المؤلفون: Prieto, Laura A., Meera, Benazir, Katz, Heather, Hernandez, Mayrena I., Haegele, Justin A., Columna, Luis

المصدر: Disability & Rehabilitation; Jun2024, Vol. 46 Issue 12, p2610-2618, 9p

مصطلحات موضوعية: RESEARCH funding, QUALITATIVE research, VISION disorders in children, PLANNED behavior theory, INTERVIEWING, PARENT-child relationships, FUNCTIONAL assessment, REHABILITATION, UNIVERSITIES & colleges, PARENT attitudes, TIME series analysis, PHYSICAL training & conditioning, PARENTING, THEMATIC analysis, SOUND recordings, RESEARCH methodology, TELEPHONES, PHYSICAL education for people with disabilities, STATISTICS, PARENTS of children with disabilities, DATA analysis software, PHYSICAL activity, PSYCHOSOCIAL factors, SOCIAL participation

مصطلحات جغرافية: NEW England

مستخلص: Physical activity (PA) can provide multiple benefits for children with visual impairments (VI). To date, little research has explored the retention effects of PA interventions for children with VI. Thus, the purpose of this study was to explore the PA experiences of parents of children with VI three months after completing a PA intervention. This descriptive-qualitative study was situated in the Theory of Planned Behavior. Five parents completed semi-structured interviews that were transcribed and analyzed using a thematic line-by-line analysis. Four themes characterizing how parents created PA opportunities for their children with VI were constructed: (a) Teaching from Awareness (b) Advocating for Needs, (c) Engaging Family through Community, and (d) Seeking More PA Opportunities. Parent's awareness of their child's abilities, parents' advocacy, and parents' teaching skills all helped to expose their children to new types of PA in the community. Parents reflected about a lack of consistently offered community-based PA for their children. Researchers must consider the importance of educating parents on how to teach skills, increase awareness, and advocate for more community-based PA programs. Three months after a physical activity intervention for children with visual impairments, parents' awareness of their child's abilities, advocacy, and competence teaching motor skills helped to expose their children to new types of physical activities in the community and at home. The lack of consistently offered community-based physical activities for children with visual impairments calls for rehabilitation professionals to create or promote existing physical activity programs for children with visual impairments. Rehabilitation professionals should explore how physical activity programs can address barriers faced by participants (e.g., lack of knowledge, lack of physical activity equipment), and offer a continuum of activities and programming for these families in the home and community setting. Rehabilitation professionals should educate parents on the importance of physical activity, how to teach motor skills, and advocate for more community-based physical activity programs for their children with visual impairments. [ABSTRACT FROM AUTHOR]

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المؤلفون: Youngblood, Jessica, McDonough, Meghan H., Condliffe, Elizabeth G., Legg, David, Emery, Carolyn A.

المصدر: Disability & Rehabilitation; Jun2024, Vol. 46 Issue 12, p2567-2576, 10p

مصطلحات موضوعية: CHILDREN with disabilities, RESEARCH funding, WORRY, INTERVIEWING, PARENT-child relationships, FAMILY relations, CONFIDENCE, DESCRIPTIVE statistics, FAMILY attitudes, THEMATIC analysis, FRUSTRATION, SOUND recordings, DEVELOPMENTAL disabilities, PHYSICAL education for people with disabilities, CONCEPTUAL structures, CAMPING, SOCIAL participation, COVID-19 pandemic, ACTIVITIES of daily living

مستخلص: Children and adolescents with developmental challenges may rely on their parents for assistance with everyday tasks to a greater extent than typically developing children. The objective of this study was to examine family members' perspectives regarding family relationships related to participation in an adapted summer camp for children and adolescents living with a disability. A collective case study was conducted with eleven families who had a child living with a disability who participated in an adapted physical activity (PA) summer camp. A focus group was conducted with each family and thematically analyzed. Families experienced changes in perspectives and pride surrounding adapted PA, more family conversations about disability, less parental worry, more independence of the child living with a disability, and enhanced family bonds through PA. The children who participated in the camp saw impacts on their self-confidence and independence. COVID-19-related program suspension was associated with frustration, worry, and strained family relationships. These findings elucidate how participation in adapted PA for children and youth with disabilities can impact family relationships. Future interventions allow for space for family interactions and create opportunity for children and adolescents with disabilities to be independent. Practitioners could make sure they have resources to recommend and be aware of programs that are available for this population. Practitioners could talk to families about benefits of recreation programs for both children and families in terms of benefits for children and family relationships and parental stress. Knowing the potential benefits to the family as a whole may impact parents' decisions about their child participating in recreation programs. Practitioners could talk to families about benefits of physical activity participation in terms of experiencing independence. Understanding potential benefits regarding independence may give children living with a disability a better understanding of how recreation programs may impact their lives. [ABSTRACT FROM AUTHOR]

