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Functional and Cognitive Occupational Therapy (FaC o T) Improves Self-Efficacy and Behavioral–Emotional Status of Individuals with Mild Stroke; Analysis of Secondary Outcomes

Author

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  • Tal Adamit

    (Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv 6997801, Israel
    Maccabi Health-Care Services, Tel-Aviv 6812509, Israel)

  • Jeffrey Shames

    (Maccabi Health-Care Services, Tel-Aviv 6812509, Israel)

  • Debbie Rand

    (Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv 6997801, Israel)

Abstract

Background: Mild stroke is characterized by subtle impairments, such as low self-efficacy and emotional and behavioral symptoms, which restrict daily living. Functional and Cognitive Occupational Therapy (FaC o T) is a novel intervention, developed for individuals with mild stroke. Objectives: To examine the effectiveness of FaC o T compared to a control group to improve self-efficacy, behavior, and emotional status (secondary outcome measures). Material and Methods: Community-dwelling individuals with mild stroke participated in a single-blind randomized controlled trial with assessments at pre, post, and 3-month follow-up. FaC o T included 10 weekly individual sessions practicing cognitive and behavioral strategies. The control group received standard care. The New General Self-Efficacy Scale assessed self-efficacy; the Geriatric Depression Scale assessed depressive symptoms; the Dysexecutive Questionnaire assessed behavior and emotional status; and the ‘perception of self’ subscale from the Reintegration to Normal Living Index assessed participation. Results: Sixty-six participants were randomized to FaC o T (n = 33, mean (SD) age 64.6 (8.2)) and to the control (n = 33, age 64.4 (10.8)). Self-efficacy, depression, behavior, and emotional status improved significantly over time in the FaC o T group compared with the control, with small to large effect size values. Conclusion: The efficacy of FaC o T was established. FaC o T should be considered for community-dwelling individuals with mild stroke.

Suggested Citation

  • Tal Adamit & Jeffrey Shames & Debbie Rand, 2023. "Functional and Cognitive Occupational Therapy (FaC o T) Improves Self-Efficacy and Behavioral–Emotional Status of Individuals with Mild Stroke; Analysis of Secondary Outcomes," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:5052-:d:1095764
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    References listed on IDEAS

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    1. Kendall, Elizabeth & Catalano, Tara & Kuipers, Pim & Posner, Natasha & Buys, Nicholas & Charker, Jill, 2007. "Recovery following stroke: The role of self-management education," Social Science & Medicine, Elsevier, vol. 64(3), pages 735-746, February.
    2. Tal Adamit & Jeffrey Shames & Debbie Rand, 2021. "Effectiveness of the Functional and Cognitive Occupational Therapy (FaC o T) Intervention for Improving Daily Functioning and Participation of Individuals with Mild Stroke: A Randomized Controlled Tri," IJERPH, MDPI, vol. 18(15), pages 1-10, July.
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