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This study shows that a knowledge translation initiative improved rehabilitation clinicians' knowledge and self-efficacy in using the Cognitive Orientation to daily Occupational Performance (CO-OP) approach, leading to increased adoption in stroke rehabilitation.

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Area of Science:

  • Rehabilitation Science
  • Knowledge Translation
  • Occupational Therapy

Background:

  • The Cognitive Orientation to daily Occupational Performance (CO-OP) approach empowers clients in rehabilitation by teaching cognitive strategies for skill acquisition.
  • Healthcare providers must shift treatment control to clients, a key aspect of the CO-OP approach.
  • Implementing CO-OP in stroke rehabilitation requires effective knowledge translation (KT) strategies for healthcare teams.

Purpose of the Study:

  • To evaluate the impact of a supported KT initiative on rehabilitation clinicians' knowledge, self-efficacy, and practice of the CO-OP approach.
  • To assess changes in clinicians' understanding and application of CO-OP principles in stroke rehabilitation settings.

Main Methods:

  • A single-arm, pre-post study with 6-month follow-up was conducted.
  • The KT intervention included workshops, implementation support, and sustainability planning.
  • Knowledge was assessed via MCQs, self-efficacy via a developed questionnaire, and practice via medical record audits.

Main Results:

  • Clinicians showed significant improvements in knowledge and self-efficacy (CFT, PCSU) post-intervention and at follow-up.
  • CO-OP use increased from 0% at baseline to 20% post-intervention in medical records.
  • A trend towards reduced impairment goals and significantly more component goals were observed.

Conclusions:

  • The multifaceted KT initiative effectively enhanced clinicians' adoption of the CO-OP approach in stroke rehabilitation.
  • The findings support the use of supported KT initiatives to implement client-centered, strategy-based interventions like CO-OP.
  • Further research may explore the impact on client outcomes and the sustainability of practice changes.