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

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...

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Main Authors: M. Ø. Lindstad, A. Obstfelder, U. Sveen, L. Stigen
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Scandinavian Journal of Occupational Therapy
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Online Access:https://www.tandfonline.com/doi/10.1080/11038128.2024.2444591
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author M. Ø. Lindstad
A. Obstfelder
U. Sveen
L. Stigen
author_facet M. Ø. Lindstad
A. Obstfelder
U. Sveen
L. Stigen
author_sort M. Ø. Lindstad
collection DOAJ
description 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
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series Scandinavian Journal of Occupational Therapy
spelling doaj-art-43661ff8fae14e9bb2c52c905a8d32172025-01-02T11:11:39ZengTaylor & Francis GroupScandinavian Journal of Occupational Therapy1103-81281651-20142025-12-0132110.1080/11038128.2024.2444591Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselinesM. Ø. Lindstad0A. Obstfelder1U. Sveen2L. Stigen3Department of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, NorwayDepartment of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, NorwayDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, NorwayDepartment of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, NorwayBackground 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 NCT05148247https://www.tandfonline.com/doi/10.1080/11038128.2024.2444591cognitive rehabilitationcognitive strategy useevidence-based practiceoccupational performanceoccupational therapystroke
spellingShingle M. Ø. Lindstad
A. Obstfelder
U. Sveen
L. Stigen
Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines
Scandinavian Journal of Occupational Therapy
cognitive rehabilitation
cognitive strategy use
evidence-based practice
occupational performance
occupational therapy
stroke
title Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines
title_full Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines
title_fullStr Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines
title_full_unstemmed Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines
title_short Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines
title_sort effectiveness of the prpp intervention after brain injury in home based rehabilitation single case experimental designs with multiple baselines
topic cognitive rehabilitation
cognitive strategy use
evidence-based practice
occupational performance
occupational therapy
stroke
url https://www.tandfonline.com/doi/10.1080/11038128.2024.2444591
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