RefugeesCOT-SYR-25NCT07452874
Community-Based Occupational Therapy for Syrian Refugees to Improve Social Participation and Occupational Justice
A study testing Community-Based Occupational Therapy Intervention and Information Session on Daily Life in Turkey in people with Refugees and Occupational Injustice, run by Kocaeli University at 1 site in Turkey (Türkiye).
Trial summary
This study aims to examine the effects of a community-based occupational therapy intervention on occupational justice, participation in daily life activities, occupational performance, satisfaction, and overall functioning among Syrian refugees living in Turkey. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Refugees, Occupational Injustice
- What is being tested?
- Community-Based Occupational Therapy Intervention and Information Session on Daily Life in Turkey
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 27 Apr 2026to 8 Jul 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Being a Syrian refugee,
- Being 18 years of age or older,
- Having sufficient Turkish language proficiency to communicate effectively,
- Willingness to participate in the study voluntarily and providing written informed consent.
Who cannot join
- Inability to communicate in Turkish,
- Presence of a cognitive or neurological condition that may interfere with communication or participation in the assessment
- Presence of a serious health condition that may prevent regular attendance at the intervention or educational sessions.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Association of Refugees
Istanbul
Hıdır Dr. Apak, Dr., +905399100131, multeci.apak@gmail.com
multeci.apak@gmail.com
About this study
Official title: The Effect of a Community-Based Occupational Therapy Intervention on Occupational Justice and Social Participation in Syrian Refugees: A Non-Invasive Clinical Study
This study aims to examine the effects of a community-based occupational therapy intervention on occupational justice, participation in daily life activities, occupational performance, satisfaction, and overall functioning among Syrian refugees living in Turkey. Refugees frequently encounter social, economic, and environmental barriers that restrict their engagement in meaningful daily activities and negatively affect their sense of autonomy, belonging, and participation. Addressing these complex challenges requires interventions that extend beyond individual skill development and actively target social participation, access to community resources, and justice in everyday occupations.
In this study, a structured community-based occupational therapy intervention has been developed based on the Participatory Occupational Justice Framework. The intervention is designed to enhance participants' access to community resources, support engagement in meaningful daily activities, strengthen social participation, and promote empowerment and self-determination. The program consists of group-based, activity-oriented sessions implemented within real-life community settings to facilitate contextualized learning and participation.
Read more
A total of 16 adult Syrian refugees are planned to be enrolled in the study and assigned to either an intervention group or a control group using a parallel-group design. Participants in the intervention group will receive a five-week community-based occupational therapy program comprising ten structured sessions. Participants in the control group will receive a single informational session focusing on daily life and available services in Turkey. Outcomes will be assessed at baseline and immediately after the intervention using standardized measures of occupational justice, occupational performance and satisfaction, participation in daily activities, and overall functioning.
The findings of this study are expected to provide evidence regarding the effectiveness of community-based occupational therapy interventions in promoting occupational justice, participation, and functional well-being among refugee populations. The results are also anticipated to contribute to the development of rights-based, inclusive, and participation-focused rehabilitation practices for forcibly displaced communities.
- Conditions
- Refugees, Occupational Injustice
- Being tested
- Community-Based Occupational Therapy Intervention, Information Session on Daily Life in Turkey
- Keywords
- Community-based occupational therapy, Refugees, Occupational justice, Social participation, Occupational performance, Participatory Occupational Justice Framework
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Community-Based Occupational Therapy InterventionBehavioural
Also called Participatory Occupational Justice-Based Occupational Therapy Program
This intervention is a structured community-based occupational therapy program developed based on the Participatory Occupational Justice Framework. The program is designed to support Syrian refugees' engagement in meaningful daily activities, improve access to community resources, enhance social participation, and promote empowerment and self-determination.
The intervention consists of ten group-based sessions delivered over five weeks in community settings. Sessions include activity-based learning, guided group discussions, skills development, and experiential participation in real-life contexts. The content focuses on daily life activities, social roles, community participation, stress management, and access to social and institutional resources.
The intervention is delivered by an occupational therapist and emphasizes participatory, rights-based, and culturally sensitive approaches to address occupational injustice and support functional well-being.
Information Session on Daily Life in TurkeyBehavioural
This intervention consists of a single, standardized informational session provided to participants in the control group. The session includes general information about daily life in Turkey, such as basic social, cultural, and institutional structures. No occupational therapy intervention, skill training, or activity-based therapeutic content is provided. The session is intended to control for attention and contact time without influencing occupational performance, participation, or occupational justice outcomes.
| Study group | Role | What they receive |
|---|---|---|
| Community-Based Occupational Therapy Intervention | Experimental | Participants in this arm will receive a structured community-based occupational therapy intervention developed based on the Participatory Occupational Justice Framework. The intervention will consist of ten group-based sessions delivered over five weeks, focusing on access to community resources, meaningful daily activities, social participation, empowerment, and occupational justice Receives: Behavioral: Community-Based Occupational Therapy Intervention |
| Control - Information Session | Active comparator | Participants in this arm will receive a single informational session related to daily life in Turkey, including basic information about social services and community resources. No occupational therapy intervention will be provided during the study period. Receives: Behavioral: Information Session on Daily Life in Turkey |
What is being measured
The primary outcome is the main question the study is designed to answer.
