Feasibility Study of Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program Among People With Stroke in Bang

NCT07272759 | Active Not Recruiting DMC

• 1 other identifier: CRP-ERC-R&E-0401-0479
• Study Type: interventional
• Target: 6
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke causes major disability issues in Bangladesh and often leaves people unable to look after themselves, work, or participate in family and community life. Most stroke survivors in Bangladesh do not receive adequate rehabilitation, and existing services focus mainly on physical exercises, not on helping people return to meaningful activities. The REAP programme is a new therapy approach that remediates skills through structured training, educates patients and families on stroke management, adapts tasks or environments to make daily activities easier, and promotes participation in meaningful roles and activities. This study will test whether the REAP programme can be delivered successfully in a Bangladeshi rehabilitation centre, whether patients find it acceptable, and whether it helps people become more independent and improves quality of life.

Conditions

Stroke

Outcome Measures

Primary Outcomes (7)

• Barthel Index

  Assesses independence in activities of daily living (ADLs).

  From enrollment to 12 weeks

• Montreal Cognitive Assessment (MoCA)

  Screens for cognitive impairment.

  Enrollment to 12 weeks

• Bangladeshi Occupational Self-Assessment - Short Form (BOSA-SF) (

  Evaluates perceived occupational competence and values within the local context.

  Enrollment to 12 weeks

• Fugl-Meyer Assessment (FMA)

  Assesses motor recovery post-stroke

  Enrollment to 12 weeks

• Occupational Balance Questionnaire

  Measures balance between different occupational areas in everyday life.

  Enrollment to 12 weeks

• Life Satisfaction Questionnaire (LiSat-11)

  Assesses subjective life satisfaction across various domains

  Enrollment to 12 weeks

• Zarit Caregiver Burden Scale

  Assesses the level of burden experienced by informal caregivers

  Enrollment to 12 weeks

Study Arms (1)

Stroke patients who are taking rehabilitation

EXPERIMENTAL

Stroke patients aged 18-64 years, diagnosed with stroke (ischemic/hemorrhagic) 3-6 months prior, medically stable and able to provide informed consent, MoCA score ≥18.

Other: Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program

Interventions

Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program OTHER

The REAP program consists of four core components designed to address the complex needs of stroke survivors: 1. Remediation 2. Education 3. Adaptation 4. Promotion

Stroke patients who are taking rehabilitation

Eligibility Criteria

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

You may qualify if:

• Aged 18-64 years,
• Diagnosed with stroke (ischemic/hemorrhagic) 3-24 months prior,
• Medically stable and able to provide informed consent,
• MoCA score ≥18.

You may not qualify if:

• Severe receptive aphasia,
• Major psychiatric disorders,
• Unstable medical conditions

Sponsors & Collaborators

• Tokyo Metropolitan University: lead
• Centre for the Rehabilitation of the Paralysed, Bangladesh: collaborator

Study Sites (1)

Centre for the Rehabilitation of the Paralysed (CRP)

Dhaka, Bangladesh

Location

MeSH Terms

Conditions

Stroke

Interventions

Educational Status; Acclimatization

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics; Adaptation, Physiological; Physiological Phenomena; Adaptation, Biological; Biological Phenomena

Study Officials

• Peter Bontje, PhD

  Tokyo Metropolitan University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Azharul Islam

Study Record Dates

• First Submitted: November 26, 2025
• First Posted: December 9, 2025
• Study Start: October 20, 2025
• Primary Completion: December 20, 2025
• Study Completion: March 30, 2026
• Last Updated: December 9, 2025

Record last verified: 2025-11

Locations

BA (1)