iADAPT to Support Strategy Training After Stroke

Not Applicable

Completed

• Conditions: Adherence, Patient; Stroke; Strategy Training
• Interventions: Behavioral: Strategy Training

• Registration Number: NCT03253601
• Lead Sponsor: University of Pittsburgh

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-08-14
• Study First Submitted: 2017-08-14
• Study First Submitted QC: 2017-08-16
• Study First Posted: 2017-08-18
• Primary Completion: 2019-07-08
• Study Completion: 2019-12-31
• Status Verified: 2020-07
• Last Update Submitted: 2020-07-01
• Last Update Posted: 2020-07-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

-Diagnosis of Stroke

Exclusion Criteria

• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Strategy Training: Workbook	Strategy Training	Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.
Strategy Training: iADAPT Application	Strategy Training	Participants will use the iADAPT mobile health application to supplement to in-person and remote intervention sessions.

Primary Outcome Measures

Name	Time	Method
Adherence: Observed client behavior	Baseline to 3 months	Number of completed activity trials in the iADAPT application or Workbook
Adherence: Client-reported progress on goals.	Baseline and 3 months	Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure)

Secondary Outcome Measures

Name	Time	Method
Adherence: Client perspectives on treatment environment	Baseline and 3 months	Client rating on patient-provider connection and treatment expectancy measured by Healing Encounters and Attitudes Lists

Trial Locations

Locations (1)

University of Pittsburgh; 🇺🇸 Pittsburgh, Pennsylvania, United States