Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
Investigation of the Effect on Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
1 other identifier
interventional
27
1 country
1
Brief Summary
The purpose of this study was to conduct a randomized clinical trial. Implement instrumental daily activities of daily living (A-IADL) in home rehabilitation. To explore the effect of A-IADL on stroke patients' movement, cognition, social participation, daily life function and quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable stroke
Started Sep 2020
Shorter than P25 for not_applicable stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2020
CompletedFirst Posted
Study publicly available on registry
May 22, 2020
CompletedStudy Start
First participant enrolled
September 4, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2021
CompletedJuly 28, 2021
July 1, 2021
7 months
May 19, 2020
July 21, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (11)
Fugl-Meyer Assessment
The Fugl-Meyer Assessment scale is an index to assess the sensorimotor impairment in individuals who have had stroke. The score ranges is 0 to 226. A higher score indicates better body function.
Baseline to 6 weeks
Balance computerized adaptive testing
The Balance computerized adaptive testing is a test about stroke patients, includes movement, balance, activities of daily living.
Baseline to 6 weeks
Mini Mental State Examination
The Mini Mental State Examination general cognitive function. The score ranges is 0 to 30. A higher score indicates better general cognitive function.
Baseline to 6 weeks
Participation Measure-3 Domains ,4 Dimensions
The Participation Measure-3 Domains, 4 Dimensions assesses social participation. A higher score indicates better social participation.
Baseline to 6 weeks
Canadian Occupational Performance Measure
The COPM protocol is divided into three areas: self-care, productivity, and leisure. Patients define important activities and classify them with a score of one to 10. A higher score indicates better occupational performance.
Baseline to 6 weeks
Barthel Index (BI) -based Supplementary Scales
The Barthel Index-based Supplementary Scales assesses basic activities of daily living using three scales:actual performance, ability, and self-perceived difficulty. The score ranges the three scales (i.e., actual performance, ability, and self-perceived difficulty)is 0-20, 0-18, and 0-20, respectively. A higher score indicates better basic activities of daily living.
Baseline to 6 weeks
Frenchay Activities Index
The Frenchay Activities Index is a measure of instrumental activities of daily living for use with patients recovering from stroke. The score ranges is 0 to 45. A higher score indicates better instrumental activities of daily living.
Baseline to 6 weeks
Lawnton Instrumental Activities of Daily Living
The Lawnton Instrumental Activities of Daily Living assesses instrumental activities of daily living.The score ranges is 0 to 8. A higher score indicates better instrumental activities of daily living.
Baseline to 6 weeks
Stroke Impact Scale
The Stroke Impact Scale assesses other dimensions of health-related quality of life: emotion, communication, memory and thinking, and social role function.The score ranges is 59 to 295. A lower score indicates the quality of life less affected by stroke.
Baseline to 6 weeks
Stroke Self-Efficacy Questionnaire
The Stroke Self-Efficacy Questionnaire is a self-report scale measuring self-efficacy judgments in specific domains of functioning post stroke. The score ranges is 0 to 130. A higher score indicates better self-efficacy.
Baseline to 6 weeks
Kingston Caregiver Stress Scale
The Kingston Caregiver Stress Scale is a self-report scale measuring caregiver stress. The score ranges is 10 to 50. A higher score indicates greater stress.
Baseline to 6 weeks
Study Arms (2)
A-IADL Group
EXPERIMENTALApproach-Instrumental Activities of Daily Living in home
Control group
ACTIVE COMPARATORHome health education
Interventions
Individualized instrumental activities of daily living training
Eligibility Criteria
You may qualify if:
- age \> 20 years
- Diagnosis of stroke
- The modified Rankin Scale : 2\~4
- Keep sitting for half an hour by himself/herself
- Follow instructions
- Willing to sign the subject's consent
You may not qualify if:
- Diagnosis of dementia
- History of orthopedic diseases or peripheral nerve injury
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cardinal Tien Hospital
New Taipei City, Xindian Dist, 231403, Taiwan
Related Publications (1)
Gibson E, Koh CL, Eames S, Bennett S, Scott AM, Hoffmann TC. Occupational therapy for cognitive impairment in stroke patients. Cochrane Database Syst Rev. 2022 Mar 29;3(3):CD006430. doi: 10.1002/14651858.CD006430.pub3.
PMID: 35349186DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
En-Chi Chiu, PhD
National Taipei University of Nursing and Health Sciences
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
May 19, 2020
First Posted
May 22, 2020
Study Start
September 4, 2020
Primary Completion
April 1, 2021
Study Completion
April 1, 2021
Last Updated
July 28, 2021
Record last verified: 2021-07