Task-Specific Self-Rehabilitation Training (TASSRET) Trial

NCT07208422 | Recruiting

• 2 other identifiers: TASSRETTrialNHREC/BUK-HREC/06/12/119/5
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this pilot RCT is to evaluate the effectiveness of a Task-specific Self-rehabilitation Training (TASSRET) program and compare the effect of the two formats of the TASSRET (video vs manual) on functional ability (upper extremity fine and gross motor skills, upper extremity manual dexterity and speed, voluntary movement and basic mobility, gait velocity, balance) and health-related quality of life among Hausa-native stroke survivors. The main questions it aims to answer are:

1. 1.What is the immediate effect and durability of TASSRET on functional ability (upper extremity fine and gross motor skills, upper extremity manual dexterity and speed, voluntary movement and basic mobility, gait velocity, balance) and health-related quality of life among the Hausa-native stroke survivors?
2. 2.Which of the self-rehabilitation formats (TASSRET-manual or TASSRET-video) is more effective (immediate and durable) at improving functional ability (upper extremity fine and gross motor skills, upper extremity manual dexterity and speed, voluntary movement and basic mobility, gait velocity, balance) and health-related quality of life among the Hausa-native stroke survivors?

Conditions

Stroke; Stroke Ischemic; Stroke Hemorrhagic; Hemiparesis After Stroke

Keywords

Stroke rehabilitation; Task-specific Training; LMICs; Self-administered intervention; Functional ability

Outcome Measures

Primary Outcomes (6)

• Action Research Arm Test (ARAT)

  This is a measure of upper extremity fine and gross motor skills. The scale ranges from 0 to 57, with higher scores indicating better upper extremity fine and gross motor skills.

  Baseline, six weeks post-intervention and three-month follow-up.

• Stroke Rehabilitation Assessment of Movement (STREAM)

  A measure of voluntary movement and basic mobility. The scale ranges from o to 100, with higher scores indicating better voluntary movement and basic mobility.

  Baseline, six weeks post-intervention and three-month follow-up.

• Box and Block Test (BBT)

  This measure manual dexterity and speed. The assessment is based on the number of blocks transferred from one compartment to the other within one minute. Higher scores indicate better manual dexterity and speed.

  Baseline, six weeks post-intervention and three-month follow-up.

• Ten-Meter Walk Test (10MWT)

  A measure of gait velocity. This is the time taken to walk a distance of ten meters, it is reported in meter per second. Lower scores indicate better gait velocity.

  Baseline, six weeks post-intervention and three-month follow-up.

• Mini-Balance Evaluation System Test (Mini-BEST)

  This is a measure of dynamic balance. The scores range from 0 to 28, with higher scores indicating better dynamic balance.

  Baseline, six weeks post-intervention and three-month follow-up.

• Stroke Impact Scale (SIS)

  A self-reported measure of health-related quality of life. The scores range from 0 to 100, with higher scores indicating better perceived health-related quality of life.

  Baseline, six weeks post-intervention and three-month follow-up.

Secondary Outcomes (2)

• Modified Ashworth scale (MAS)

  Baseline, six weeks post-intervention and three-month follow-up.

• Manual Muscle Testing (MMT)

  Baseline, six weeks post-intervention and three-month follow-up.

Other Outcomes (1)

• Adverse event

  Six weeks post-intervention and three-month follow-up.

Study Arms (2)

TASSRET-video

EXPERIMENTAL

Participants in this group will use the TASSRET-video, which will be transferred to their phones via Xender (a file-sharing app). The application is user-friendly and features video clips of individuals demonstrating task training, accompanied by verbal explanations in Hausa. Upon opening the app, participants first view an introductory video on how to use the application. They can then navigate through three main sections: training for upper extremity function, training for lower extremity and balance function, and training for trunk strength. Each section starts with an instructional video. Participants will be required to select training sessions based on their rehabilitation needs, follow the videos, and perform the tasks, starting with ten repetitions or more (depending on comfort) per session. The number of repetitions is to be increased by at least 50% weekly, not exceeding a maximum of 300 repetitions per session. The training will be performed twice daily, three times per wee

Behavioral: Video-based Task-specific Training

TASSRET-manual

ACTIVE COMPARATOR

2\. TASSRET-manual: Participants in this group will be given the TASSRET-manual, which contains the same task training as the video version. The manual covers pictures of individuals demonstrating the tasks with a corresponding text description in the Hausa language. Participants will be instructed to follow the images and text descriptions to perform the tasks, mirroring the training process in the video group. The frequency, number of repetitions, and duration of the intervention are the same as in the TASSRET-video group.

Behavioral: Manual-based Task-specific Training

Interventions

Video-based Task-specific Training BEHAVIORAL

Video-based self-administered TST

Also known as: Video-based TST

TASSRET-video

Manual-based Task-specific Training BEHAVIORAL

Manual-based self-administered TST

Also known as: Manual-based TST

TASSRET-manual

Eligibility Criteria

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

You may qualify if:

• Are aged 18 years or older
• Diagnosed with a first-ever episode of ischemic or haemorrhagic stroke (including intracerebral haemorrhage and subarachnoid haemorrhage)
• Speaks and understands the Hausa language
• Living within the community and having no access to physiotherapy care
• Having access to an Android phone
• More than 10-degree extension of the index finger and abduction of the thumb
• Cognitive ability to follow commands, as indicated by a score of 0 to 1 on the Commands item of the National Institutes of Health Stroke Scale or a Mini-Mental State Examination score of ≥24
• Ability to stand and take a step (with or without support).

You may not qualify if:

• Had cerebrovascular events due to malignancy or head trauma
• Had been diagnosed with other neurological disorders
• Were not permanent residents of the selected communities
• Were currently receiving any form of physical rehabilitation.

Sponsors & Collaborators

• National Assembly Clinic: lead
• Bayero University Kano, Nigeria: collaborator

Study Sites (1)

Kura, Karfi and Dan-Hassan communities

Kano, 711101, Nigeria

RECRUITING

Related Publications (1)

• Ibrahim R, Joseph C, Stewart A, Lawal IU. Self-rehabilitation strategy for rural community-dwelling stroke survivors in a lower-middle income country: a modified Delphi study. PLoS One. 2025 Feb 25;20(2):e0303658. doi: 10.1371/journal.pone.0303658. eCollection 2025.

  PMID: 39999052 BACKGROUND

Related Links

• The article reported the development of the Task-specific Self-rehabilitation intervention (TASSRET). This protocol described how the effectiveness of two formats of this intervention will be evaluated via pilot RCT

MeSH Terms

Conditions

Stroke; Hemorrhagic Stroke; Ischemic Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Rabiu Ibrahim, MSc

  National Assembly Clinic

  PRINCIPAL INVESTIGATOR

• Isa U Lawal, PhD

  Bayero University Kano, Nigeria

  STUDY CHAIR

Central Study Contacts

Rabiu Ibrahim, MSc

CONTACT

+2348034578911; tok2rabs@gmail.com

Isa U Lawal, PhD

CONTACT

+2347033318835; iulawal.pth@buk.edu.ng

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Stattitician
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Physiotherapy

Study Record Dates

• First Submitted: September 27, 2025
• First Posted: October 6, 2025
• Study Start: June 7, 2025
• Primary Completion: December 1, 2025
• Study Completion: February 1, 2026
• Last Updated: December 19, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: At the end of the study (sometimes in November 2025)
• Access Criteria: The Raw data (anonymized) can be accessed from the principal investigator on request.

Locations

NG (1)