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The Effectiveness of Home-Based Therapy on Functional Outcome, Self-Efficacy and Anxiety Among Discharged Stroke Survivors

Not Applicable
Recruiting
Conditions
functional performance of stroke survivors
anxiety of stroke survivors
self efficacy level of stroke survivors
Physical Medicine / Rehabilitation - Physiotherapy
Mental Health - Anxiety
Stroke - Haemorrhagic
Stroke - Ischaemic
Registration Number
ACTRN12619001182189
Lead Sponsor
ational University of Malaysia
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
72
Inclusion Criteria

Subjects inclusion criteria in this study include:
1.Subject diagnosed with stroke
2.Stroke patient who was discharged from HOPS for more than 4 months.
3.Subject age between 60 to 85
4.Subject requiring caregiver assistance in the activity of daily living (ADL). The caregiver needs to fulfill the caregiver criteria
5.Functional ambulation categories scale > 3. Subject was able to ambulate on level surface without an assistant or only required supervision from one person.

Caregiver inclusion criteria in this study include:
1.Able to read and understand native language newspaper
2.Provide minimal or moderate assistance to the stroke survivor in daily activities, such as transfer, bathing, feeding, dressing, and personal hygiene.
3.Provide moderate or dependent assistance to the stroke survivor in complex tasks, such as shopping, cleaning, driving, cooking, and laundry.
4.Able to assist stroke survivor to perform HBT

Exclusion Criteria

1.Stroke patient with cognitive impairment (Montreal Cognitive Assessment (MoCA) <26). MoCA score of less than 26 indicates the presence of cognitive impairment.
2.Attended by a home physiotherapist after discharged from HOPS
3.Stroke patient with depression (Hospital Anxiety Depression Scale-Depression HADS-D >11). HADS-D score above 11 indicates that moderate to severe level of depression.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
measure fall risk with Timed up and Go (TUG) Test[Pre-Intervention, 12 weeks Post-intervention];measure mobility status with Timed up and Go (TUG) Test[Pre-Intervention, 12 weeks Post-intervention];measure walking speed using Ten-meter walk test (10-mWT)[Pre-Intervention, 12 weeks Post-intervention]
Secondary Outcome Measures
NameTimeMethod
measure self-efficacy level using The Stroke Self-Efficacy Questionnaire (SSEQ) <br>Primary outcome[Pre-Intervention, 12 weeks Post-intervention];screening for anxiety and depression with Hospital Anxiety and Depression Scale<br>Primary outcome[Pre-Intervention, 12 weeks Post-intervention];measure caregiver strain level with The Modified Caregiver Strain Index<br>Primary outcome[Pre-Intervention, 12 weeks Post-intervention]
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