Development of Domiciliary Program on Improving Activities of Daily Living Program for Patients With Stroke
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Changes of the Canadian Occupational Performance Measure
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 99 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Control group
Receive rehabilitation program in the hospital.
Experimental group
ADL training program.
Intervention: Domiciliary care - Activities of Daily Living (Other)
Outcomes
Primary Outcomes
Changes of the Canadian Occupational Performance Measure
Time Frame: 6 months
The Canadian Occupational Performance Measure assesses occupational performance. The total score ranges from 1-10. A higher score indicates better occupational performance. Changes of occupational performance will be assessed at the 6 weeks, 12 weeks, and 6 months.
Changes of the Barthel Index-based Supplementary Scales
Time Frame: 6 months
The Barthel Index-based Supplementary Scales assesses basic activities of daily living. The total score range from 0-58. A higher score indicates better basic activities of daily living. Changes of basic activities of daily living will be assessed at the 6 weeks, 12 weeks, and 6 months.
Changes of the Frenchay Activities Index
Time Frame: 6 months
The Frenchay Activities Index assesses instrumental activities of daily living. The total score range from 0-45. A higher score indicates better instrumental activities of daily living. Changes of instrumental activities of daily living will be assessed at the 6 weeks, 12 weeks, and 6 months.
Changes of the ADL domain of the Stroke Impact Scale
Time Frame: 6 months
The ADL domain of the Stroke Impact Scale assess difficulty in performing activities of daily living. The domain score range from 10-50. A higher score indicates less difficulty in performing activities of daily living. Changes of difficulty in performing activities of daily living will be assessed at the 6 weeks, 12 weeks, and 6 months.
Secondary Outcomes
- Changes of the Fugl-Meyer Assessment(6 months)
- Changes of the Mini Mental State Examination(6 months)
- Changes of the Center of Epidemiological Study-Depression(6 months)
- Changes of the Test of Visual Perceptual Skills-Third Edition(6 months)