About this trial
This study aims to better understand how occupational therapists provide rehabilitation for adults recovering from stroke or spinal cord injury (SCI), with a focus on improving arm and hand function. Using video recordings of real outpatient therapy sessions, researchers will identify the key elements of treatment, such as the types of activities, the therapist's techniques, and how patients respond. The study will use the Rehabilitation Treatment Specification System (RTSS), a framework designed to clearly describe rehabilitation methods. By analyzing these sessions, the research team will develop a practical toolkit to help therapists and researchers deliver and study more effective rehabilitation treatments in the future.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Must be a licensed OT practitioner (occupational therapist or occupational therapy assistant),
The OT practitioner must treat at least one adult stroke or spinal cord injury patient with UE sensorimotor impairment per month
The OT practitioner must be willing to be video recorded while treating their enrolled stroke or SCI patients.
Must have a medical diagnosis of ischemic or hemorrhagic stroke
Disqualifiers
None
Trial population
A purposive sample of OT practitioners working in an outpatient rehabilitation at OSUWMC will be recruited for this study. A purposive sample of stroke patients receiving OT at an OSU outpatient rehabilitation clinic will be recruited for this study. A purposive sample of SCI patients receiving OT at an OSU outpatient rehabilitation clinic will be recruited for this study.
Trial design
Cohort
Prospective
Treatments tested in this trial
occupational therapy
Other interventionN/A as there is no intervention for this study
Treatment groups
Trial outcomes
Primary outcomes
Time Spent on Different Types of Treatment Activities
We will quantify time spent in different treatment types during standard care occupational therapy, as specified in the Rehabilitation Treatment Specification System.
Secondary outcomes
Feasibility of Video Recording Intervention
Feasibility of Intervention Measure - Participants will rate their acceptability of being video recorded through various questions on a 1-5 Likert scale where 1 is completely disagree and 5 is completely agree.
Acceptability of Video Recording Intervention
Acceptability of Intervention Measure (AIM) - Participants will gauge their acceptability and comfort with being video recorded. Participants will rate their acceptability of being video recorded through various questions on a 1-5 Likert scale where 1 is completely disagree and 5 is completely agree.
Sponsors and contacts
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Ohio State University
Lead sponsor
American Occupational Therapy Foundation
Collaborator