Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines.

Autor: Lindstad MØ; Department of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, Norway., Obstfelder A; Department of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, Norway., Sveen U; Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.; Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway., Stigen L; Department of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, Norway.
Jazyk: angličtina
Zdroj: Scandinavian journal of occupational therapy [Scand J Occup Ther] 2025 Jan; Vol. 32 (1), pp. 2444591. Date of Electronic Publication: 2025 Jan 02.
DOI: 10.1080/11038128.2024.2444591
Abstrakt: Background: Occupational therapists strive to provide evidence-based cognitive rehabilitation for everyday functional activities in community-based rehabilitation.
Objective: In this study, we investigated the effectiveness of the Perceive, Recall, Plan and Perform (PRPP) Intervention in enhancing and maintaining task performance and cognitive strategy use during home-based rehabilitation for individuals with cognitive challenges following acquired brain injury.
Material and Methods: This study is a systematic replication of a single-case experimental designs using multiple baselines applied to three participants (67+ years old) undergoing nine PRPP Intervention sessions. The participants completed repeated measurements during baseline, intervention, post-intervention and follow-up phases. They were compared to their baseline phases, which was a control. Outcome measures included PRPP Assessment Stages 1 and 2. The analysis involved visual inspection of graphed data and the Tau- U method.
Results: The analysis revealed that all three participants showed positive changes in task mastery and effective cognitive strategy use after receiving PRPP Intervention, including maintenance immediately after intervention and 4 weeks later. A weighted Tau-U across participants indicated a very large effect (0.94) on task mastery.
Conclusions and Significance: The PRPP Intervention showed promising results in improving real-world task mastery and effective cognitive strategy use during home-based rehabilitation.
Trial Reg.no: NCT05148247.
Databáze: MEDLINE