Stroke
Conditions
Keywords
Chronic stroke patients, Stroke rehabilitation, Caregiver, Caregiver-mediated intervention
Brief summary
To examine the feasibility of improving stroke patients' physical functional recovery and social participation through improving caregiver's care capability.
Detailed description
In the hospital, most rehabilitation units are like sheltered workshops and the therapists work with stroke patients in well-designed, but non-home-like, environment to improve the stroke patient's functional ability. After returning home, stroke patients face new challenges and also need to assume more responsibility for daily activities. Without continuing rehabilitation training or proper support, the patients can easily fall into a sedentary lifestyle and lead to declines in functional ability.However, providing home-based exercise by therapists directly would increase the health care cost and may not be practical for chronic stroke patients. Hence, the objective of the present study was to determine whether a caregiver-mediated, home-based intervention program is effective for improving stroke patients' functional ability and social participation.
Interventions
OTHERCare-giver mediated training
A physical therapist visited each subject and the caregiver (of the intervention group) once weekly for about 90 min/session to teach patient-skills and caregiver-skills. The therapist first reviewed the condition of each patient and planned patient-specific training programs, continuously performed 12 weeks.
Sponsors
National Science and Technology Council, Taiwan
Asia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
1. \>6 months post first stroke with mild to moderate disability (Brunnstrom stage III-V) 2. No longer undertaking active rehabilitation program(defined as ≤2 times/wk rehabilitation activities)
Exclusion criteria
1. Recurring strokes 2. Mental or cognitive impairment 3. Severe orthopedic disability or unstable medical conditions (such as severe rheumatoid arthritis or acute myocardial infarction) 4. Caregiver with mental/behavioral disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stroke Impact Scale | Baseline and 12 weeks | Change from baseline in Stroke Impact Scale at 12 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment Scale | Baseline and 12 weeks | Change frome baseline in Fugl-Meyer Assessment Scale score at 12 weeks |
| 10-meter walking speed | Baseline and 12 weeks | Change from baseline in 10-meter walking speed (cm/sec) at 12 weeks |
| Berg balance scale | Baseline and 12 weeks | Change from baseline in berg balance scale score at 12 weeks |
| Bathel index score | Baseline and 12 weeks | Change from baseline in Bathel index score at 12 weeks |
| Lawton Instrumental Activities of Daily Living scale (IADL) | Baseline and 12 weeks | Change from baseline in Lawton Instrumental Activities of Daily Living Scale at 12 weeks |
| 6-min walking distance | Baseline and 12 weeks | Change from baseline in 6-min walking distance at 12 weeks |
Other
| Measure | Time frame | Description |
|---|---|---|
| Center for Epidemiologic Studies Depression Scale | Baseline and 12 weeks | Change from baseline in Center for Epidemiologic Studies Depression Scale score at 12 weeks |
| Caregiver Burden Scale | baseline and 12 weeks | Change from baseline in Caregiver Burden Scale at 12 weeks |
Countries
Taiwan
Outcome results
None listed