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Self-management EdUcation and SuPport to Promote PsychOsocial Health Among StRoke Survivors and Informal Caregivers in a VirTual Stroke Community (SUPPORT)

Not Applicable
Completed
Conditions
Stroke
Interventions
Behavioral: Learning in a Virtual Environment (LIVE)
Registration Number
NCT05487144
Lead Sponsor
The University of Texas Health Science Center, Houston
Brief Summary

The purpose of this study is to create a virtual stroke community for stroke survivors and informal caregivers of stroke survivors by customizing an existing VE intervention to incorporate real-time, stroke-specific, psychosocial self management education (SME) and social interactions, to test feasibility, acceptability, and usability of the customized intervention for stroke survivors and informal caregivers of stroke survivors and to obtain and explore data to derive evidence-based hypotheses and properly design and conduct a future, larger trial to demonstrate treatment efficacy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
22
Inclusion Criteria
  • Stroke survivors that have experienced an ischemic or hemorrhagic stroke event and their caregivers
  • can read, write, and speak English
  • are able to provide written consent
  • are computer literate (have used a computer for ≥1 month)
  • have access to a computer with broadband internet at home
  • understand how to use the Internet (accessed the Internet on ≥2 occasions)
Exclusion Criteria
  • reside outside of the home
  • Montreal Cognitive Assessment score of <9 indicating moderate to severe impairment
  • Caregivers that provide long-distance care. I

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TreatmentLearning in a Virtual Environment (LIVE)-
Primary Outcome Measures
NameTimeMethod
Acceptability as assessed by the number of VE Meetings attendedpost intervention (8 weeks from baseline)
Usability as assessed by the perceived usefulness scorepost intervention (8 weeks from baseline)
Usability as assessed by the perceived ease of use scorespost intervention (8 weeks from baseline)

This has 10 items, each scored form 1(strongly disagree) to 5(strongly agree), higher score meaning higher perceived ease of use

Usability as assessed by the number of times the participants log inpost intervention (8 weeks from baseline)
Feasibility as assessed by the number of participants enrolled in the studypost intervention (8 weeks from baseline of last participant )

This will be defined as the number enrolled divided by the number of eligible individuals screened

Feasibility as assessed by the number of participants who complete the data collection formspost intervention (8 weeks from baseline of last participant )
Feasibility as assessed by the number of participants who complete the studypost intervention (8 weeks from baseline of last participant )
Usability as assessed by the time spent in the environment in minutespost intervention (8 weeks from baseline)
Acceptability as assessed by the number of VE objects manipulatedpost intervention (8 weeks form baseline)

Objects manipulated are the resources interacted with

Secondary Outcome Measures
NameTimeMethod
Change in perceived social support as assessed by the Multidimensional Scale of Perceived Social Support (MSPSS)Baseline, post intervention (8 weeks after baseline)

This is a 12 item scale , each question is scored from 1(very strongly disagree) to 7(very strongly agree) for a maximum score of score of 84, a higher number indicating more social support

Change in anxiety as assessed by the Generalized Anxiety Disorder-7 scoreBaseline, post intervention (8 weeks after baseline)

This is a 7 item questionnaire, each is scored from 0(not at all) to 3(nearly every day) a higher number indicating more anxiety

Change in caregiver burden as assessed by the Zarit Burden Interview (ZBI)Baseline, post intervention (8 weeks after baseline)

This is a 22 item questionnaire,each one scored from 0(never)-4(nearly always) higher core indicating more burden

Change in ability to recover form stress as measured by the Brief Resilience ScaleBaseline, post intervention (8 weeks after baseline)

This is a 6 item questionnaire scored from 1 (strongly disagree) to 5 (strongly agree) a higher number indicating a better outcome?

Change in loneliness as assessed by the UCLA loneliness scale scoresBaseline, post intervention (8 weeks after baseline)

This is a 20 item questionnaire, each one is scored form 1(never) to 4(always). Scores for questions 1,5,6,9,10,15,16,19 and 20 are reversed(i.e. 1=4,2=3,3=2,4=1)and the scores for each item is then summed together, higher number indicating more loneliness

Change in self efficacy ( ability to perform tasks or behaviors) as assessed by the PROMIS General Self-efficacy FormBaseline, post intervention (8 weeks after baseline)

This is a 10 item questionnaire, each one is scored from 1(not at all true) to 4(exactly true), a higher number indicating a better outcome

Change in emotional support as assessed by the NIH Emotional Support FormBaseline, post intervention (8 weeks after baseline)

This is an 8 item questionnaire, and each is scored form 1(never)-5(always), for a maximum score of 40, a higher number indicating higher levels of emotional support

Change in post stroke depression as assessed by the Patient Health Questionnaire-9 score (PHQ-9)Baseline, post intervention (8 weeks after baseline)

This is a 9 item questionnaire, each scored from 0(not at all) to 3(nearly every day), a higher number indication g more depression

Change in instrumental support as assessed by the PROMIS Short Form v2.0Baseline, post intervention (8 weeks after baseline)

This is an 8 item questionnaire, and each is scored form 1(never)-5(always), for a maximum score of 40, a higher number indicating higher levels of instrumental support

Change in the amount that pain interferes with daily life as assessed by the PROMIS Short Form Pain Interference v 1.0 8aBaseline, post intervention (8 weeks after baseline)

This is an 8 item questionnaire and each is scored from 1 (not at all) to 5 (very much) a higher number indicating a worse outcome

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

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