Feasibility Testing of Cognitive Strategy Training in Post-Concussive Syndrome
NCT ID: NCT04681742
Last Updated: 2023-03-10
Study Results
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Basic Information
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COMPLETED
NA
15 participants
INTERVENTIONAL
2020-10-15
2022-12-31
Brief Summary
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Detailed Description
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The central research hypothesis is that a functionally-oriented metacognitive strategy training intervention, CO-OP, will be feasible and have a positive effect on activity performance in individuals with PCS syndrome. A single-group, prospective design with outcomes gathered pre-and post-intervention will be used (n=15) to evaluate the acceptability and feasibility of CO-OP in PCS. We will also be evaluating effect size on outcome measures of activity performance and perceptions of the functional impact of PCS symptoms.
Specific Aim 1: Determine the feasibility of CO-OP in Post-Concussive Syndrome. Hypothesis 1.1: Participants will report positive perceptions of the intervention via scores greater than 3 on the Client-Satisfaction Questionnaire. Hypothesis 1.2: The study will demonstrate acceptable recruitment, retention, and adherence rates. Hypothesis 1.3: The proposed assessment battery will be feasible (average completion time \<2 hours).
Specific Aim 2: Explore the preliminary effect of CO-OP in a sample of individuals with PCS on activity performance outcomes. Hypothesis 2.1: The CO-OP group will demonstrate improvements in activity performance outcomes.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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CO-OP Group
10, 45-60 minute Cognitive Orientation to daily Occupational Performance intervention sessions
CO-OP Group
CO-OP focuses on learning of a global problem-solving strategy, Goal-Plan-Do-Check (GPDC), within the performance of participant-chosen goals. Use of a broadly applicable strategy and meaningful activity ensures the intervention is salient to the participant and increases likelihood of transfer. Uniquely, therapists applying CO-OP use guided discovery methods, such as asking a series of probing questions, to support participants in analyzing their own performance of a given task and generating potential solutions for improving performance. Participants become equipped with these skills through repetitive application of the GPDC process. First, participants identify a specific goal (Goal). Then, participants consider a detailed plan (Plan) for accomplishing the goal. By carrying out the plan (Do) and critically analyzing the results (Check), participants determine how the plan worked. The intervention focuses on learning GPDC with gradual withdrawal of guided discovery methods.
Interventions
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CO-OP Group
CO-OP focuses on learning of a global problem-solving strategy, Goal-Plan-Do-Check (GPDC), within the performance of participant-chosen goals. Use of a broadly applicable strategy and meaningful activity ensures the intervention is salient to the participant and increases likelihood of transfer. Uniquely, therapists applying CO-OP use guided discovery methods, such as asking a series of probing questions, to support participants in analyzing their own performance of a given task and generating potential solutions for improving performance. Participants become equipped with these skills through repetitive application of the GPDC process. First, participants identify a specific goal (Goal). Then, participants consider a detailed plan (Plan) for accomplishing the goal. By carrying out the plan (Do) and critically analyzing the results (Check), participants determine how the plan worked. The intervention focuses on learning GPDC with gradual withdrawal of guided discovery methods.
Eligibility Criteria
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Inclusion Criteria
* One or more post-concussive symptoms persisting for greater than 4 weeks that is inhibiting performance of one or more daily activities
* Age 18-60 years
Exclusion Criteria
* severe depressive symptoms per a score of \>21 on the Patient Health Questionnaire (PHQ-9)
* inability to read, write, and speak English fluently
* lack of transportation to intervention sessions
18 Years
60 Years
ALL
No
Sponsors
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University of Missouri-Columbia
OTHER
Responsible Party
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Anna Boone
Assistant Professor in the Department of Occupational Therapy
Principal Investigators
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Anna Boone, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Missouri-Columbia
Locations
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University of Missouri-Columbia
Columbia, Missouri, United States
Countries
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References
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Other Identifiers
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2019802
Identifier Type: -
Identifier Source: org_study_id
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