Caregiver-mediated Intervention in Home-living Chronic Stroke Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Asia University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Stroke Impact Scale
Study Overview
Brief Summary
To examine the feasibility of improving stroke patients' physical functional recovery and social participation through improving caregiver's care capability.
Detailed Description
In the hospital, most rehabilitation units are like sheltered workshops and the therapists work with stroke patients in well-designed, but non-home-like, environment to improve the stroke patient's functional ability. After returning home, stroke patients face new challenges and also need to assume more responsibility for daily activities. Without continuing rehabilitation training or proper support, the patients can easily fall into a sedentary lifestyle and lead to declines in functional ability.However, providing home-based exercise by therapists directly would increase the health care cost and may not be practical for chronic stroke patients. Hence, the objective of the present study was to determine whether a caregiver-mediated, home-based intervention program is effective for improving stroke patients' functional ability and social participation.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •>6 months post first stroke with mild to moderate disability (Brunnstrom stage III-V)
- •No longer undertaking active rehabilitation program(defined as ≤2 times/wk rehabilitation activities)
Exclusion Criteria
- •Recurring strokes
- •Mental or cognitive impairment
- •Severe orthopedic disability or unstable medical conditions (such as severe rheumatoid arthritis or acute myocardial infarction)
- •Caregiver with mental/behavioral disorders
Arms & Interventions
Care-giver mediated training
Each patient and the caregiver of the intervention group received weekly home training and exercise counseling by a physical therapist about the caregiver mediated home exercise skill for stroke patient. The training program were progress weekly based on the patient's need.
Intervention: Care-giver mediated training (Other)
Standard-care
Maintain the inherent standard-care
Outcomes
Primary Outcomes
Stroke Impact Scale
Time Frame: Baseline and 12 weeks
Change from baseline in Stroke Impact Scale at 12 weeks
Secondary Outcomes
- 10-meter walking speed(Baseline and 12 weeks)
- Lawton Instrumental Activities of Daily Living scale (IADL)(Baseline and 12 weeks)
- Berg balance scale(Baseline and 12 weeks)
- 6-min walking distance(Baseline and 12 weeks)
- Bathel index score(Baseline and 12 weeks)
- Fugl-Meyer Assessment Scale(Baseline and 12 weeks)