Occupational Justice Scale for Refugees (OJS-R)
Occupational justice will be assessed using the Occupational Justice Scale for Refugees (OJS-R), a 30-item interviewer-administered scale developed to evaluate occupational injustice experiences among refugee populations. The scale includes five subdomains: occupational deprivation, occupational alienation, occupational marginalization, occupational discrimination, and occupational imbalance. Higher total scores indicate higher levels of occupational injustice. The measure will be used to evaluate changes in participants' occupational justice perceptions following the intervention.
Measured: Baseline (pre-intervention) and immediately after the 5-week intervention period
Secondary outcomes (2)
Canadian Occupational Performance Measure (COPM)
Occupational performance and satisfaction will be evaluated using the Canadian Occupational Performance Measure (COPM). The COPM is a client-centered, semi-structured assessment that measures individuals' perceived performance and satisfaction in self-care, productivity, and leisure activities. Participants identify meaningful activities and rate their performance and satisfaction on a 10-point scale. Higher scores indicate better perceived performance and greater satisfaction.
Measured: Baseline (pre-intervention) and immediately after the 5-week intervention period
World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
Overall functioning will be assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), 12-item interviewer-administered version. WHODAS 2.0 evaluates functioning across six domains, including cognition, mobility, self-care, interpersonal relationships, life activities, and participation. Higher scores indicate greater functional limitation.
Measured: Baseline (pre-intervention) and immediately after the 5-week intervention period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Mar 2026
- Study start27 Apr 2026
- Primary completion28 Jun 2026
- Study completion8 Jul 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for RefugeesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This study employs a parallel-group interventional study model. Eligible participants are allocated to either an intervention group or a control group and remain in their assigned groups for the duration of the study. The intervention group receives a structured community-based occupational therapy program delivered over five weeks, whereas the control group receives a single-session informational education related to daily life in Turkey. Both groups are followed concurrently, and outcome measures are collected at baseline and immediately after completion of the intervention period. No crossover between groups occurs at any stage of the study.
- Masking
- None (open label)
- Enrolment
- 16 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kocaeli University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Muhammed Rohat YAZICI, London South Bank University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07452874
- Sponsor's protocol ID
- 61351342/020-120
- Acronym
- COT-SYR-25
- Status last verified
- Jul 2026
- First submitted
- 1 Mar 2026
- Last updated
- 9 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data (IPD) will not be shared due to the small sample size and the involvement of a vulnerable population (refugees), which may increase the risk of participant re-identification. Additionally, the data include sensitive personal and social information collected within a community-based intervention context. Data sharing was not included in the original ethical approval, and therefore IPD will not be made publicly available in order to protect participant confidentiality and privacy.
Study at a glance
From the registry record, last updated by the sponsor on 9 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of a Community-Based Occupational Therapy Intervention on Occupational Justice and Social Participation in Syrian Refugees: A Non-Invasive Clinical Study
- ClinicalTrials.gov ID
- NCT07452874
- Acronym / sponsor ID
- COT-SYR-25 / 61351342/020-120
- Conditions
- Refugees, Occupational Injustice
- Keywords
- Community-based occupational therapy, Refugees, Occupational justice, Social participation, Occupational performance, Participatory Occupational Justice Framework
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 16 participants (estimated)
- Lead sponsor
- Kocaeli UniversityUniversity, hospital or other
- Study start
- 27 Apr 2026 (actual)
- Primary completion
- 28 Jun 2026 (actual)
- Study completion
- 8 Jul 2026 (estimated)
- First posted
- 5 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to examine the effects of a community-based occupational therapy intervention on occupational justice, participation in daily life activities, occupational performance, satisfaction, and overall functioning among Syrian refugees living in Turkey. Refugees frequently encounter social, economic, and environmental barriers that restrict their engagement in meaningful daily activities and negatively affect their sense of autonomy, belonging, and participation. Addressing these complex challenges requires interventions that extend beyond individual skill development and actively target social participation, access to community resources, and justice in everyday occupations.
In this study, a structured community-based occupational therapy intervention has been developed based on the Participatory Occupational Justice Framework. The intervention is designed to enhance participants' access to community resources, support engagement in meaningful daily activities, strengthen social participation, and promote empowerment and self-determination. The program consists of group-based, activity-oriented sessions implemented within real-life community settings to facilitate contextualized learning and participation.
