Clinical trial NCT04399759: Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
Official title: Investigation of the Effect on Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Activities of Daily Living
Keywords: Stroke
Activities of Daily Living
Home Care Services
Lead sponsor: National Taipei University of Nursing and Health Sciences
Sponsor class: OTHER
First posted: 2020-05-22
Enrollment: 27
Sex: ALL
Minimum age (years): 20
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

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.

Detailed description: Subjects were randomized to intervention group and control group. The experiment was designed as randomized cross-over control trial. The primary outcome included 11 measures, Fugl-Meyer Assessment, Balance computerized adaptive testing, Mini Mental State Examination, Participation Measure-3 Domains ,4 Dimensions, Canadian Occupational Performance Measure, Barthel Index-based Supplementary Scales, Frenchay Activities Index, Lawnton Instrumental Activities of Daily Living, stroke impact scale, Stroke Self-Efficacy Questionnaire, and Kingston Caregiver Stress Scale.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* Diagnosis of dementia
* History of orthopedic diseases or peripheral nerve injury

Primary outcomes:
measure: Fugl-Meyer Assessment
timeFrame: Baseline to 6 weeks
measure: Balance computerized adaptive testing
timeFrame: Baseline to 6 weeks
measure: Mini Mental State Examination
timeFrame: Baseline to 6 weeks
measure: Participation Measure-3 Domains ,4 Dimensions
timeFrame: Baseline to 6 weeks
measure: Canadian Occupational Performance Measure
timeFrame: Baseline to 6 weeks
measure: Barthel Index (BI) -based Supplementary Scales
timeFrame: Baseline to 6 weeks
measure: Frenchay Activities Index
timeFrame: Baseline to 6 weeks
measure: Lawnton Instrumental Activities of Daily Living
timeFrame: Baseline to 6 weeks
measure: Stroke Impact Scale
timeFrame: Baseline to 6 weeks
measure: Stroke Self-Efficacy Questionnaire
timeFrame: Baseline to 6 weeks
measure: Kingston Caregiver Stress Scale
timeFrame: Baseline to 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: New Taipei City
country: Taiwan
facility: Cardinal Tien Hospital
state: Xindian Dist
Study officials:
affiliation: National Taipei University of Nursing and Health Sciences
name: En-Chi Chiu, PhD
role: STUDY_DIRECTOR
References:
citation: 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.