The Effect of ICF-Core Set-Based Occupational Therapy Interventions on the Function and Satisfaction of Individuals with Chronic Stroke: A Randomized Clinical Trial.

IF 0.9 Q4 REHABILITATION

OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2024-04-01 Epub Date: 2022-08-27 DOI:10.1080/07380577.2022.2114612

Afsoon Hassani Mehraban, Abolghasem Fallahzadeh Abarghuei, Laleh Lajevardi, Aryan Shamili

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Abstract

Stroke can affect all aspects of a person's health and functioning. Therefore, it is important occupational therapists, have a comprehensive understanding of various levels of function and the factors affecting function. The ICF (International Classification of Functioning, Disability, and Health) and the selections of ICF categories or Core Sets relevant for people with a specific health condition, offer a model for intervention. This study aimed to investigate the effect of ICF-CS-based occupational therapy interventions on the function and satisfaction of individuals with chronic stroke. This study was designed as a randomized, single-blind, parallel-group clinical trial. Twenty-five patients with stroke were randomly assigned to the control group (which received traditional occupational therapy) or the treatment group (Stroke ICF-CS based occupational therapy). Patients were evaluated before and after the intervention (two months, three sessions per week, 45 minutes each session), as well as two weeks after the end of the intervention, using Fugl-Meyer and COPM (Canadian Occupational Performance Measure) tools. The independent T-test, Chi-square, and ANOVA with repeated measures were used to analyze the data. The results showed that the interaction effect of time and group was not significant in none of the Fugl-Meyer test sections (p > 0. 05), but it was significant in the performance and satisfaction of COPM (p < 0.05). The results suggest that ICF-CS-based occupational therapy interventions may assist persons with chronic stroke improve their functional level and satisfaction.

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基于 ICF 核心集的作业疗法干预对慢性中风患者功能和满意度的影响：随机临床试验

中风会影响人的健康和功能的各个方面。因此，职业治疗师必须全面了解各种功能水平以及影响功能的因素。ICF（国际功能、残疾和健康分类）以及与特定健康状况相关的ICF类别或核心集的选择，为干预提供了一种模式。本研究旨在探讨基于 ICF-CS 的职业疗法干预对慢性中风患者的功能和满意度的影响。本研究设计为随机、单盲、平行组临床试验。25 名中风患者被随机分配到对照组（接受传统职业疗法）或治疗组（基于 ICF-CS 的中风职业疗法）。在干预前后（两个月，每周三次，每次 45 分钟）以及干预结束两周后，使用 Fugl-Meyer 和 COPM（加拿大职业表现测量）工具对患者进行评估。数据分析采用了独立 T 检验、卡方检验和重复测量方差分析。结果显示，在 Fugl-Meyer 测试部分，时间与组别的交互效应均不显著（P>0.05），但在 COPM 的表现和满意度方面，时间与组别的交互效应显著（P<0.05）。

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来源期刊

OCCUPATIONAL THERAPY IN HEALTH CARE REHABILITATION-

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Occupational Therapy in Health Care is a journal of contemporary practice in occupational therapy. It provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field. Focused on everyday practice, the journal addresses the concerns of new and experienced therapists, presenting innovations in client evaluations and treatments, current research findings, critical reviews of current textbooks, descriptions of novel programs and descriptions of fieldwork innovations. An essential guide to the changing trends in health care, social services, and education, Occupational Therapy in Health Care provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field.