Date Presented 04/21/2023
The purpose of this poster is to present the results of the efficacy of a life management intervention for stroke survivors on meaningful activity, occupational performance, and quality of life outcomes. This study adds an efficacious intervention for OT.
Primary Author and Speaker: Valerie Ann Hill
Additional Authors and Speakers: Valerie Miller
Contributing Authors: Rebecca Leugers, Erin Wagner
PURPOSE: Test the efficacy of the Healthy GOALS intervention (HGOALS) on meaningful activity engagement, occupational performance, and quality of life (QoL) for stroke survivors. HGOALS is a life management intervention for community-dwelling stroke survivors which improves survivors’ health outcomes.
DESIGN: Experimental RCT. Sample: community-dwelling stroke survivors recruited from local clinics. Randomization groups: HGOALS and Usual Care.
METHOD: Outcome Measures: Meaningful Activity and Participation Assessment (MAPA), Canadian Occupational Performance Measure (COPM), and Stroke Impact Scale (SIS). Statistical Analyses: Using R, paired and Welch’s two samples t-tests were used to analyze differences from pre to post-testing within groups. Independent t-tests were used to compare changes between groups from pre to post-testing.
RESULTS: Demographics: n=20. High drop-out rate (n=12) due to COVID pandemic. Most participants were black middle to older adult females with chronic stroke, hypertension, poor diet, and sedentary lifestyles. Half had low or under-poverty-line income and depression. Outcomes: There were significant changes in MAPA frequency scores for HGOALS (p=0.003). Both groups had 2+ point changes in COPM scores. HGOALS had a significant change on SIS (p=0.012).
DISCUSSION: The HGOALS group engaged in meaningful activities more; increased occupational performance; and improved QoL. Considering the small sample size and COVID pandemic, these results are promising.
CONCLUSION: A life management intervention is efficacious for stroke survivors from underrepresented populations for meaningful activity, occupational performance, and QoL outcomes.
IMPACT STATEMENT: These findings fill a gap in evidence of the efficacy of community OT interventions for stroke. Stroke leads the cause of long-term disability and is commonly seen by OTs; therefore, effective manualized interventions must be available to provide EBP.
References
Hill, V., Towfighi, A. (2017). Modifiable risk factors for stroke and strategies for stroke prevention. Seminars in Neurology, 37(3), 237–258. https://doi.org/10.1055/s-0037-1603685
Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M.,. . . Turner, M. B. (2016). Executive summary: Heart disease and stroke statistics--2016 Update: A report from the American Heart Association. American Heart Association Statistics Committee, 133(4):447–54. https://doi.org/10.1161/CIR.0000000000000366
