Feasibility and Efficacy of HABIT - a Novel Occupational Therapy Intervention for Enhancing Daily-Use of the Affected Upper Extremity Among Individuals Post Stroke.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 11
- 试验地点
- 2
- 主要终点
- Change in scores of the Rating of Everyday Arm-Use in the Community and Home (REACH)
研究概览
简要总结
This experimental design will assess the feasibility & initial effectiveness of HABIT - a novel occupational therapy to increase the daily hand-use of the affected upper extremity post stroke.
Assessments will be conducted at four time points: baseline, pre, post the HABIT intervention and follow-up (by phone) .
详细描述
The goal of this study is to test the feasibility and efficacy of HABIT (Hand Activities Behavior Intervention) in increasing daily hand-use of the affected upper extremity among individuals with good motor ability post-stroke.
The aim of HABIT is to increase the daily use of the weaker hand in everyday activities by improving non-motor components (such as self-efficacy, raising the frustration threshold for performing tasks with the affected upper extremity, and creating opportunities for hand use). HABIT will include group discussions, analysis of challenges in using the affected upper extremity, home exercises, problem-solving and practice and dual-task activities. The intervention will focus on raising awareness, changing habits, and practicing the use of the affected upper extremity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18 and above residing in their own homes
- •Hebrew speakers
- •Up to 10 years post-stroke
- •Mild upper extremity motor impairment but still report difficulty using their hand. This will be determined by a total score of 43/66, including the Hand subtest score of 7/14 points of the Fugl-Meyer Motor Assessment.
- •No significant cognitive decline (score of 19 and above on Montreal Cognitive Assessment)
- •Able to walk with or without assistive devices
- •Able to provide informed consent by signing a consent form
- •Full function of both hands and independent in daily function prior to stroke
排除标准
- •Other neurological conditions or psychiatrists
- •with moderate or significant proprioception deficit (Thumb Localization Test >1)
研究组 & 干预措施
HABIT
All participants will receive HABIT - a novel occupational therapy intervention.
HABIT will include 10 sessions (2 sessions per week for 5 weeks). HABIT will include small group of 5-8 participants, so approximately 4 rounds of HABIT will be needed to reach 20 participants
干预措施: HABIT (Hand Activities Behavior Intervention) (Other)
结局指标
主要结局
Change in scores of the Rating of Everyday Arm-Use in the Community and Home (REACH)
时间窗: no change from baseline (0 week) to pre intervention (3 week) but change from pre to post intervention (8 week) and change from post to follow-up (3-6 months)
A short questionnaire assessing the level of daily use of the affected hand after stroke in daily activities. The questionnaire consists of 2-5 questions (depending on the responses being assessed), from which a score is obtained determining the level of use of the affected hand. The score ranges from 0 (no use of the affected hand) to 5 (full use).
Change in scores of the Canadian Occupational Performance Measure (COPM)
时间窗: no change from baseline (0 week) to pre intervention (3 week) but change from pre to post intervention (8 week) and change from post to follow-up (3-6 months)
Change in scores of performance and satisfaction of performance for therapeutic goals that the participants define as important to them. Goals will focus on using the affected upper extremity.
次要结局
- Change in Upper-Extremity-Cognitive Dual Task capacity(no change from baseline (0 week) to pre intervention (3 week) but change from pre to post intervention (8 week))
- Change in U-rate UE(no change from baseline (0 week) to pre intervention (3 week) but change from pre to post intervention (8 week) and change from post to follow-up (3-6 months))
- Change in Confidence in Arm and Hand Movement scale (CAHM)(no change from baseline (0 week) to pre intervention (3 week) but change from pre to post intervention (8 week) and change from post to follow-up (3-6 months))
- Satisfaction from the HABIT intervention(post intervention (week 8) and at follow-up (3-6 months by phone))
- Change in Upper-extremity Motor Activity Log (UE-MAL)(no change from baseline (0 week) to pre intervention (3 week) but change from pre to post intervention (8 week) and change from post to follow-up (3-6 months))
研究者
Debbie Rand
Associate Professor, Researcher at department of occupational therapy, Head of 'Gaming for Rehabilitation' Lab
Tel Aviv University