Strategies Empowering Activities in Everyday Life (SEE 1.0) A Web-based Occupational Therapy Intervention
- Conditions
- Stroke
- Registration Number
- NCT04588116
- Lead Sponsor
- Luleå Tekniska Universitet
- Brief Summary
The purpose of the study is to evaluate the feasibility and potential outcomes of a first version of a web-based intervention in occupational therapy focusing on empowering an active everyday life for people with stroke.
- Detailed Description
A large amount of people with stroke face extensive changes to live an active life and restrictions in engaging in various activities are common. However, the rehabilitation seldom focusses on the process of change people with stroke need to go through to adapt to their changed capacity and reach an active life on new terms. This implies that rehabilitation needs to be developed to provide activity-based self-management strategies that can facilitate an active life. Also, there is a need to improve the access to rehabilitation by making use of digital e- health solutions. Based on these needs, the web-based occupational therapy intervention "Strategies Empowering activities in Everyday life" (SEE 1.0) has been developed.
This feasibility trial has a pre-test post-test design without a control group. The trial is embedded in a mix- method approach combining assessment tools, feasibility registration forms, intervention logbooks, qualitative interviews and focus groups. The feasibility of the web-based intervention SEE as well as of the study design, will be evaluated in terms of acceptability, adherence, values and appropriateness from the perspectives of patients with stroke and the staff. Also, the potential outcome of SEE will be evaluated quantitatively and qualitatively.
The results will support the continued development of SEE and provide for larger-scale research studies. The intervention, that combines a focus on empowering an active everyday life with a web-based format including online meetings, is innovative and is not part of clinical practice today. Thereby, the results can be valuable for future research and clinical practice in general. The study protocol and the results will be published in peer-reviewed scientific journals and presented at conferences.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 30
- Stroke
- Age: 18-75 years
- three to thirty six months after the onset of the stroke
- have moderate disability or good recovery after the stroke
- have access to a screen/computer, internet and e-ID as well as being able to use them
- experience limitations in activities in everyday life
- be motivated to participate in the program, including be ready for a process of change
- be discharged from rehabilitation at hospital or day care.
- depression
- other conditions or diseases that impact on activities in everyday life
- have impairments or other diagnoses to such an extent that may have an impact on the ability to consent participation as well as participate in the data collection and intervention.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Occupational values with pre-defined items (Oval-pd). Change from baseline to four- and twelve-months post-base line Change in occupational values, reflecting a person's subjective perception of concrete, symbolic or self-rewarding values in activities. The OVal-pd consists of 18 items rated on a four-point ordinal scale with response options scored 1 to 4. The rating of the OVal-pd can be summed into a general occupational value, ranging between 18-72. .A higher score indicates that the respondent is frequently engaged in valued occupation.
Occupational Balance Questionnaire (OBQ) Change from baseline to four- and twelve-months post-base line Change in occupational balance, reflecting a person's subjective perception of having the right amount of activities and the right variation between activities. The OBQ consist of 11 items that are rated on a four-point ordinal scale, scored 0 to 3. The ratings of the OBQ are summed to a total score, ranging between 0 and 33. A higher score implies more satisfaction with the amount and variation of occupations, i.e., a higher level of occupational balance.
The profiles of occupational engagement (POES) Change from baseline to four- and twelve-months post-base line. Change in activity pattern/profile.The POES is based on an interview of an 24 h completed diary of time use. The nine items are scored on an ordinal scale ranging from 1 to 4. A higher score indicates a higher level of engagement in activities.
- Secondary Outcome Measures
Name Time Method The general self- efficacy scale (S-GSE) Change from baseline to four- and twelve-months post-base line Change in general self- efficacy. The S-GSE consist of 10 items that are rated on a four-point ordinal scale, ranging from 1 to 4. The summarized score range between 10-40. A higher score reflects greater sense of general self-efficacy.
Life satisfaction questionnaire (Lisat-11) Change from baseline to four- and twelve-months post-base line Change in life satisfaction. The Life satisfaction questionnaire consist of 11 items rated on a six-point ordinal scale ranging from 1 to 6. A higher score reflects a higher level of satisfaction.
Stroke Impact Scale, participation (SIS) Change from baseline to four- and twelve-months post-base line Change in impact of stroke on participation is rated on a five-point ordinal scale. A higher score reflects a higher level of participation
Work ability index (WAI) Change from baseline to four- and twelve-months post-base line Change in self-perceived work ability. In the WAI, self-perceived work ability is rated on a ten -point ordinal scale. A higher score reflects a higher level of perceived work ability.