'There's a real plan here, and I am responsible for that plan': Participant experiences with a novel cognitive-based treatment approach for adults living with chronic stroke.
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| Title: | 'There's a real plan here, and I am responsible for that plan': Participant experiences with a novel cognitive-based treatment approach for adults living with chronic stroke. |
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| Authors: | McEwen SE (AUTHOR), Polatajko HJ (AUTHOR), Davis JA (AUTHOR), Huijbregts M (AUTHOR), Ryan JD (AUTHOR) |
| Source: | Disability & Rehabilitation. Apr2010, Vol. 32 Issue 7, p541-550. 10p. |
| Abstract: | Purpose. This study was part of a larger mixed methods project aimed at adapting the Cognitive Orientation to daily Occupational Performance (CO-OP) treatment approach, originally designed for children with performance problems, for use with adults with stroke. In CO-OP, the client focuses on learning strategies and skills, rather than on remediating impairments. Therapists use guided discovery to teach cognitive strategy use. The purpose of this study was to explore participants' experiences with the approach. Method. Semistructured interviews were conducted with five participants. Transcriptions were coded by two members of the research team. Data analysis was conducted in two distinct phases: Directed content analysis was conducted to apply codes to predetermined categories; Thematic analysis was conducted to allow themes grounded in the data to emerge. Results. Participants reported learning and transferring the strategies taught, and made suggestions for modifications to the approach, such as increasing the number of sessions. One theme emerged, Balancing the need for autonomy with the need for support. Conclusions. The findings suggest the cognitive strategies were well learned and effectively used. CO-OP was able to provide participants with increased decision-making autonomy, but may require modifications to better support their transition to higher levels of independence. [ABSTRACT FROM AUTHOR] |
| Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105311464 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: 'There's a real plan here, and I am responsible for that plan': Participant experiences with a novel cognitive-based treatment approach for adults living with chronic stroke. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22McEwen+SE%22">McEwen SE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Polatajko+HJ%22">Polatajko HJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davis+JA%22">Davis JA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huijbregts+M%22">Huijbregts M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ryan+JD%22">Ryan JD</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Apr2010, Vol. 32 Issue 7, p541-550. 10p. – Name: Abstract Label: Abstract Group: Ab Data: Purpose. This study was part of a larger mixed methods project aimed at adapting the Cognitive Orientation to daily Occupational Performance (CO-OP) treatment approach, originally designed for children with performance problems, for use with adults with stroke. In CO-OP, the client focuses on learning strategies and skills, rather than on remediating impairments. Therapists use guided discovery to teach cognitive strategy use. The purpose of this study was to explore participants' experiences with the approach. Method. Semistructured interviews were conducted with five participants. Transcriptions were coded by two members of the research team. Data analysis was conducted in two distinct phases: Directed content analysis was conducted to apply codes to predetermined categories; Thematic analysis was conducted to allow themes grounded in the data to emerge. Results. Participants reported learning and transferring the strategies taught, and made suggestions for modifications to the approach, such as increasing the number of sessions. One theme emerged, Balancing the need for autonomy with the need for support. Conclusions. The findings suggest the cognitive strategies were well learned and effectively used. CO-OP was able to provide participants with increased decision-making autonomy, but may require modifications to better support their transition to higher levels of independence. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105311464 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3109/09638280903180189 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 541 Titles: – TitleFull: 'There's a real plan here, and I am responsible for that plan': Participant experiences with a novel cognitive-based treatment approach for adults living with chronic stroke. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: McEwen SE – PersonEntity: Name: NameFull: Polatajko HJ – PersonEntity: Name: NameFull: Davis JA – PersonEntity: Name: NameFull: Huijbregts M – PersonEntity: Name: NameFull: Ryan JD IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2010 Type: published Y: 2010 Identifiers: – Type: issn-print Value: 09638288 Numbering: – Type: volume Value: 32 – Type: issue Value: 7 Titles: – TitleFull: Disability & Rehabilitation Type: main |
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