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المؤلفون: Juengst, Shannon B., Agtarap, Stephanie, Venkatesan, Umesh M., Erler, Kimberly S., Evans, Emily, Sander, Angelle M., Klyce, Daniel, O'Neil Pirozzi, Therese M., Rabinowitz, Amanda R., Kazis, Lewis E., Giacino, Joseph T., Kumar, Raj G., Bushnik, Tamara, Whiteneck, Gale G.

المصدر: Disability & Rehabilitation; Jun2024, Vol. 46 Issue 11, p2385-2395, 11p

مصطلحات موضوعية: REHABILITATION for brain injury patients, SATISFACTION, SECONDARY analysis, RESEARCH funding, INTERVIEWING, STRUCTURAL equation modeling, AGE distribution, RACE, PUBLIC welfare, SOCIAL participation, EDUCATIONAL attainment

مستخلص: Purpose. To characterize societal participation profiles after moderate-severe traumatic brain injury (TBI) along objective (Frequency) and subjective (Satisfaction, Importance, Enfranchisement) dimensions. Materials and Methods. We conducted secondary analyses of a TBI Model Systems sub-study (N = 408). Multiaxial assessment of participation included the Participation Assessment with Recombined Tools-Objective and -Subjective questionnaires (Participation Frequency and Importance/Satisfaction, respectively) and the Enfranchisement Scale. Participants provided responses via telephone interview 1–15 years post-injury. Multidimensional participation profiles (classes) were extracted using latent profile analysis. Results. A 4-class solution was identified as providing maximal statistical separation between profiles and being clinically meaningful based on profile demographic features. One profile group (48.5% of the sample) exhibited the "best" participation profile (High Frequency, Satisfaction, Importance, and Enfranchisement) and was also the most advantaged according to socioeconomic indicators. Other profile groups showed appreciable heterogeneity across participation dimensions. Age, race/ethnicity, education level, ability to drive, and urbanicity were features that varied between profiles. Conclusions. Societal participation is a critical, but inherently complex, TBI outcome that may not be adequately captured by a single index. Our data underscore the importance of a multidimensional approach to participation assessment and interpretation using profiles. The use of participation profiles may promote precision health interventions for community integration. Our study found unidimensional measures of societal participation in traumatic brain injury (TBI) populations that focus exclusively on frequency indicators may be overly simplistic and miss key subjective components of participation Taking a multidimensional perspective, we documented four meaningfully distinct participation subgroups (including both objective and subjective dimensions of societal participation) within the TBI rehabilitation population Multidimensional profiles of participation may be used to group individuals with TBI into target groups for intervention (e.g., deeper goal assessment for individuals who do not rate standard participation activities as important, but also do not participate and do not feel enfranchised). [ABSTRACT FROM AUTHOR]

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المؤلفون: Dib, Tatiana, Burrola-Mendez, Yohali, Brûlé-Ouimette, Laurence, Fung, Karen H. M., Lecavalier, Mélissa, Rushton, Paula W.

المصدر: Disability & Rehabilitation; Apr2024, Vol. 46 Issue 8, p1630-1639, 10p

مصطلحات موضوعية: PEARSON correlation (Statistics), SCALE analysis (Psychology), WHEELCHAIRS, PSYCHOLOGY of children with disabilities, RESEARCH funding, SECONDARY analysis, CRONBACH'S alpha, ACADEMIC medical centers, DATA analysis, SELF-efficacy, FOCUS groups, RESEARCH methodology evaluation, RESEARCH evaluation, QUESTIONNAIRES, OCCUPATIONAL therapists, OCCUPATIONAL therapy for children, CONTENT analysis, INTERVIEWING, CONFIDENCE, DESCRIPTIVE statistics, PARENT attitudes, REHABILITATION centers, STATISTICAL reliability, RESEARCH methodology, INTRACLASS correlation, METROPOLITAN areas, STATISTICS, ATTITUDES of medical personnel, FRENCH-Canadians, DATA analysis software, SOCIAL participation

