Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
- Conditions
- StrokeActivities of Daily Living
- Interventions
- Behavioral: Home health educationBehavioral: Approach-Instrumental Activities of Daily Living
- Registration Number
- NCT04399759
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 27
- 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
- Diagnosis of dementia
- History of orthopedic diseases or peripheral nerve injury
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Control group Home health education Home health education A-IADL Group Approach-Instrumental Activities of Daily Living Approach-Instrumental Activities of Daily Living in home
- Primary Outcome Measures
Name Time Method Lawnton Instrumental Activities of Daily Living 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 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 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 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 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 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 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 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 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 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 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.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Cardinal Tien Hospital
🇨🇳New Taipei City, Xindian Dist, Taiwan