Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke
Study Details
Study Description
Brief Summary
The purpose of this study was to conduct a randomized clinical trial. Implement instrumental daily activities of daily living (A-IADL) in home rehabilitation. To explore the effect of A-IADL on stroke patients' movement, cognition, social participation, daily life function and quality of life.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Subjects were randomized to intervention group and control group. The experiment was designed as randomized cross-over control trial. The primary outcome included 11 measures, Fugl-Meyer Assessment, Balance computerized adaptive testing, Mini Mental State Examination, Participation Measure-3 Domains ,4 Dimensions, Canadian Occupational Performance Measure, Barthel Index-based Supplementary Scales, Frenchay Activities Index, Lawnton Instrumental Activities of Daily Living, stroke impact scale, Stroke Self-Efficacy Questionnaire, and Kingston Caregiver Stress Scale.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: A-IADL Group Approach-Instrumental Activities of Daily Living in home |
Behavioral: Approach-Instrumental Activities of Daily Living
Individualized instrumental activities of daily living training
|
| Active Comparator: Control group Home health education |
Behavioral: Home health education
Individualized home health education
|
Outcome Measures
Primary Outcome Measures
- Fugl-Meyer Assessment [Baseline to 6 weeks]
The Fugl-Meyer Assessment scale is an index to assess the sensorimotor impairment in individuals who have had stroke. The score ranges is 0 to 226. A higher score indicates better body function.
- Balance computerized adaptive testing [Baseline to 6 weeks]
The Balance computerized adaptive testing is a test about stroke patients, includes movement, balance, activities of daily living.
- Mini Mental State Examination [Baseline to 6 weeks]
The Mini Mental State Examination general cognitive function. The score ranges is 0 to 30. A higher score indicates better general cognitive function.
- Participation Measure-3 Domains ,4 Dimensions [Baseline to 6 weeks]
The Participation Measure-3 Domains, 4 Dimensions assesses social participation. A higher score indicates better social participation.
- Canadian Occupational Performance Measure [Baseline to 6 weeks]
The COPM protocol is divided into three areas: self-care, productivity, and leisure. Patients define important activities and classify them with a score of one to 10. A higher score indicates better occupational performance.
- Barthel Index (BI) -based Supplementary Scales [Baseline to 6 weeks]
The Barthel Index-based Supplementary Scales assesses basic activities of daily living using three scales:actual performance, ability, and self-perceived difficulty. The score ranges the three scales (i.e., actual performance, ability, and self-perceived difficulty)is 0-20, 0-18, and 0-20, respectively. A higher score indicates better basic activities of daily living.
- Frenchay Activities Index [Baseline to 6 weeks]
The Frenchay Activities Index is a measure of instrumental activities of daily living for use with patients recovering from stroke. The score ranges is 0 to 45. A higher score indicates better instrumental activities of daily living.
- Lawnton Instrumental Activities of Daily Living [Baseline to 6 weeks]
The Lawnton Instrumental Activities of Daily Living assesses instrumental activities of daily living.The score ranges is 0 to 8. A higher score indicates better instrumental activities of daily living.
- Stroke Impact Scale [Baseline to 6 weeks]
The Stroke Impact Scale assesses other dimensions of health-related quality of life: emotion, communication, memory and thinking, and social role function.The score ranges is 59 to 295. A lower score indicates the quality of life less affected by stroke.
- Stroke Self-Efficacy Questionnaire [Baseline to 6 weeks]
The Stroke Self-Efficacy Questionnaire is a self-report scale measuring self-efficacy judgments in specific domains of functioning post stroke. The score ranges is 0 to 130. A higher score indicates better self-efficacy.
- Kingston Caregiver Stress Scale [Baseline to 6 weeks]
The Kingston Caregiver Stress Scale is a self-report scale measuring caregiver stress. The score ranges is 10 to 50. A higher score indicates greater stress.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
age > 20 years
-
Diagnosis of stroke
-
The modified Rankin Scale : 2~4
-
Keep sitting for half an hour by himself/herself
-
Follow instructions
-
Willing to sign the subject's consent
Exclusion Criteria:
-
Diagnosis of dementia
-
History of orthopedic diseases or peripheral nerve injury
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cardinal Tien Hospital | New Taipei City | Xindian Dist | Taiwan | 231403 |
Sponsors and Collaborators
- National Taipei University of Nursing and Health Sciences
Investigators
- Study Director: En-Chi Chiu, PhD, National Taipei University of Nursing and Health Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CTH-108-2-5-029