مصطلحات جغرافية: QUEBEC (Province)

مستخلص: To adapt the Wheelchair Use Confidence Scale for Manual Wheelchair Users, French-Canadian Version (WheelCon-M-F) into a paediatric version (WheelCon-M-F-P) and to evaluate its validity. A three-phase process was conducted: (1) item adaptation using secondary analysis of focus group data; (2) item refinement using a think-aloud process; and (3) preliminary validation of the WheelCon-M-F-P (i.e. internal consistency, test-retest reliability, standard error of measurement, smallest real difference, ceiling and floor effects, limits of agreement, and relations with other variables). Phase 1: The sample consisted of occupational therapists (n = 9), paediatric manual wheelchair users (PMWUs) (n = 12), and parents of PMWUs (n = 2). Of the 65 WheelCon-M-F items, 35 were removed, 25 modified and 6 were added for the WheelCon-M-F-P. Phase 2: 4 PMWUs helped refine 14 and remove 3 items. Phase 3: 22 PMWUs participated. Cronbach's alpha, test-retest reliability, standard error of measurement, and smallest real difference were 0.846, 0.818, 3.05, and 8.45 respectively. No ceiling or floor effects were demonstrated. Pearson correlations between the WheelCon-M-F-P and the Wheelchair Skills Test Questionnaire (capacity, confidence, and performance), and the Child Occupational Self-Assessment were 0.688, 0.711, 0.584, and 0.687 respectively. This study provides preliminary evidence of a valid and reliable WheelCon-M-F-P. The Wheelchair Use Confidence Scale for Manual Wheelchair Users, French-Canadian Version (WheelCon-M-F-P) is an outcome measure that can be used clinically with pediatric manual wheelchair users. The WheelCon-M-F-P can help identify modifiable factors associated with wheelchair confidence. Identifying modifiable factors associated with wheelchair confidence can help guide clinicians in establishing a targeted intervention for their pediatric clients. Establishing a targeted intervention can help improve self-efficacy for wheelchair use and social participation of pediatric wheelchair users. [ABSTRACT FROM AUTHOR]

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المؤلفون: Shallwani, Shirin M., Thomas, Roanne, King, Judy, Toupin-April, Karine, Poitras, Stéphane

المصدر: Disability & Rehabilitation; Apr2024, Vol. 46 Issue 8, p1515-1526, 12p

مصطلحات موضوعية: HEALTH services accessibility, SOCIAL media, PLAY, QUALITATIVE research, INTERPROFESSIONAL relations, PALLIATIVE treatment, INTERVIEWING, ROWING, DESCRIPTIVE statistics, JUDGMENT sampling, LEISURE, EXPERIENCE, THEMATIC analysis, RESEARCH methodology, RESEARCH, HORTICULTURE, TUMORS, TUMOR classification, PHYSICAL activity, PATIENTS' attitudes, CANCER patient rehabilitation, WELL-being, SOCIAL participation, ADULTS

مصطلحات جغرافية: CANADA

مستخلص: Leisure-time physical activity (LTPA) can be beneficial for individuals with advanced cancer, but little is known on how to tailor rehabilitation strategies targeting LTPA in cancer care. Our objective was to explore perspectives and experiences of LTPA in people with stage 4 cancer. Guided by interpretive-description methodology, our qualitative study consisted of individual, semi-structured interviews with 20 Canadian adults diagnosed with stage 4 cancer. Interviews were transcribed verbatim and analyzed inductively. The participants' median age was 51.5 (range, 35-73) years. Cancer types included breast (n = 12), lung (n = 4), and other (n = 4). Participants highlighted their experiences of LTPA as diverse and complex, impacted by individual and cancer-related factors. They emphasized being intentional with LTPA through activity planning and modification. LTPA participation was linked to physical well-being, social connections, and meanings of accomplishment and loss. Many participants desired personalized support related to LTPA, that is integrated, interprofessional, and accessible in cancer care. The experiences of LTPA for people with stage 4 cancer are personal and connected to health and psychosocial meanings. Further efforts in rehabilitation are needed to address the challenges faced by people with advanced cancer and optimize safe, meaningful participation in LTPA. Experiences of leisure-time physical activity in individuals with stage 4 cancer are personal and linked to health benefits and psychosocial meanings. Activity participation frequently involves consideration of cancer-related symptoms, management of risks, and intentional planning and modification of activities. Trained rehabilitation professionals integrated in cancer care may be well suited to support people with stage 4 cancer through personalized activity recommendations. This research can help inform future clinical, research, and educational efforts in rehabilitation aimed at targeting physical activity in individuals with advanced cancer. [ABSTRACT FROM AUTHOR]

