Clinical Research Directory
Browse clinical research sites, groups, and studies.
Supporting Re-engagement in Life: Coaching to Enhance Participation in Valued Activities Following Stroke
Sponsor: Queen's University
Summary
The goal of this clinical trial is to determine whether Occupational Performance Coaching (OPC), a person-centered, strength-based intervention, can improve participation in valued activities among adults who have experienced a stroke and recently completed community- or clinic-based stroke rehabilitation. The main questions it aims to answer are: Does OPC improve performance and satisfaction with participation in personally valued activities? Does OPC improve participation self-efficacy, physical activity, cognition, and emotional well-being compared to an active attention control intervention? Researchers will compare the OPC group to an active attention control group to see if OPC leads to greater improvements in participation and secondary outcomes. Participants will: Be randomized to receive either OPC (delivered virtually, including collaborative goal-setting and problem-solving) or an active attention control intervention. Complete assessments of participation in valued activties, physical activity (using movement sensors), self-efficacy, cognition, and mood immediately after treatment and at 3 months. A subset of 20 participants from intervention group will take part in interviews to share their experiences.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
118
Start Date
2025-11-10
Completion Date
2028-06-30
Last Updated
2026-08-12
Healthy Volunteers
No
Conditions
Interventions
Occupational Performance Coaching (OPC)
Occupational Performance Coaching (OPC) is an innovative, person-centered, strengths-based intervention designed to enhance participation in valued activities after stroke. OPC targets modifiable factors such as goal setting, self-efficacy, emotional support, problem-solving, and individualized education. Through a collaborative process, therapists partner with stroke survivors to identify challenges, set meaningful goals, and experiment with tailored solutions, refining them until successful strategies are found. Research shows OPC is feasible, acceptable, and effective, with participants demonstrating significant improvements in performance, satisfaction, and re-engagement in valued activities within 8-10 sessions, both in-person and via telerehabilitation. By fostering physical, cognitive, and emotional well-being, OPC addresses barriers like social isolation, physical inactivity, and low self-efficacy. Delivered virtually, OPC overcomes challenges in accessing rehabilitation, parti
computer cognitive training program (CogniFit)
Active control (AC) group will receive access to the CogniFit computer-based cognitive training program, a personalized brain training tool designed to target perception, attention, memory, and reasoning.While cognitive training can improve global cognition, working memory, attention, and executive function, it has not shown effects on daily activities or depression.
Locations (2)
Providence care Hospital
Kingston, Ontario, Canada
Bruyere Health
Ottawa, Ontario, Canada