iADAPT to Support Strategy Training After Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Adherence: Observed client behavior
研究概览
简要总结
Adherence to rehabilitation interventions is associated with functional outcomes (e.g. independence in daily activities, return of motor function) after stroke. Low adherence to rehabilitation home programs is common after stroke. Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g. medication routines, smoking cessation). The investigators developed the iADAPT mobile application to support adherence to Strategy Training. Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke. This study examines the effects of the iADAPT mobile health application relative to a workbook on adherence to Strategy Training after stroke.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 105 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of Stroke
排除标准
- •prior exposure to Strategy Training
- •vision impairment that impairs ability to read device screen or worksheet
- •poor self-awareness (score of ≥2 on Self Awareness of Deficits Inventory item #1 or #2
- •current major depressive, bipolar, or psychotic disorder (Patient Health Questionnaire-9, PRIME-MD)
- •current alcohol or drug abuse (Mini International Neuropsychiatric Interview)
- •severe aphasia (score ≤1 on Boston Diagnostic Aphasia Examination)
- •current diagnosis of dementia, neurodegenerative disease, or cancer
- •anticipated discharge to a skilled nursing facility
研究组 & 干预措施
Strategy Training: iADAPT Application
Participants will use the iADAPT mobile health application to supplement to in-person and remote intervention sessions.
干预措施: Strategy Training (Behavioral)
Strategy Training: Workbook
Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.
干预措施: Strategy Training (Behavioral)
结局指标
主要结局
Adherence: Observed client behavior
时间窗: Baseline to 3 months
Number of completed activity trials in the iADAPT application or Workbook
Adherence: Client-reported progress on goals.
时间窗: Baseline and 3 months
Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure)
次要结局
- Adherence: Client perspectives on treatment environment(Baseline and 3 months)
研究者
Elizabeth R. Skidmore, PhD, OTR/L
Professor
University of Pittsburgh