A total of 16 adult Syrian refugees are planned to be enrolled in the study and assigned to either an intervention group or a control group using a parallel-group design. Participants in the intervention group will receive a five-week community-based occupational therapy program comprising ten structured sessions. Participants in the control group will receive a single informational session focusing on daily life and available services in Turkey. Outcomes will be assessed at baseline and immediately after the intervention using standardized measures of occupational justice, occupational performance and satisfaction, participation in daily activities, and overall functioning.
The findings of this study are expected to provide evidence regarding the effectiveness of community-based occupational therapy interventions in promoting occupational justice, participation, and functional well-being among refugee populations. The results are also anticipated to contribute to the development of rights-based, inclusive, and participation-focused rehabilitation practices for forcibly displaced communities.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- This study employs a parallel-group interventional study model. Eligible participants are allocated to either an intervention group or a control group and remain in their assigned groups for the duration of the study. The intervention group receives a structured community-based occupational therapy program delivered over five weeks, whereas the control group receives a single-session informational education related to daily life in Turkey. Both groups are followed concurrently, and outcome measures are collected at baseline and immediately after completion of the intervention period. No crossover between groups occurs at any stage of the study.
| Arm | Type | Receives |
|---|---|---|
| Community-Based Occupational Therapy Intervention | Experimental | Behavioral: Community-Based Occupational Therapy InterventionParticipants in this arm will receive a structured community-based occupational therapy intervention developed based on the Participatory Occupational Justice Framework. The intervention will consist of ten group-based sessions delivered over five weeks, focusing on access to community resources, meaningful daily activities, social participation, empowerment, and occupational justice |
| Control - Information Session | Active comparator | Behavioral: Information Session on Daily Life in TurkeyParticipants in this arm will receive a single informational session related to daily life in Turkey, including basic information about social services and community resources. No occupational therapy intervention will be provided during the study period. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Being a Syrian refugee,
- Being 18 years of age or older,
- Having sufficient Turkish language proficiency to communicate effectively,
- Willingness to participate in the study voluntarily and providing written informed consent.
Key exclusion criteria (3 listed)
- Inability to communicate in Turkish,
- Presence of a cognitive or neurological condition that may interfere with communication or participation in the assessment
- Presence of a serious health condition that may prevent regular attendance at the intervention or educational sessions.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Community-Based Occupational Therapy InterventionAlso: Participatory Occupational Justice-Based Occupational Therapy ProgramThis intervention is a structured community-based occupational therapy program developed based on the Participatory Occupational Justice Framework. The program is designed to support Syrian refugees' engagement in meaningful daily activities, improve access to community resources, enhance social participation, and promote empowerment and self-determination. The intervention consists of ten group-based sessions delivered over five weeks in community settings. Sessions include activity-based learning, guided group discussions, skills development, and experiential participation in real-life contexts. The content focuses on daily life activities, social roles, community participation, stress management, and access to social and institutional resources. The intervention is delivered by an occupational therapist and emphasizes participatory, rights-based, and culturally sensitive approaches to address occupational injustice and support functional well-being. | Behavioural | Community-Based Occupational Therapy Intervention |
| Information Session on Daily Life in TurkeyThis intervention consists of a single, standardized informational session provided to participants in the control group. The session includes general information about daily life in Turkey, such as basic social, cultural, and institutional structures. No occupational therapy intervention, skill training, or activity-based therapeutic content is provided. The session is intended to control for attention and contact time without influencing occupational performance, participation, or occupational justice outcomes. | Behavioural | Control - Information Session |
Primary outcome
Occupational Justice Scale for Refugees (OJS-R)
Time frame: Baseline (pre-intervention) and immediately after the 5-week intervention period
Occupational justice will be assessed using the Occupational Justice Scale for Refugees (OJS-R), a 30-item interviewer-administered scale developed to evaluate occupational injustice experiences among refugee populations. The scale includes five subdomains: occupational deprivation, occupational alienation, occupational marginalization, occupational discrimination, and occupational imbalance. Higher total scores indicate higher levels of occupational injustice. The measure will be used to evaluate changes in participants' occupational justice perceptions following the intervention.
2 secondary outcomes
Canadian Occupational Performance Measure (COPM)
Time frame: Baseline (pre-intervention) and immediately after the 5-week intervention period
World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
Time frame: Baseline (pre-intervention) and immediately after the 5-week intervention period
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2026.
- Individual participant dataSharing planned: No. Individual participant data (IPD) will not be shared due to the small sample size and the involvement of a vulnerable population (refugees), which may increase the risk of participant re-identification. Additionally, the data include sensitive personal and social information collected within a community-based intervention context. Data sharing was not included in the original ethical approval, and therefore IPD will not be made publicly available in order to protect participant confidentiality and privacy.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Community-Based Occupational Therapy Intervention and Information Session on Daily Life in Turkey in people with Refugees and Occupational Injustice, run by Kocaeli University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Muhammed Rohat Yazici, Dr. (+44 7424844545, rhtyzci@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Occupational Justice Scale for Refugees (OJS-R) (time frame: Baseline (pre-intervention) and immediately after the 5-week intervention period). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jul 2026.