Feasibility of using the Cognitive Orientation to daily Occupational Performance in a population of Danish stroke survivors: Adaptation and study protocol

Abstract

Background

A need was identified for an occupational therapy intervention for stroke survivors in a Danish municipal healthcare setting with emphasis on its ability to transfer and generalise what is learned in occupational therapy to everyday life post therapy. Being a possible candidate, the Cognitive Orientation to daily Occupational Performance (CO-OP) approach needed to be adapted to the target group and context, and its feasibility needed examination regarding reach, dose, intervention components, fidelity, perceived value, benefits, harms, and potential outcomes.

Aim

To adapt the CO-OP to a Danish healthcare setting and present a protocol for examining its feasibility.

Material and methods

The Adapting interventions to new contexts (ADAPT) guidance was followed to (1) Assess the rationale for intervention and consider intervention-context fit, (2) Plan and undertake adaptations, and (3) Plan a feasibility study.

Results

Intervention materials and procedures were translated and adapted for home-based occupational therapy with people in the subacute phase of stroke. A protocol was developed to examine feasibility aspects. Quantitative and qualitative evaluations were planned and measurements chosen.

Conclusions and significance

The planned feasibility study will contribute to further developing and refining the intervention before performing a possible large-scale effectiveness study.

Keywords:

• ADAPT
• CO-OP
• intervention research
• occupational therapy
• problem-solving
• rehabilitation
• strategy-training
• stroke

Acknowledgments

Sincere thanks are extended to the clinicians at the neurorehabilitation center for their help and enthusiasm during the adaptation of the intervention and to all members of the reference group for their valuable inputs.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The work was supported by the Research Foundation of the Danish Occupational Therapy Association [grant number FF1/21-R169-A3906]. The foundation played no role in the design or other parts of the study.