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المؤلفون: Pickering, Dawn M., Gill, Paul, Reagon, Carly

المصدر: Disability & Rehabilitation; Apr2024, Vol. 46 Issue 7, p1339-1353, 15p

مصطلحات موضوعية: PLAY, PARENTS, QUALITATIVE research, RESEARCH funding, INTERVIEWING, DRAWING, CEREBRAL palsy, DESCRIPTIVE statistics, EMOTIONS, JUDGMENT sampling, NONVERBAL communication, THEMATIC analysis, PSYCHOLOGY, QUALITY of life, INTENTION, RESEARCH, CONCEPTUAL structures, CASE studies, THEORY, COMPARATIVE studies, SELF advocacy, SOCIAL support, WELL-being, SOCIAL participation, CHILDREN

مستخلص: This paper authentically represents the voices of non-verbal children with cerebral palsy using a case study design. Policy suggests that children should have the right to play and leisure opportunities, however non-verbal children with cerebral palsy have fewer choices. Additionally, children with communication, learning and mobility limitations are usually excluded from research. The aim of this research was to capture the voices of non-verbal children by exploring their well-being impact in terms of their experiences and choices about their level of participation in recreational activities. A qualitative case series study included interviews, observations, photographs and diaries. Where possible, the diaries were completed by both caregivers and children. Data were analysed thematically, and the lens of positioning theory applied. Seven children aged nine to sixteen years participated. The findings showed how equipment, people and environments enabled or hindered the children's participation. The children also advocated as champions for their own well-being. Positioning theory was applied across the data and was adapted offering a way to better understand the children's well-being responses. The findings demonstrate how these children were able to self-advocate, demonstrating their well-being by their intentional behaviours from their level of participation in a recreational activity. The voices of non-ambulant and non-verbal children are underrepresented in the literature. This study offers an innovative approach to highlight their voices using visual data. The images project the narrative about their choices for participation in recreational activities. The proposed kaleidoscope of well-being offers a way to demonstrate the fluctuations in their emotional responses from their participation. Choices for participation in recreational activities remains limited for non-ambulant and non-verbal children with cerebral palsy. Designers and policy makers should consider how equipment and environments can be adapted or created to increase the choices for non-ambulant and non-verbal children with cerebral palsy. Practitioners in health and social care should consider how to listen to the voices of non-verbal and non-ambulant children with cerebral palsy and their parents/guardians and work towards jointly setting participation goals to affirm their strengths. [ABSTRACT FROM AUTHOR]

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المؤلفون: Traxler, Kristina, Baum, Eva, Klotz, Edith, Reindl, Markus, Schinabeck, Franz, Seebacher, Barbara

المصدر: Disability & Rehabilitation; Apr2024, Vol. 46 Issue 7, p1318-1329, 12p

مصطلحات موضوعية: STROKE treatment, EXERCISE physiology, DORSIFLEXION, TASK performance, QUALITATIVE research, STATISTICAL sampling, PILOT projects, INTERVIEWING, BLIND experiment, KRUSKAL-Wallis Test, MANIPULATION therapy, TREATMENT effectiveness, RANDOMIZED controlled trials, DESCRIPTIVE statistics, CHRONIC diseases, LONGITUDINAL method, STROKE rehabilitation, QUALITY of life, RESEARCH methodology, ADVERSE health care events, ANKLE joint, STROKE patients, WALKING speed, DATA analysis software, POSTURAL balance, PHYSICAL mobility, ACCIDENTAL falls, RANGE of motion of joints, SOCIAL participation

