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Occupational Performance in Neurorehabilitation Laboratory

An assessment of a client

General Laboratory Description

The focus of the Occupational Performance in Neurorehabilitation Laboratory is to understand the factors and effectiveness of interventions to support the daily occupations of older adults as they seek to live as independently as possible. The assessment methods include performance-based and behavioral measures of activity, executive function, social support and quality of life. Intervention methods use cognitive behavioral activity-based approaches. The results provide a quantification of how people engage in instrumental leisure and social activities, how their activities are different from persons with other types of disabling conditions and those without disabilities, and how they are changed by intervention. The impact is better methods of helping persons with chronic neurological impairment improve their function, participation and health. Collaborators are from neurology, psychology, speech language pathology, physical therapy and social work.

Examples of Projects

  1. Exploring the Efficacy of Combined Task-Specific and Cognitive Strategy Training in Subacute Stroke: A Phase II Clinical Trial. The goal of this project is to evaluate, in an exploratory Phase II clinical trial, the preliminary efficacy of the Cognitive Orientation to Daily Occupational Performance cognitive strategy use protocol compared to standard out-patient rehabilitation on immediate and longer-term skill performance and participation.
  2. Measurement of Medical Rehabilitation Outcomes. The goal is to provide national leadership of critical outcome measurement needs of the medical rehabilitation community. Specific goals are to increase the accessibility of measures of cognitive function for use in rehabilitation settings, refine measures of barriers and facilitators of community participation, validate cognitive items of the CARE tool, and evaluate the extent to which the ICF represents disablement characteristics by mapping instruments within the RRTC to concepts within the ICF.
  3. Rehabilitation Research and Training Center on Stroke Rehabilitation - Project R3: Evaluating a Self Management Intervention to Community Living, Participation and Employment after a Stroke. The goal is to develop and test a self-management program to improve home, community, and work outcomes after stroke.
  4. Washington University Institute of Clinical and Translational Sciences. The goal is to consult with Washington University scientists giving guidance on measures they can use to provide understanding of brain behavior and performance.

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