Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines.

IF 1.9 4区 医学 Q2 REHABILITATION Scandinavian Journal of Occupational Therapy Pub Date : 2025-01-01 Epub Date: 2025-01-02 DOI:10.1080/11038128.2024.2444591
M Ø Lindstad, A Obstfelder, U Sveen, L Stigen
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Abstract

Background: Occupational therapists strive to provide evidence-based cognitive rehabilitation for everyday functional activities in community-based rehabilitation.

Objective: In this study, we investigated the effectiveness of the Perceive, Recall, Plan and Perform (PRPP) Intervention in enhancing and maintaining task performance and cognitive strategy use during home-based rehabilitation for individuals with cognitive challenges following acquired brain injury.

Material and methods: This study is a systematic replication of a single-case experimental designs using multiple baselines applied to three participants (67+ years old) undergoing nine PRPP Intervention sessions. The participants completed repeated measurements during baseline, intervention, post-intervention and follow-up phases. They were compared to their baseline phases, which was a control. Outcome measures included PRPP Assessment Stages 1 and 2. The analysis involved visual inspection of graphed data and the Tau-U method.

Results: The analysis revealed that all three participants showed positive changes in task mastery and effective cognitive strategy use after receiving PRPP Intervention, including maintenance immediately after intervention and 4 weeks later. A weighted Tau-U across participants indicated a very large effect (0.94) on task mastery.

Conclusions and significance: The PRPP Intervention showed promising results in improving real-world task mastery and effective cognitive strategy use during home-based rehabilitation.

Trial reg.no: NCT05148247.

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脑损伤后PRPP干预在家庭康复中的有效性:单例多基线实验设计。
背景:职业治疗师努力为社区康复中的日常功能活动提供循证认知康复。目的:在本研究中,我们探讨了感知、回忆、计划和执行(PRPP)干预在获得性脑损伤后认知挑战患者家庭康复过程中增强和维持任务表现和认知策略使用的有效性。材料和方法:本研究系统地复制了单例实验设计,使用多个基线,应用于三名参与者(67岁以上),进行了九次PRPP干预。参与者在基线、干预、干预后和随访阶段完成了重复测量。他们与基线阶段进行比较,这是一个对照。结果测量包括PRPP评估阶段1和2。分析包括目视检查图表数据和Tau-U方法。结果:分析显示,所有三名参与者在接受PRPP干预后,在任务掌握和有效认知策略使用方面都表现出积极的变化,包括干预后立即和4周后的维持。参与者之间的加权Tau-U表明对任务掌握的影响非常大(0.94)。结论与意义:PRPP干预在改善家庭康复患者的现实世界任务掌握和有效的认知策略使用方面显示出良好的效果。试验注册。没有:NCT05148247。
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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
期刊最新文献
Occupational therapists' experiences of hegemony in a mental health setting: A practice-based enquiry. Icelandic translation, adaptation and validation of the Parental Burnout Assessment (PBA-IS). Mental health service users' experiences of everyday occupations while attending day centres during the transition into retirement age. Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines. Comprehensive assessment as part of the assistive technology service delivery process.
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