A Non-randomised Feasibility Study Evaluating Use of a Computer-based Cognitive Rehabilitation (CBCR) Intervention Within Community Vocational Rehabilitation Pathway for Young Stroke Survivors.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- RehaCom online assessment
研究概览
简要总结
Stroke can damage the brain, which may make it harder for survivors to think clearly, solve problems, and remember things. These changes in thinking can make it difficult for people to return to their jobs after a stroke. More and more, people are using computer-based exercises in rehabilitation and therapy to help with recovery. One such program, called RehaCom Online, is designed to help retrain the brain and improve decision-making and thinking skills.
This project is looking at whether stroke survivors (aged 18-65) consider using RehaCom Online acceptable and feasible when used alongside regular occupational therapy care, to help improve their thinking and get back to work more quickly. The project will include people between the ages of 18 and 65 who are already receiving occupational therapy and whose therapy goals focus on return to work. Those who meet the study requirements will take part in a five-week course using the RehaCom Online software, in addition to their usual therapy sessions. They will also take tests to measure their attention, memory, and thinking skills and perceived work readiness.
The main goals of the project are:
- To find out if young stroke survivors use and engage with the computer-based treatment.
- To learn about stroke survivors' experiences and feelings when using the treatment.
- To see if this treatment influences stroke survivors' perceived readiness to return to work.
If the findings are promising, this project could lead to a larger study to better understand how the programme helps people recover and return to work in the long term.
详细描述
Details of the study: This feasibility study will involve young stroke survivors referred either the Dorset Stroke and Neurological services or the Acquired Brain Injury Rehabilitation Service. Both these settings are community-based rehabilitation centres in Dorset, UK. The National Health Service (NHS) based vocational services in the UK offer support with exploration of paid or voluntary work options, supporting retention in paid employment, support and guide employers about the employees' health condition and suggesting work restrictions and/ or reasonable adjustments considering the expectations of work role (Dorset Health Care 2022). The stroke specific vocational rehabilitation services often comprise neurological consultants, psychologists, OTs. OTs provide support with an initial assessment including functional capacity assessments and individualised client cantered interventions including work hardening and work conditioning. Literature stresses on early intervention to prevent job loss. However, not all stroke survivors are willing or able to consider return to work early in their recovery (Sinclair et al., 2013). Hence, the authors of this study aim to recruit participants after they have been identified with return-to-work therapy goals.
Proposed Intervention: RehaCom Online is a computer based cognitive rehabilitation intervention consisting of training modules for domains of cognition namely attention, memory and executive function and training for visual field deficits.
For this feasibility trial, participants will engage with a CBCR intervention via the RehaCom web-based platform using training modules for the attention, memory and executive function along with their routine therapy/ standard care.
Participants will be given free access to the platform on their preferred internet connected device. Participants will complete the intervention remotely at a time of their choosing, without a clinician present. Also, participants will have access to the researchers via RehaCom message function and/ or via email throughout the duration of intervention. They will be contacted by the researcher via telephone/ email part way through the intervention.
Participants will be asked to aim for a minimum intervention frequency two 30-minutes sessions per week for 5 weeks, for a total of 10 CBCR sessions recorded through the participant diary.
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 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •For stroke participants:
- •Inclusion Criteria:
- •Ages 18-65 (working age)
- •Score of 12 or more on a specific test of thinking called Behavioural Assessment of Dysexecutive Syndrome (BADS)
- •Referred to NHS based services with a goal to return to work
- •Can do assessments in English and use a computer
- •Have a stable internet connection to access training
排除标准
- •Have seizures
- •Have vision problems specific to stroke
- •Have trouble understanding English language due to their stroke symptoms
- •Lack capacity to provide consent for participation
- •Inclusion and Exclusion criteria for Occupational Therapy Clinician participants:
- •Working in participating community rehabilitation services for stroke and willing to be involved in this study.
结局指标
主要结局
RehaCom online assessment
时间窗: RehaCom online assessment record will be reviewed on Day 1 and on day 35 of intervention .
Records a percentage increase in the module scores completed on RehaCom online.
Semi Structured interviews
时间窗: Between day 35 and day 42 of completing RehaCom online intervention.
Semi structured interviews focussing on subjective experience of RehaCom online use will be completed by the researcher and qualitative data will be recorded for analysis.
次要结局
- Behavioural Assessment of Dysexecutive Syndrome-DEX Questionnaire(Assessment will be completed on day 0 and between day 35 and day 42 of intervention)
- Montreal Cognitive Assessment(Assessment will be completed on day 0 and between day 35 and day 42 of intervention)
- Work Ability Index(Assessment will be completed on day 0 and between day 35 and day 42 of intervention)
- Motivation at work questionnaire(Assessment will be completed on day 0 and between day 35 and day 42 of intervention)
- Employment Readiness checklist(Assessment will be completed on day 0 and between day 35 and day 42 of intervention)