Influence of Mobility related Environmental Enrichment on Motivation in Stroke Survivors
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 入组人数
- 68
- 试验地点
- 1
- 主要终点
- 1. Determinants of Physical Activity Questionnaire
研究概览
简要总结
BACKGROUND : One of the most disabling outcomes of stroke has been found as a limitation in community walking. More than 80% of stroke patients experience walking difficulties, which ultimately restricts their capacity to carry out everyday tasks and interact with others in the community. Thus, identifying the environmental features and ultimately changing the environment to be more accessible has the potential to increase walking in the community.
OBJECTIVE: To identify the influence of environmental enrichment on motivation in stroke survivors.
DESIGN : Randomised, parallel group, multiple arm trail.
SETTING :Physiotherapy department in Stroke rehabilitation centers, Physiotherapy OPD’s and Neuro physiotherapy clinics in Bangalore.
PARTICIPANTS: 68 participants will be randomly allocated through concealed allocation into 4 groups which is based on the levels of enriched environment.
INTERVENTION: A semi-standardized interview will be conducted for 68 participants. Interviews with participants will be tape recorded, audio files will be transcribed verbatim. Pre- assessment will be done using scales. The facilitators and barriers for each participant will be noted from the interview. Based upon the groups, they are in, intervention will be provided for 4 weeks using “Action Statementâ€. 4 week- intervention programme will be given for 40 minutes, 5 days per week. Post- assessment will be done after 4 weeks of intervention using outcome measures.
MAIN OUTCOME MEASURES : The Primary Outcome Measures will measure the levels of motivation using self report questionnaires at baseline and post intervention. The following outcome measures will be used : Determinants of Physical Activity Questionnaire (DPAQ), Self Efficacy for Exercise (SEE), Stages of Change Questionnaire and Intentional scales. These questionnaires will be translated into community mobility.
DATA ANALYSIS : The data collected between group analysis will be done using Mann-Whitney U Test to find out whether enrichment changes motivation levels in patients
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Participants who are diagnosed with ischemic/ hemorrhagic stroke confirmed on CT or MRI.
- •Male and Female participants.
- •Stroke survivors above 18 years of age.
- •Sub-acute and Chronic stage stroke survivor.
- •Participants who are mobile with or without assistive devices.
排除标准
- •Participants diagnosed without Neurological or Neuromuscular Disorder.
- •Participants who are with cognitive deficits i.e., MMSE score less than 18
- •Participants who are not willing to participate in the study.
- •â€¢ Participants with acute lower limb injury.
结局指标
主要结局
1. Determinants of Physical Activity Questionnaire
时间窗: Baseline -0 | Post Intervention - 4 weeks
2. Self efficacy for Exercise
时间窗: Baseline -0 | Post Intervention - 4 weeks
3. Stages of Change questionnaire
时间窗: Baseline -0 | Post Intervention - 4 weeks
4. Intention scales
时间窗: Baseline -0 | Post Intervention - 4 weeks
5. Perceived Barriers to Community mobility Questionnaire
时间窗: Baseline -0 | Post Intervention - 4 weeks
次要结局
未报告次要终点
研究者
Subhicha R S
The Oxford College of Physiotherapy