Task Oriented Training and Evaluation at Home (TOTE Home)

NCT02852369 | Completed

• 1 other identifier: TOTE Home 001
• Study Type: interventional
• Target: 4
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective: To determine the effectiveness of an upper extremity, task oriented training program delivered at home (TOTE Home) for people who are in the subacute recovery phase of a stroke. Method: A single-subject AB series design with a follow-up to assess the effectiveness of TOTE Home which includes a maximum of 30, one hour sessions of training conducted in participants' homes. Repeated target measures of accelerometry and level of confidence to be analyzed throughout the study. Change scores from standardized assessments to be evaluated at baseline, post-intervention, and follow-up time periods.

Conditions

Stroke

Outcome Measures

Primary Outcomes (1)

• Movement of the hemiparetic upper extremity as measured by accelerometry

  24 hour recordings over 8 day periods

Study Arms (1)

Task Oriented Training

EXPERIMENTAL

The intervention administered during each of the training sessions was modeled after the protocol outlined in Winstein et al. (2013) however implementation was in the participant's home setting and involved tasks in the participant's real world. The manual entitled, "Upper-Extremity Task-Specific Training After Stroke or Disability" by Lang and Birkenmeier (2014) was also utilized to give a general overview of task specific training for the upper extremity and to help guide each activity the participant chose to work on.

Behavioral: Task Oriented Treatment

Interventions

Task Oriented Treatment BEHAVIORAL

The intervention administered during each of the training sessions was modeled after the protocol outlined in Winstein et al. (2013) however implementation was in the participant's home setting and involved tasks in the participant's real world. The manual entitled, "Upper-Extremity Task-Specific Training After Stroke or Disability" by Lang and Birkenmeier (2014) was also utilized to give a general overview of task specific training for the upper extremity and to help guide each activity the participant chose to work on.

Task Oriented Training

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• upper extremity hemiparesis due to a stroke but met minimal movement criteria in the affected arm and hand (at least 10 degrees of active movement at the wrist, elbow, and shoulder movement, along with 10 degrees of active movement in the thumb and two other fingers)
• minimal cognitive deficits as demonstrated by a 24 or higher on the Mini-Mental Status Exam
• able to identify at least five specific tasks participants wish to achieve with their affected upper extremity. This was assessed with the Canadian Occupational Performance Measure (COPM)
• at least 21 years of age
• able to communicate in English
• months after their stroke which would classify them in the subacute level of recovery
• all formal occupational therapy was completed.

You may not qualify if:

• upper extremity pain that interfered with activities of daily living
• requiring maximal assistance for mobility
• arm or hand injury (unrelated to the stroke)
• upper extremity amputations
• inability to participate due to any illness, social or geographical reason, and any other diagnosis or limiting conditions that would affect participation

Sponsors & Collaborators

• Rowe, Veronica, M.D.: lead

Related Publications (1)

• Rowe VT, Neville M. Task Oriented Training and Evaluation at Home. OTJR (Thorofare N J). 2018 Jan;38(1):46-55. doi: 10.1177/1539449217727120. Epub 2017 Aug 31.

  PMID: 28856960 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Marsha Neville, PhD, OT

  Texas Woman's University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDIV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctoral Student

Study Record Dates

• First Submitted: July 27, 2016
• First Posted: August 2, 2016
• Study Start: June 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: August 2, 2016

Record last verified: 2016-07

Data Sharing

• IPD Sharing: Will not share