Cognitive Strategies for Improving Health Outcomes And Managing Risk Post-Stroke
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 7
- 试验地点
- 2
- 主要终点
- Suitability and Feasibility Survey
研究概览
简要总结
The proposed research will further develop the CHAMPS intervention which is self-management intervention to learn new skills, despite current health status of experience a stroke. The study seeks to determine feasibility and compare pre- to post-intervention change including cardiovascular risk, quality of life, self-efficacy, recurrent stroke, hospital readmission, and perceived decline in health and function.
详细描述
People living with the effects of stroke frequently require assistance with everyday tasks (e.g., dressing, managing medications, driving) well-beyond 90-days post stroke. Executive function (EF) deficits are a major contributor to disability and as many as 75% of stroke survivors present with EF deficits. EF is a collection of cognitive processes that include orienting towards the future (i.e. planning), demonstrating self-control (i.e. behavioral inhibition), problem-solving, adapting to environmental changes, and facilitating goal-directed behaviors, all of which are essential skills for managing health. EF deficits are frequently undetected during hospitalization and result in discharge to the community with as many as 71% of survivors receiving inadequate services for long-term needs. Furthermore, scales of neurological impairment for classifying stroke severity like the NIH Stroke Scale (NIHSS) are frequently used as a standard of care and also sometimes support identification of impairments. However, research previously conducted by the research team indicates that this goes beyond the intended scope of the tools and scales like the NIHSS do not relate to EF deficits thus resulting in inadequate rehabilitation referrals if another EF screening or assessment is not used. Persons with post-stroke EF deficits have a multitude of modifiable risk factors that require intervention beyond regular health advice only. Consequently, the demand for specialized interventions to prevent and mitigate negative health outcomes (e.g., recurrent stroke, cardiovascular disease risk, cognitive decline risk, hospital readmission) in this population is quickly expanding and offers a significant opportunity for supporting recovery and improving quality of life for people with stroke. Although lifestyle-based vascular risk factor reduction interventions are numerous, there is a lack of consideration for targeting cognitive factors that can influence real-world application.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •primary diagnosis of acute ischemic stroke within 90 days
- •impairment of executive function (score >11 on Executive Interview)
- •absence of severe aphasia (score of 0 or 1 on NIHSS will be included)
- •absence of pre-stroke dementia (per client report)
- •absence of major depressive disorder (PHQ-9 <14, Generalized Anxiety Disorder-7)
- •absence of drug and alcohol misuse within 3 months of study admission (AUDIT)
- •access to video-conference software on computer or device like computer tablet or smart phone
- •>18 years of age
排除标准
- •Not fluent in English
结局指标
主要结局
Suitability and Feasibility Survey
时间窗: 6 months
This survey will be conducted at the conclusion of study, to be completed by participants, examining whether this intervention is suitable and that the research protocols are feasible to be administered.
Battery of American Heart Association Life's Essential 8
时间窗: 6 months
A battery of measures asking about the following: * Blood pressure * Weight and Height (BMI) * Blood sugar questions: Recently, has your doctor talked to you about managing your A1C? * Cholesterol, Cholesterol is a fatty substance found in the blood. About how long has it been since you last had your cholesterol checked? Have you ever been told by a doctor, nurse or other health professional that your cholesterol is high? Are you currently taking medicine prescribed by your doctor or other health professional for your cholesterol? * Smoking, recently, have you smoked or been around anyone who has smoked tobacco products? * Physical Activity, How active do you consider yourself? At least 150 minutes a week to be considered active * Sleep, How would you describe your sleep? * Diet, How would describe your diet?
次要结局
- NIH Stroke Scale(6 months)
- Stroke Specific Quality of Life Scale(6 months)
- Healthcare utilization Questionnaire(6 months)
研究者
Timothy P Dionne
Assistant Professor
University of New Mexico