ABSTRACT

Objective : This research was conducted to plan a strategy on the activities for stroke patients who want to improve, and to use the strategy to find out how it influences the occupational performance when applying Cognitive Orientation to a daily Occupational Performance (CO-OP) method approach. Methods : From September to October of 2014, two local outpatient rehabilitation targets diagnosed as suffering a stroke were selected to execute an ABA single-subject research design. It took two sessions for the data to become stable for use as a baseline (A). It took 10 sessions of 60 minutes per session, twice a week, for intervention. Finally, it took two sessions for the data to become stable for the baseline’ (A’). For the goal task, three activities were selected from COPM. Two activities executed intervention training through the CO-OP method approach. No training was selected as the other activity to determine a generalization, and the baseline, intervention, and baseline' were measured once each. For the outcome measurement, a Performance Quality Rating Scale (PQRS), which evaluates the quality of performance, and an Assessment of Motor and Process Skills (AMPS), which evaluates the independence and performance skill, were used. The quality of the performance was determined through a visual analysis, whereas the occupational performance and independence performance used the AMPS 9 program for an analysis and comparison. Results : The quality of the occupational performance increased during intervention compared to the baseline for the two tasks through the CO-OP approach method for subject A. Baseline’ (A’) was also maintained without training. For the independence of the occupational performance skill, subject A showed 0.35 logit in exercise skill, and 0.04 logit in handling skill. Subject B showed 0.31 logit in exercise skill, and 0.55 logit in handling skill. Conclusion : Based on the above outcome, the CO-OP method approach was shown to be an intervention method that can increase the occupational performance of stroke patients. It can also increase the effect on local stroke patients.