Home-based Cognitive Strategy Training for Daily Living in Adults With Chronic Stroke

NCT07084025 | Recruiting

• 1 other identifier: RC31/24/0579
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot experimental study aims to describe the feasibility of a cognitive strategy training protocol : PRPP-I, in activities of daily life across home-based setting for adults with chronic stroke for improvement of independence and quality of life. Aditionnally to examine preliminary effectiveness of PRPP-I protocol within a home-based setting on functional cognitive strategies, independence, quality of life and career burden.

Conditions

Stroke; Cerebrovascular Disorders

Keywords

Cognitive strategy training; Task-based; Ecological; Performance; Activities of Daily Living

Outcome Measures

Primary Outcomes (1)

• Feasability

  Composite outcome examine (1) the recruitment, (2) adherence to the protocol, (3) the implementation of the procedures (delivery) of the intervention and (4) the fidelity to intervention. (1) the adequate recruitment rate will be 9 participants who meet the inclusion criteria, assessed at 24 months; (2) Adherence will be adequate if \> 80% of participants complete the PRPP-I protocol at home (≥80% of sessions) for 4 weeks, assessed at 4 weeks post-intervention; (3) Intervention procedures (delivery) will be assessed based on the implementation of resources for 12 PRPP-I intervention sessions delivered at home over 4 weeks, assessed at 4 weeks post-intervention; (4) Intervention fidelity, according to the PRPP-I protocol (i.e., intervention implementation) will be assessed using a standardized checklist. A procedural fidelity of ≥ 80% will be interpreted as adequate, calculated using the Tate \& Perdices formula of 2019 and in accordance with SCRIBE guidelines.

  From enrollment to the end of intervention at 4 weeks

Secondary Outcomes (1)

• Functional Independence Measure (FIM)

  At enrollment, Start of intervention (between 1 and 5 weeks post enrollment), End of intervention (between 5 and 9 weeks post enrollment), and 3-month follow-up post end of intervention

Study Arms (1)

Perceive, Recall, Plan and Perform-Intervention (PRPP-I)

EXPERIMENTAL

task-based cognitive strategy training during activities appropriate for delivery in home-based setting.

Other: Perceive, Recall, Plan and Perform-Intervention protocol (PRPP-I)

Interventions

Perceive, Recall, Plan and Perform-Intervention protocol (PRPP-I) OTHER

delivered over a 4-week period, in 12 sessions (45/60 min, 3 days a week for 4 weeks) for all patients according to the PRPP-I protocol. The intervention will be carried out by a PRPP-certified occupational therapist working on a Master's degree. It will consist of : * Implementation of training in functional cognitive strategies and meta-prompts through performance in home activities, * Repeated measurement of performance judgment criteria ; * Assessment of cognitive strategies * personalized implementation of the PRPP-I cognitive strategy training protocol. * Collection of feasibility modalities when tracking the intervention (e.g., time, transport, etc.).

Perceive, Recall, Plan and Perform-Intervention (PRPP-I)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• Neurological pathology other than stroke or psychiatric disorder;
• Significant cognitive impairment, according to MoCA score \<18/30;
• Patient with severe aphasia, Boston Diagnostic Aphasia Examination score \>2

Sponsors & Collaborators

• University Hospital, Toulouse: lead

Study Sites (1)

University Hospital of Toulouse

Toulouse, France

RECRUITING

MeSH Terms

Conditions

Stroke; Cerebrovascular Disorders

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Margot MORIN

CONTACT

05 61 77 73 47; morin.mar@chu-toulouse.fr

Clémence Le Bervet

CONTACT

0561777087; drci.toulouse@chu-toulouse.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: SCED (single-case design) in multiple baselines across 9 adults living at home with post-stroke cognitive disorders in chronic phase.

Study Record Dates

• First Submitted: July 16, 2025
• First Posted: July 24, 2025
• Study Start: January 5, 2026
• Primary Completion (Estimated): December 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: May 8, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)