Date Presented 04/21/2023
The purpose of this poster is to present the results of the efficacy of a life management intervention for stroke survivors on meaningful activity, occupational performance, and quality of life outcomes. This study adds an efficacious intervention for OT.
Primary Author and Speaker: Valerie Ann Hill
Additional Authors and Speakers: Valerie Miller
Contributing Authors: Rebecca Leugers, Erin Wagner
PURPOSE: Test the efficacy of the Healthy GOALS intervention (HGOALS) on meaningful activity engagement, occupational performance, and quality of life (QoL) for stroke survivors. HGOALS is a life management intervention for community-dwelling stroke survivors which improves survivors’ health outcomes.
DESIGN: Experimental RCT. Sample: community-dwelling stroke survivors recruited from local clinics. Randomization groups: HGOALS and Usual Care.
METHOD: Outcome Measures: Meaningful Activity and Participation Assessment (MAPA), Canadian Occupational Performance Measure (COPM), and Stroke Impact Scale (SIS). Statistical Analyses: Using R, paired and Welch’s two samples t-tests were used to analyze differences from pre to post-testing within groups. Independent t-tests were used to compare changes between groups from pre to post-testing.
RESULTS: Demographics: n=20. High drop-out rate (n=12) due to COVID pandemic. Most participants were black middle to older adult females with chronic stroke, hypertension, poor diet, and sedentary lifestyles. Half had low or under-poverty-line income and depression. Outcomes: There were significant changes in MAPA frequency scores for HGOALS (p=0.003). Both groups had 2+ point changes in COPM scores. HGOALS had a significant change on SIS (p=0.012).
DISCUSSION: The HGOALS group engaged in meaningful activities more; increased occupational performance; and improved QoL. Considering the small sample size and COVID pandemic, these results are promising.
CONCLUSION: A life management intervention is efficacious for stroke survivors from underrepresented populations for meaningful activity, occupational performance, and QoL outcomes.
IMPACT STATEMENT: These findings fill a gap in evidence of the efficacy of community OT interventions for stroke. Stroke leads the cause of long-term disability and is commonly seen by OTs; therefore, effective manualized interventions must be available to provide EBP.
Hill, V., Towfighi, A. (2017). Modifiable risk factors for stroke and strategies for stroke prevention. Seminars in Neurology, 37(3), 237–258. https://doi.org/10.1055/s-0037-1603685
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