Investigation of the Effect on Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 27
- 试验地点
- 2
- 主要终点
- Lawnton Instrumental Activities of Daily Living
研究概览
简要总结
The purpose of this study was to conduct a randomized clinical trial. Implement instrumental daily activities of daily living (A-IADL) in home rehabilitation. To explore the effect of A-IADL on stroke patients' movement, cognition, social participation, daily life function and quality of life.
详细描述
Subjects were randomized to intervention group and control group. The experiment was designed as randomized cross-over control trial. The primary outcome included 11 measures, Fugl-Meyer Assessment, Balance computerized adaptive testing, Mini Mental State Examination, Participation Measure-3 Domains ,4 Dimensions, Canadian Occupational Performance Measure, Barthel Index-based Supplementary Scales, Frenchay Activities Index, Lawnton Instrumental Activities of Daily Living, stroke impact scale, Stroke Self-Efficacy Questionnaire, and Kingston Caregiver Stress Scale.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age > 20 years
- •Diagnosis of stroke
- •The modified Rankin Scale : 2~4
- •Keep sitting for half an hour by himself/herself
- •Follow instructions
- •Willing to sign the subject's consent
排除标准
- •Diagnosis of dementia
- •History of orthopedic diseases or peripheral nerve injury
结局指标
主要结局
Lawnton Instrumental Activities of Daily Living
时间窗: Baseline to 6 weeks
The Lawnton Instrumental Activities of Daily Living assesses instrumental activities of daily living.The score ranges is 0 to 8. A higher score indicates better instrumental activities of daily living.
Balance computerized adaptive testing
时间窗: Baseline to 6 weeks
The Balance computerized adaptive testing is a test about stroke patients, includes movement, balance, activities of daily living.
Mini Mental State Examination
时间窗: Baseline to 6 weeks
The Mini Mental State Examination general cognitive function. The score ranges is 0 to 30. A higher score indicates better general cognitive function.
Canadian Occupational Performance Measure
时间窗: Baseline to 6 weeks
The COPM protocol is divided into three areas: self-care, productivity, and leisure. Patients define important activities and classify them with a score of one to 10. A higher score indicates better occupational performance.
Fugl-Meyer Assessment
时间窗: Baseline to 6 weeks
The Fugl-Meyer Assessment scale is an index to assess the sensorimotor impairment in individuals who have had stroke. The score ranges is 0 to 226. A higher score indicates better body function.
Barthel Index (BI) -based Supplementary Scales
时间窗: Baseline to 6 weeks
The Barthel Index-based Supplementary Scales assesses basic activities of daily living using three scales:actual performance, ability, and self-perceived difficulty. The score ranges the three scales (i.e., actual performance, ability, and self-perceived difficulty)is 0-20, 0-18, and 0-20, respectively. A higher score indicates better basic activities of daily living.
Stroke Impact Scale
时间窗: Baseline to 6 weeks
The Stroke Impact Scale assesses other dimensions of health-related quality of life: emotion, communication, memory and thinking, and social role function.The score ranges is 59 to 295. A lower score indicates the quality of life less affected by stroke.
Participation Measure-3 Domains ,4 Dimensions
时间窗: Baseline to 6 weeks
The Participation Measure-3 Domains, 4 Dimensions assesses social participation. A higher score indicates better social participation.
Stroke Self-Efficacy Questionnaire
时间窗: Baseline to 6 weeks
The Stroke Self-Efficacy Questionnaire is a self-report scale measuring self-efficacy judgments in specific domains of functioning post stroke. The score ranges is 0 to 130. A higher score indicates better self-efficacy.
Frenchay Activities Index
时间窗: Baseline to 6 weeks
The Frenchay Activities Index is a measure of instrumental activities of daily living for use with patients recovering from stroke. The score ranges is 0 to 45. A higher score indicates better instrumental activities of daily living.
Kingston Caregiver Stress Scale
时间窗: Baseline to 6 weeks
The Kingston Caregiver Stress Scale is a self-report scale measuring caregiver stress. The score ranges is 10 to 50. A higher score indicates greater stress.
次要结局
未报告次要终点
研究者
En-Chi Chiu
Associate Professor
National Taipei University of Nursing and Health Sciences