NCT05148247

Occupational Therapy and Cognitive Challenges After Brain Injury

Completed NA Last updated 5 December 2024

What this trial tests

NA trial testing The Perceive, Recall, Plan and Perform System of Intervention in Brain Injuries in 6 participants. Completed in 1 May 2024.

Timeline

28 April 2021

Primary endpoint
1 May 2024

1 May 2024

Quick facts

Lead sponsor	Norwegian University of Science and Technology
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	na
Design	single group
Masking	none
Primary purpose	treatment
Enrollment	6
Start date	28 April 2021
Primary completion	1 May 2024
Estimated completion	1 May 2024
Sites	2 locations across Norway

Drugs / interventions tested

• The Perceive, Recall, Plan and Perform System of Intervention

Conditions studied

• Brain Injuries — all drugs for Brain Injuries →
• Cognitive Impairment — all drugs for Cognitive Impairment →

Sponsor

Norwegian University of Science and Technology

Who can join

65 and older, any sex, with Brain Injuries or Cognitive Impairment. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: There is a need for standardized interventions in community rehabilitation that can improve everyday task performance for older adults with cognitive challenges after acquired brain injury. Older adults are often excluded from research due to strict inclusion criteria. It is critical for a sustainable health service system that these patients are empowered and reach their maximum level of independence. The Perceive, Recall, Plan and Perform System (PRPP) of Intervention can be applied by Occupational Therapists (OT) for clients with cognitive challenges to enhance mastery of needed or desired everyday tasks. There is no current evidence for the effectiveness of this intervention for this population.

Purpose: A clinical trial to investigate the effectiveness of the PRPP intervention for older persons with cognitive impairments after brain injury in the context of community-based rehabilitation.

Method: In PRPP intervention the OT uses systematically instructions in task training to support a client to use cognitive strategies efficiently. The everyday tasks used for training should be valued by the participant and useful in their rehabilitation. The tasks could include different parts of morning routines, simple or complex meal planning or preparation, use of cell phone, leisure activities, or other household and community activities. At best the skills are generalized throughout all everyday activities, and the OTs' role as a cognitive mediator fades as participants internalize the strategies. The participants receive PRPP intervention 3 times a week for 3 weeks, every session last for 45-60 minutes.

The participants' task mastery and cognitive strategy use will be measured at least 5 times in each phase: baseline, intervention, after the intervention, and 4 weeks after the discharge from rehabilitation. The measurement scores at baseline act controls and are therefore compared with the other phases for the same participant. The same procedure will be repeated for the other participants, but then with a staggered intervention phase. A staggered intervention phase acts as a control between participants and allows to see if changes occur only when the intervention is introduced.

Implications for practice: The investigators assume that this systematic intervention will improve everyday task performance, and will in turn contribute to empowerment and independence of older adults with cognitive challenges after brain injuries.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

1. Effectiveness of the Perceive, Recall, Plan and Perform intervention for persons with brain injury in community-based rehabilitation: protocol for a single-case experimental design with multiple baselines.
   Lindstad MØ, Obstfelder AU, Sveen U, Stigen L. · · 2022 · cited 3× · PMID 36198473 · DOI 10.1136/bmjopen-2021-060206
2. Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines.
   Lindstad MØ, Obstfelder A, Sveen U, Stigen L. · · 2025 · cited 2× · PMID 39744963 · DOI 10.1080/11038128.2024.2444591
3. Feasibility of the Perceive, Recall, Plan and Perform system of intervention for persons with brain injury in community-based rehabilitation: a pilot for a multiple-baseline design study.
   Lindstad MØ, Obstfelder AU, Sveen U, Stigen L. · · 2023 · cited 2× · PMID 37380207 · DOI 10.1136/bmjopen-2022-067593
4. Evaluating the PRPP Intervention for individuals with brain injury at local inpatient rehabilitation facilities: multiple baseline designs.
   Lindstad MØ, Obstfelder AU, Sveen U, Stigen L. · · 2025 · PMID 41270188 · DOI 10.1080/09602011.2025.2590092