مستخلص: In absence of existing studies, to describe changes in balance and mobility, following specific task-oriented training (TOT), its combination with talocrural manual therapy (MT-TOT) or no intervention, in chronic stroke patients. To explore the feasibility of a full-scale randomised controlled trial (RCT) based on criteria of recruitment, retention and adherence rates, adverse events, falls and acceptability of the intervention. Using an assessor-blinded pilot RCT, 36 stroke patients were allocated to either MT-TOT, TOT, or controls. Supervised interventions were performed 45 min, 2×/weekly, for 4 weeks, and home-based practice 20 min, 4x/weekly for 4 weeks. Qualitative interviews evaluated intervention acceptability. Outcomes of balance, mobility, ankle dorsiflexion range of motion (ROM), falls and health-related quality of life (HRQoL) were assessed at baseline, post-intervention and 4-week follow-up. Preliminary efficacy of MT-TOT and TOT was shown in improving balance (effect size 0.714), walking speed (0.683), mobility (0.265), dual-tasking mobility (0.595), falls (0.037), active and passive talocrural ROM (0.603; 0.751) and activities and social participation related HRQoL domains (0.332–0.784) in stroke patients. The feasibility of a larger RCT was confirmed. Specific MT-TOT and TOT appeared effective and are feasible in stroke patients. A larger RCT is needed to validate the results.Trial Registration: German Clinical Trials Register, DRKS00023068. Registered on 21.09.2020, A specific goal- and task-oriented training involving timed mobility and dynamic balance activities based on the demands of daily life, of high intensity and progressed in difficulty according to predefined criteria is feasible in patients after stroke. In this mixed methods pilot study patients indicated high acceptability of task-oriented training with and without ankle mobilisations, with their descriptions being in line with the Theoretical Framework of Acceptability. Specific task-oriented training and its combination with talocrural joint manual therapy improved balance, mobility, talocrural dorsiflexion range of motion and some domains of health-related quality of life in people after stroke. [ABSTRACT FROM AUTHOR]

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المؤلفون: Chiu, Valeria, Fields, Beth E., Lin, Yen-Nung, Kang, Jiunn-Horng, Han, Der-Sheng, Wu, Yi-Hsuan, Su, Yu, Skidmore, Elizabeth R., Chang, Feng-Hang

المصدر: Disability & Rehabilitation; Mar2024, Vol. 46 Issue 6, p1121-1129, 9p

مصطلحات موضوعية: REHABILITATION for brain injury patients, HUMAN services programs, RESEARCH funding, QUALITATIVE research, INDEPENDENT living, REHABILITATION, INTERVIEWING, PROBLEM solving, GOAL (Psychology), DECISION making, CONFIDENCE, DESCRIPTIVE statistics, THEMATIC analysis, STROKE rehabilitation, RESEARCH methodology, PATIENTS' attitudes, ACTIVITIES of daily living, SOCIAL participation

مصطلحات جغرافية: TAIWAN

مستخلص: Strategy training is a rehabilitation intervention that aims to enhance problem-solving skills with respect to daily activity–related challenges and has achieved favorable results in Western countries. This study explored the perspectives of individuals with acquired brain injury (ABI) in Taiwan who received strategy training. Semi-structured interviews with community-dwelling adults with ABI were conducted, and reflective memos made by research team members were recorded. Interviews and memos were analyzed through thematic analysis This study included 55 participants. The analysis of the participants' interview responses and memos yielded nine themes under three categories: 1) expectations regarding strategy training, 2) perceived benefits of strategy training, and 3) barriers affecting the process and outcomes of strategy training. All the participants endorsed strategy training through different gains. Most participants' expectations before the intervention were uncertain. Including family members into the strategy training is of key importance for a successfulness of their goals. The participants' experiences about strategy training were affected by various barriers (i.e., health and medical problems, the physical environment, and natural events). Clinicians and researchers should consider these expectations, benefits, and barriers when studying and implementing strategy training in non-Western contexts. Strategy training provides clients the opportunity to actively engage in their own goal setting and decision making. Strategy training increases the client's confidence in their ability to participate in the community, communicate, and perform daily living and physical activities. Therapists should consider the health conditions and physical environment of clients when helping them set goals and before facilitating their engagement in the community. Taiwanese family members play a crucial role in supporting acquired brain injury survivors in strategy training. [ABSTRACT FROM AUTHOR]

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المؤلفون: Latulippe, Karine, Tessier, Alexandra, Routhier, François, Raymond, Émilie, Fiset, David, Corcuff, Maëlle, Archambault, Philippe S.

