Occupational Therapy Instructmental Activities of Daily Living and Psychosocial Modules Program for Stroke Survivors

Stroke is a prevalent disability that affects 1 in 4 people in their lifetime, according to the World Stroke Organization. Stroke survivors often experience decreased active participation, long-term disabilities, and increased healthcare-related costs, highlighting the critical need for a local client-centered program that prioritizes the well-being and independence of stroke survivors. In a scoping review, Pyatak et al. found that community-based occupational therapy programs improve diverse older adults' quality of life, physical functioning, and mental health. These programs use personal goal setting, meaningful activities, and peer support to enhance overall well-being. They also address health disparities and emphasize client-centered approaches in culturally diverse communities. Lifestyle Redesign, a key component, teaches individuals how their daily choices impact long-term functioning, health, and well-being. This study aims to enhance the overall life satisfaction of stroke survivors by implementing an 8-week program that utilizes a comprehensive and personalized approach with client-based interventions. The program will incorporate various interventions such as meal preparation, exercise and leisure activities, health literacy, caregiver training, and mental well-being.

Research conducted by Guillaumier et al. has shown that online access is a promising approach to increasing effectiveness and improving outcomes. In light of this, weekly interventions for this study will be conducted online to address participants' questions, implement a home exercise program, and increase the accessibility of the program to stroke survivors who may have difficulty attending in-person appointments. This study proposal also aims to bridge the healthcare system and provide the support required for stroke survivors to navigate a healthy lifestyle. Additionally, the program seeks to enhance the life satisfaction of stroke survivors by addressing their physical, mental, and social health and well-being. By providing a holistic approach to stroke recovery, the program is designed to improve the quality of life for stroke survivors, alleviate the strain on healthcare resources, and provide the necessary support required for stroke survivors to maintain a healthy lifestyle.

Inclusion criteria

• Be at least 18 years old;
• Have a history of unilateral stroke no less than 3 months and be medically stable prior to the study
• Be able to follow three-step commands
• Have a score equal to or less than 20 on the 9-question Patient Health Questionnaire for without depression
• Participants must commit to 8 weeks to participate in the full OT lifestyle redesign program
• Be able to speak and understand English, as the program and study materials are in English
• Internet access for zoom is required for participants

Exclusion criteria

listed.

• Acute medical problems
• Presence of any contraindications, injuries, or surgeries
• Significant pain that interferes with participation in program activities
• Use of medications that may affect participant's level of consciousness or fatigue
• Impaired cognition level: Participants will need to have normal cognition in order to understand the study procedure. Therefore, we will use the Mini-Mental State Exam (MMSE) survey, with a total score of 30, to screen cognition. If the score on the MMSE survey is less than 24, the participant will be excluded.