{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:28:13Z","timestamp":1790692093667,"version":"4.1.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    Occupational performance and function are affected in people with burn injuries to the hand and upper extremity; this can lead to the development of some disabilities and endanger quality of life.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To investigate the effects of occupation-based intervention on hand and upper extremity function, daily activities, and quality of life in people with burn injuries.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    Randomized controlled trial.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Specialized burn hospital in Iran.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Patients (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 20) with burn injuries to the hand and upper extremity.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Interventions:<\/jats:bold>\n                    The control group received only traditional rehabilitation, and the intervention group received traditional rehabilitation and took part in the Cognitive Orientation to daily Occupational Performance (CO-OP) protocol (18 sessions, 45 min\/day, for both groups).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Measures:<\/jats:bold>\n                    Assessments included the CO-OP; Michigan Hand Outcomes Questionnaire; Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire; Modified Barthel Index; World Health Organization Quality-of-Life Scale\u2013Brief; a visual analogue scale; measurements with a goniometer and dynamometer; and the figure-of-eight method. These evaluations were conducted with both groups before the rehabilitation program commenced and at Wk 2, 6, and 14 (follow-up).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The results showed that there were notable changes in all the study variables except edema in both groups. However, these changes (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    [\n                    <jats:italic toggle=\"yes\">V<\/jats:italic>\n                    ] \u2264 .05) were not statistically significant between the two groups.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    According to the results, the occupation-based interventions are as effective as traditional therapeutic interventions for the improvement of hand and upper extremity function, ability to perform daily activities, and quality of life in people with burn injuries.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>What This Article Adds:<\/jats:bold>\n                    The CO-OP protocol, as an occupation-based intervention, can improve hand performance, ability to perform daily activities, and quality of life in people with burn injuries, and thus it can be useful in rehabilitation clinics.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2023.050115","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T12:27:08Z","timestamp":1697632028000},"page":"858-866","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Effects of an Occupation-Based Intervention on Hand and Upper Extremity Function, Daily Activities, and Quality of Life in People With Burn Injuries: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"77","author":[{"given":"Mahnoosh","family":"Khanipour","sequence":"first","affiliation":[{"name":"Mahnoosh Khanipour, MSc, is Instructor, Department of Occupational Therapy, School of Paramedical Sciences, Zanjan University of Medical Sciences, Zanjan, Islamic Republic of Iran;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laleh","family":"Lajevardi","sequence":"additional","affiliation":[{"name":"Laleh Lajevardi, PhD, is Associate Professor, Department of Occupational Therapy, Rehabilitation Research Center, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghorban","family":"Taghizadeh","sequence":"additional","affiliation":[{"name":"Ghorban Taghizadeh, PhD, is Associate Professor, Department of Occupational Therapy, Rehabilitation Research Center, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Azad","sequence":"additional","affiliation":[{"name":"Akram Azad, PhD, is Associate Professor, Department of Occupational Therapy, Rehabilitation Research Center, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hooman","family":"Ghorbani","sequence":"additional","affiliation":[{"name":"Hooman Ghorbani, MSc, is Occupational Therapy Practitioner, Department of Occupational Therapy, Shahid Motahhari Specialized Burn Hospital, Tehran, Islamic Republic of Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"66","article-title":"Epidemiology of occupational burn injuries and its effect on patients referred to Motahari Hospital in Tehran during 2010 to 2012","volume":"21","author":"Aghakhani K.","year":"2015","unstructured":"Aghakhani K., Abdolkarimi L., Memarian A., Hosseini R., Mehrpisheh S., Abdolkarimi F., , & Heidari M. (2015). Epidemiology of occupational burn injuries and its effect on patients referred to Motahari Hospital in Tehran during 2010 to 2012. Razi Journal of Medical Sciences, 21, 66\u201371. http:\/\/rjms.iums.ac.ir\/article-1-3563-en.html","journal-title":"Razi Journal of Medical Sciences"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy 74(Suppl. 