المصدر: Disability & Rehabilitation; Mar2024, Vol. 46 Issue 5, p957-968, 12p

مصطلحات موضوعية: SOCIAL participation, TEAMS in the workplace, FOCUS groups, STAKEHOLDER analysis, RESEARCH methodology, INTERVIEWING, QUALITATIVE research, INTERPROFESSIONAL relations, CASE studies, DESCRIPTIVE statistics, COMMUNICATION, INTERPERSONAL relations, RESEARCH funding, PEOPLE with disabilities, THEMATIC analysis, MEDICAL research, SOCIAL integration

مصطلحات جغرافية: CANADA

مستخلص: To identify partnership research challenges and facilitators, as experienced by members of the Inclusive Society (IS) initiative. A case study was conducted on all partnership research projects conducted between 2017 and 2019 under the IS initiative through surveys, interviews with the IS community, logbooks, and focus group. Thematic analysis and descriptive analysis were undertaken. To work effectively with a diversity of stakeholders, winning conditions must be created for the project from the outset. These include determining the team functioning, project objectives, the expectations of each party, and agreeing on a realistic action plan. Project implementation with concern for sustained stakeholder commitment, good working relationships, and achieving project objectives requires organizational planning that favours partner involvement, shared leadership, agreed methods for communicating, conflict resolution methods, recognition of each participant's expertise, and creating a climate of trust. Upon concluding a partnership research project, it is essential to devote time to implement project results in local environments and to ascertain their usefulness to partners. IS partnership research challenges and facilitators are similar to those identified in past research. Despite this knowledge, challenges persist. Future research could explore tools and practices from other domain to overcome partnership research challenges. Partnership research has the potential to contribute to a more inclusive society for people with disabilities. Challenges and facilitators are identified for the stages of creating, implementing, and completing a partnership research project. Suggested solutions are offered to facilitate the conduct of a partnership research project and to increase the project's chances of success. Partnership research could benefit from using tools from other fields such as community development and social innovation to successfully implement some of the facilitators and overcome specific barriers to partnership research. [ABSTRACT FROM AUTHOR]

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المؤلفون: Dawson, Deirdre R., Anderson, Nicole D., Binns, Malcolm, Bar, Yael, Chui, Adora, Gill, Natasha, Linkewich, Elizabeth, McEwen, Sara, Nalder, Emily, Skidmore, Elizabeth

المصدر: Disability & Rehabilitation; Jan2024, Vol. 46 Issue 1, p67-76, 10p

مصطلحات موضوعية: TELEREHABILITATION, PILOT projects, SOCIAL participation, RESEARCH, AFFECT (Psychology), CONFIDENCE intervals, RESEARCH methodology, SATISFACTION, HEALTH outcome assessment, INTERVIEWING, PATIENT satisfaction, RANDOMIZED controlled trials, LEARNING, PRE-tests & post-tests, T-test (Statistics), STROKE rehabilitation, STROKE patients, STUDENTS, QUESTIONNAIRES, BLIND experiment, INDEPENDENT living, RESEARCH funding, STATISTICAL sampling, SOCIODEMOGRAPHIC factors, DATA analysis software

مستخلص: Long-term limitations in social participation are common after stroke. Whether these can be attenuated through a tele-rehabilitation approach is unknown. We were particularly interested in examining transfer of learning effects which could result in broader improvements in social participation. We adapted a strategy training rehabilitation approach (tele-CO-OP) for remote delivery. Participants with chronic stroke were randomized to receive the intervention (EXPT) or to a wait list (Control). Feasibility and acceptability were measured via attendance scores, satisfaction with the training and therapist evaluation of engagement with the training. The primary outcome measure was the Canadian Occupational Performance Measure (COPM), a standardized semi-structured interview which elicits difficulties in day-to-day life. Seventeen participants were randomized. Tele-CO-OP was found to be feasible and acceptable: participants reported high satisfaction and engagement, and missed few sessions. Large effect sizes for transfer of learning effects were observed in favor of receiving tele-CO-OP vs being waitlisted. Significant benefits were also conferred to the Control group following receipt of tele-CO-OP. The intervention also appeared to improve mood. This exploratory study demonstrates the feasibility and acceptability of tele-CO-OP and provides preliminary evidence for transfer of learning effects to untrained everyday social participation activities. Trial registration number: NCT02724813 Stroke results in long-term limitations in social participation. The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach provides a potential avenue for ameliorating these limitations. This pilot randomized controlled trial demonstrated that it is feasible to deliver tele-CO-OP and that positive benefits may accrue to those receiving the intervention for both trained and untrained activities. Tele-CO-OP is a promising intervention for addressing long-term participation limitations in individuals with chronic stroke. [ABSTRACT FROM AUTHOR]

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