學院	醫學院
系所	職能治療學系
題名	Coaching-based teleoccupational guidance for home-based stroke survivors and their family caregivers: Study protocol for a superior randomized controlled trial.
作者	Zhang, L., Yan, Y-N.*, Sun, Z-X., Ge, X-J., Qin, X-L., & Lin, K-C.
期刊名稱	Evidence-Based Complementary and Alternative Medicine.
發表日期	2022
著作性質	原著
語文	英文
關鍵字	Stroke, Occupational therapy, Coaching, Participation, Home-based rehabilitation
摘要	Background: Home-based rehabilitation has been shown to be useful for stroke survivors to participate in daily life activities and return to their families. However, many home-based stroke survivors face challenges in the lack professional guidance and rational training plans and insufficient motivation, which will affect their rehabilitation outcomes to varying degrees. Although occupational therapy and coaching are widely recommended for stroke rehabilitation, studies that combine these two interventions via telerehabilitation in home-based rehabilitation are scarce. Hence, this study will explore whether coaching-based teleoccupational therapy guidance will help stroke survivors and caregivers achieve satisfactory outcomes. Methods: This is a single-blind (assessor), two-arm parallel randomized design trial that will be conducted at Hebei General Hospital in Shijiazhuang, China. Ninety-two participant dyads in home-based rehabilitation will be recruited and randomized to coaching-based teleoccupational therapy guidance (intervention group) or a telerehabilitation group (control group). Participant dyads in the intervention group will follow a 6-step circle procedure and receive 12 teleoccupational therapy coaching sessions over 3 months by WeChat. Data will be collected at baseline, after the intervention (3 months), and at follow-up (6 months). The Reintegration to Normal Living Index will be the primary outcome to assess the participation of stroke survivors. Secondary outcomes will include activities of daily life, intrinsic motivation, motor function, and quality of life of stroke survivors and the caregivers’ perceived benefit and care burden. Discussion: This trial will assess the effects of coaching-based teleoccupational therapy guidance compared with usual telerehabilitation. We believe that the results of this study will add to our understanding of occupational therapy for stroke survivors in home-based rehabilitation and provide a reference for developing health policy and other chronic disease management.