2) 7412410010. https:\/\/doi.org\/10.5014\/ajot.2020.74S2001","DOI":"10.5014\/ajot.2020.74S2001"},{"key":"e_1_3_2_4_1","first-page":"26","article-title":"Reliability of the Persian version of Canadian Occupational Performance Measure for Iranian elderly population","volume":"8","author":"Atashi N.","year":"2010","unstructured":"Atashi N., Aboutalebi S., Heidari M., , & Hosseini S. A. (2010). Reliability of the Persian version of Canadian Occupational Performance Measure for Iranian elderly population. Iranian Rehabilitation Journal, 8, 26\u201330. http:\/\/irj.uswr.ac.ir\/article-1-188-en.html","journal-title":"Iranian Rehabilitation Journal"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2010341"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.01.015"},{"key":"e_1_3_2_7_1","first-page":"102","article-title":"The visual analog scale in the immediate postoperative period: Intrasubject variability and correlation with a numeric scale","volume":"86","author":"DeLoach L. J.","year":"1998","unstructured":"DeLoach L. J., Higgins M. S., Caplan A. B., , & Stiff J. L. (1998). The visual analog scale in the immediate postoperative period: Intrasubject variability and correlation with a numeric scale. Anesthesia and Analgesia, 86, 102\u2013106. https:\/\/doi.org\/10.1097\/00000539-199801000-00020","journal-title":"Anesthesia and Analgesia"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e31802c9eb9"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2014.04.020"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810415500033"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/2008-7802.160336"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2008.06.010"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2006.04.002"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2012.03.007"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221086188"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2017.10.007"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2022.02.014"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2017.71S1-PO5144"},{"key":"e_1_3_2_19_1","first-page":"69","article-title":"Grip and pinch strength: Normative data for adults","volume":"66","author":"Mathiowetz V.","year":"1985","unstructured":"Mathiowetz V., Kashman N., Volland G., Weber K., Dowe M., , & Rogers S. (1985). Grip and pinch strength: Normative data for adults. Archives of Physical Medicine and Rehabilitation, 66, 69\u201374.","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/09602011003638194"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01350830"},{"key":"e_1_3_2_22_1","first-page":"292","article-title":"Effect of multimedia self-care education on quality of life in burn patients","volume":"6","author":"Mohaddes Ardebili F.","year":"2017","unstructured":"Mohaddes Ardebili F., Najafi Ghezeljeh T., Bozorgnejad M., Zarei M., Ghorbani H., , & Manafi F. (2017). Effect of multimedia self-care education on quality of life in burn patients. World Journal of Plastic Surgery, 6, 292\u2013297.","journal-title":"World Journal of Plastic Surgery"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2009.06.005"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijps.IJPS_77_17"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2011.08.004"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2007.08.014"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.16965\/ijpr.2014.694"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1300\/J006v20n02_07"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2018.25.10.552"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-8-18"},{"issue":"4","key":"e_1_3_2_31_1","first-page":"408","article-title":"Cultural validity of the Farsi version on Mini-Mental State Examination","volume":"25","author":"Seyedian M.","year":"2008","unstructured":"Seyedian M., Falah M., Nourouzian M., Nejat S., Delavar A., , & Ghasemzadeh H. A. (2008). Cultural validity of the Farsi version on Mini-Mental State Examination. Journal of Medical Council of I.R.I. , 25(4), 408\u2013414. https:\/\/www.sid.ir\/en\/journal\/ViewPaper.aspx?id=133666","journal-title":"Journal of Medical Council of I.R.I."},{"key":"e_1_3_2_32_1","volume-title":"Rehabilitation of the hand and upper extremity","author":"Skirven T. M.","year":"2014","unstructured":"Skirven T. M., Osterman A. L., , & Fedorczyk J. M. (2014). Rehabilitation of the hand and upper extremity (6th ed.). Elsevier\u2013Mosby","edition":"6"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942638.2020.1807448"},{"key":"e_1_3_2_34_1","first-page":"213","article-title":"Psychometric evaluation of Shah version of Modified Barthel Index in elderly people residing in Kashan Golabchi nursing home","volume":"15","author":"Tagharrobi Z.","year":"2011","unstructured":"Tagharrobi Z., Sharifi K., , & Sooky Z. (2011). Psychometric evaluation of Shah version of Modified Barthel Index in elderly people residing in Kashan Golabchi nursing home. Feyz Medical Sciences Journal, 15, 213\u2013224. http:\/\/feyz.kaums.ac.ir\/article-1-1241-en.html","journal-title":"Feyz Medical Sciences Journal"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hkjot.2015.08.003"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2016.12.015"},{"key":"e_1_3_2_37_1","unstructured":"World Health Organization. (2008). The global burden of disease: 2004 update. https:\/\/apps.who.int\/iris\/handle\/10665\/43942"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2022.76S1-PO196"}],"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2023.050115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5014\/ajot.2023.050115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/doi\/10.5014\/ajot.2023.050115\/82983\/7705205090.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2023.050115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:07:41Z","timestamp":1786691261000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.2023.050115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.5014\/ajot.2023.050115"],"URL":"https:\/\/doi.org\/10.5014\/ajot.2023.050115","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}