Staying connected: Personalising stroke recovery and rehabilitation through new technologies for people with stroke living at home

Not Applicable

Recruiting

• Conditions: Stroke; Impaired functional use of the upper limb; Stroke - Ischaemic; Stroke - Haemorrhagic; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12623000666628
• Lead Sponsor: Professor Leeanne Carey

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2023-06-20
• Last Update Posted: 26 August 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 312

Inclusion Criteria

Key inclusion criteria are listed for the three groups of participants.

Participants with Stroke:
- Clinical diagnosis of stroke between 3 and 18 months prior to entry.
- Medically stable
- Able to give informed consent
- Comprehend simple instructions (follow stage 3 instructions and sustain attention for treatment - assessed at screening with adapted questions from the Mini Mental Stage Examination
- Willing to commit time to participate in the therapy program and monitoring process
- Living in the community
- May nominate to have access to a Therapy Buddy

Participants who are Therapy Buddies:
- Nominated by the stroke survivor as being able to assist in the delivery of therapy under the guidance of the TAILOR & CONNECT Therapist
- Medically stable
- Able to give informed consent
- Able to understand and speak English language, and, if appropriate, an ability to understand and speak the language of the participating stroke survivor if they are non-English speaking
- Able to be present/available during therapy sessions in the home
- Willing to commit time to participate in supporting delivery of the MY PLAN Therapy Program as a Therapy Buddy.

Participants who are Therapists:
- Qualified Occupational Therapist or Physiotherapist
- Registered to practice by the Australian Health Practitioner Regulation Agency
- Experience in stroke rehabilitation (minimum 6 months)
- Willing to participate in the upskilling program of the MYPLAN approach, including the therapy selection process and therapy delivery.
- Undertake evaluation and actively participate in mentoring in order to develop competency to successfully select and deliver therapy in accordance with the MY PLAN Therapy Program
- Willing to participate in intervention implementation activities, including questionnaires and focus groups.
- Able to understand and speak English language.
- Able to commit to delivery of upper limb therapy programs (10 sessions over 6 weeks) for participants with stroke, using the MYPLAN Therapy Approach and Therapy Selection Algoroithm

Exclusion Criteria

Participants with Stroke:
- Not medically stable
- Severe unilateral spatial neglect, based on screening questions, clinical reports and/or standard neuropsychological tests (line bisection)
- Prior history of other central nervous system dysfunction with unstable or progressive prognosis
- Severe peripheral neuropathy in the upper limb
- Presence of moderate to severe cognitive impairment suggested through adapted Mini Mental State Examination questions
- Not able to comprehend simple instructions or sustained attention needed to particiapte in treatment (screened with adapted questions from the Mini Mental State Examination)
- Not able to give informed consent
- Physical limitations that prevent participation in therapy tasks (e.g., contracture of the hand, or unhealed wounds)
- Unable to participate in a clinical appointment lasting 30 minutes.

Participants who are Therapy Buddies:
- Not able to give informed consent
- Physical limitations that prevent the individual being able to assist the stroke survivor in the delivery of the Therapy Program
- Unable to commit to the necessary time required for the MY Plan Therapy Program

Participants who are Therapists:
There are no additional exclusion criteria for the participants who are therapists.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Participants with Stroke: Performance in self-selected real-world activities, measured using the Canadian Occupational Performance Measure (COPM, a patient-reported measure, 10-point scale).[ Baseline (entry), at two standard recovery time points post-stroke (3/6/12/18/24/30 months post-stroke) that fall within the individuals 12 month involvement in the study, and exit (12 months post-entry).<br>Pre and post each therapy burst.];Performance in self-selected real-world activities, measured using the Performance Quality Rating Scale (PQRS, a therapist-rated measure, 10-point scale)[ Baseline (entry), at two standard recovery time points post-stroke (3/6/12/18/24/30 months post-stroke) that fall within the individuals 12 month involvement in the study, and exit (12 months post-entry).<br>Pre and post each therapy burst.]