Cognitive Orientation to Daily Occupational Performance (CO-OP) in Parkinson's: Randomized Trial Findings.

BACKGROUND

People with Parkinson's disease (PwPD) experience increasing disability due to progressive motor and non-motor symptoms. Comprehensive rehabilitation approaches are needed to maximize their daily functioning. CO-OP targets daily functioning and has established efficacy in populations with similar symptom profiles.

PURPOSE

To explore the potential of CO-OP for PwPD, a feasibility randomized controlled trial (RCT) was conducted.

METHODS

Consenting PwPD (= 20) were recruited to a parallel group, assessor masked RCT. Following baseline assessment, participants were randomized to CO-OP (20 sessions:10-weeks) or a waitlist control (WLC; 0 sessions: 10 weeks). Goal attainment, functional and cognitive status, quality of life, self-efficacy, transfer, and maintenance were measured. Data were analyzed using descriptive statistics and multiple regression analysis.

RESULTS

Effort (= 3.02/5) and enjoyment (= 3.15/5) ratings; homework completion (= 91%) and protocol adherence (= 82%) indicate that CO-OP is feasible. CO-OP was superior to the WLC on Canadian Occupational Performance Measure (COPM) performance (=<.001), COPM satisfaction (=<.001), and Performance Quality Rating Scale (PQRS; =<.001) but not the Goal Attainment Scale (GAS; = .123).

CONCLUSIONS

Addressing a critical gap in Parkinson's disease management, findings suggest that CO-OP is implementable, feasible, and potentially beneficial for PwPD. Further research is warranted to further establish efficacy.