KOMPANSASYON ODAKLI PROBLEM ÇÖZME EĞİTİMİNİN (KOPÇE) GELİŞTİRİLMESİ VE İNMELİ BİREYLERDE ETKİSİNİN İNCELENMESİ: RANDOMİZE KONTROLÜ ÇALIŞMA

Abstract

This study was conducted to examine the effectiveness of the Compensation-Based Problem-Solving Training (CBPST), developed to support functional recovery in individuals with stroke. CBPST was designed by the researchers through the integration of the Occupational Adaptation Model and compensatory strategies. The study was carried out at Etlik City Hospital. Participants diagnosed with stroke were randomly assigned to either the intervention group (n = 27) or the control group (n = 26). Both groups received conventional rehabilitation for 40 minutes per day, five days a week, for one month. In addition, the intervention group received CBPST for 20 minutes per day, five days a week, during the same period. To assess occupational performance and satisfaction, self-efficacy, participation, and quality of life, the following instruments were used, the Canadian Occupational Performance Measure (COPM), the Rehabilitation Activities Profile (RAP), the Daily Living Self-Efficacy Scale (DLSES), the Participation Scale (PS), and the Stroke-Specific Quality of Life Scale (SS-QOL). Changes before and after the intervention, between-group differences, and the effect sizes (r) of the intervention were analyzed. The findings indicated statistically significant improvements (p < 0.05) in the intervention group compared to the control group in COPM performance (r = 0.62) and satisfaction (r = 0.51), RAP (r = 0.14), DLSES (r = 0.57), PS (r = 0.43), and SS-QOL (r = 0.67) scores. In conclusion, this study provides preliminary evidence that CBPST has positive effects on occupational performance and satisfaction, self-efficacy, occupational participation, and quality of life in individuals with stroke. The findings suggest that CBPST may be a feasible and acceptable rehabilitation approach in clinical settings and holds potential for broader implementation in future clinical practice.