评分；作业完成（M = 91%）和协议遵守（M = 82%）表明CO-OP是可行的。CO-OP在加拿大职业绩效测量（COPM）绩效上优于WLC （p=p=p=p = .123）。结论：研究结果表明，CO-OP治疗帕金森病是可实施的、可行的，并且对PwPD有潜在的益处，解决了帕金森病管理的一个关键缺口。有必要进一步研究以进一步确定疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie REHABILITATION-

CiteScore

2.80

自引率

11.10%

发文量

审稿时长

>12 weeks

期刊介绍： The Canadian Journal of Occupational Therapy was first published in September 1933. Since that time, it has fostered advancement and growth in occupational therapy scholarship. The mission of the journal is to provide a forum for leading-edge occupational therapy scholarship that advances theory, practice, research, and policy. The vision is to be a high-quality scholarly journal that is at the forefront of the science of occupational therapy and a destination journal for the top scholars in the field, globally.