Executive dysfunction can affect community integration in adults with traumatic brain injury (TBI). The Cognitive Orientation to daily Occupational Performance (CO-OP) approach has shown some promise in promoting functional improvements in adults with executive dysfunctions post TBI. However, access to rehabilitation is often limited especially in rural communities. This study aimed to (1) investigate the feasibility of administering the CO-OP approach in a tele-rehabilitation format and (2) examine its impact on community integration and executive dysfunction. A pilot series of 3 case studies was conducted. Participants identified 5 goals; 3 were trained and 2 were untrained to allow examination of transfer. Outcome measures included the Canadian Occupational Performance Measure, the Mayo-Portland Adaptability Inventory-4 Participation Index, and the Dysexecutive Questionnaire. Descriptive analyses demonstrated goal achievement and transfer, suggesting it is feasible to implement the CO-OP approach in a tele-rehabilitation format. Community integration and executive dysfunction behaviours also showed trends towards improvement.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/29539 |
| Date | 24 August 2011 |
| Creators | Ng, Edith Man Wai |
| Contributors | Dawson, Deirdre R. |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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