Clinical trial NCT03828851: Development of Domiciliary Program on Improving Activities of Daily Living Program for Patients With Stroke
Official title: Development of Domiciliary Program on Improving Activities of Daily Living Program for Patients With Stroke
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2019-02-04
Enrollment: 26
Sex: ALL
Minimum age (years): 20
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study was to investigate the effects of the Domiciliary care- Activities of Daily Living program on activities of daily living (ADL), motor, cognition, perception, sensory, quality of life, and depression for patients with stroke.

Detailed description: Administering ADL and recovery of ADL functions are the primary efficacy indicators in long-term care and the main treatment goals in rehabilitation for patients with stroke. Residential rehabilitation is a direct way to observe patients' living environment and provides feasible ADL treatment plans for patients with stroke living at home or in the community. The purpose of this study was to investigate the effects of the Domiciliary care- Activities of Daily Living program on activities of daily living, motor, cognition, perception, sensory, quality of life, and depression. The eligible participants were recruited and assigned into two groups: ADL home program and control group who received traditional rehabilitation in hospital. The primary outcome measures were the Canadian Occupational Performance Measure, the Barthel Index-based Supplementary Scales, the Frenchay Activities Index, and ADL domain of the Stroke Impact Scale. The secondary outcome measures were the Fugl-Meyer Assessment, the Mini Mental State Examination, the Test of Visual Perceptual Skills-Third Edition, and the Center of Epidemiological Study-Depression.

Eligibility criteria: Inclusion Criteria:

* Diagnosis of stroke
* Aged \> 20 years
* Score 2-4 of the modified Rankin Scale
* Capability of following instructions
* Willing to participants to the study

Exclusion Criteria:

* Diagnoses of dementia and Parkinson's disease
* Physical limitations because of orthopedics diseases
* Peripheral nerve injury

Primary outcomes:
measure: Changes of the Canadian Occupational Performance Measure
timeFrame: 6 months
measure: Changes of the Barthel Index-based Supplementary Scales
timeFrame: 6 months
measure: Changes of the Frenchay Activities Index
timeFrame: 6 months
measure: Changes of the ADL domain of the Stroke Impact Scale
timeFrame: 6 months
Secondary outcomes:
measure: Changes of the Fugl-Meyer Assessment
timeFrame: 6 months
measure: Changes of the Mini Mental State Examination
timeFrame: 6 months
measure: Changes of the Test of Visual Perceptual Skills-Third Edition
timeFrame: 6 months
measure: Changes of the Center of Epidemiological Study-Depression
timeFrame: 6 months
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hospital
state: Zhongzheng District
Study officials:
affiliation: National Taiwan University Hospital
name: Der-Sheng Han, Doctor
role: STUDY_CHAIR
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.