A Novel Therapy + E-learning Self-management Program for Stroke Survivors
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Change in Health Literacy From Baseline to 3 Months
研究概览
简要总结
Stroke survivors with arm paresis because of stroke use their "good" arm for daily activities, but in doing so may be self-limiting their own recovery of the "bad" arm. Traditional models of stroke rehabilitation fail to fully engage the survivor and care partner(s) in actively planning post-discharge habits that improve their capacity to live well over their entire lives. This study will test a cutting-edge in-person therapy + online training program designed to progressively transfer the responsibility of driving post-stroke recovery from the therapist to the survivor.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •paresis of one arm/hand because of ischemic or hemorrhagic stroke >2 mo. and <3 yrs prior
- •moderate arm impairment defined as a baseline Fugl-Meyer Assessment of the Upper Extremity score of at least 32±2 points but no more than 47±2 points (out of 60 points)
- •Montreal Cognitive Assessment score ≥22
- •ability to read English
- •ability to communicate as per the therapists' judgement at baseline testing
- •21-90 years of age
- •wi-fi connection in the home and either a computer, smartphone or tablet.
排除标准
- •lesion or injury to brainstem or cerebellum
- •other neurological disease that may impair motor or learning skills (e.g., Parkinson's Disease);
- •pain interfering with reaching
- •uncorrected vision making it difficult to read information on a computer, tablet or phone.
研究组 & 干预措施
e learning+therapy (TEAACH)
TEAACH-Training to Empower Activity-dependent plasticity-based Arm-use habits in the Community and at Home
干预措施: TEAACH (Behavioral)
结局指标
主要结局
Change in Health Literacy From Baseline to 3 Months
时间窗: Baseline Visit and 3 months
Health Literacy will be assessed via a standardize 18-item test designed to assess an adult's ability to read and understand common medical terms. Minimum = 0, Maximum = 18. Higher scores indicate greater health literacy.
Change in Self Management Skills From Baseline to 3 Months
时间窗: Baseline and 3 months
Participants' ability to manage their chronic condition (their stroke) will be assessed qualitatively using interview questions. Participants' narratives will be analyzed and reported as a description of how their own skills have changed.
次要结局
- Change in Self-Efficacy for Managing Daily Activities From Baseline to 3 Months and 5 Months(Baseline Visit, 3 months and 5 months)
- Change in Social Isolation From Baseline to 3 Months and 5 Months(Baseline Visit, 3 months & 5 months)
- Change in Emotional Support From Baseline to 3 Months and 5 Months(Baseline Visit, 3 months (Post Treatment+/- 3 days), & 5 months (Follow up +/- 3 days))
研究者
Michelle Woodbury
Associate Professor
Medical University of South Carolina