Chronic Disease, Stroke
Conditions
Keywords
Self-management, Rehabilitation, Occupational Therapy
Brief summary
Individuals who have a mild stroke have a 44% risk of dying from a second stroke within 10 years which is in large part due to the cyclical relationship of chronic disease, poor health, and mild stroke which has gone largely unnoticed in the United States. Self-management intervention has been proven to be an effective intervention to increase healthy behaviors, improve overall health status, decrease healthcare utilization/cost, decrease depressive symptoms, and improve participation in people with a variety of chronic conditions; however, it has never be used with individuals with mild stroke. The critical next step and goal of this study is to evaluate if self-management intervention will improve health outcomes for persons with mild stroke. The overall hypothesis of this study is that self-management intervention will improve outcomes in the mild-stroke population.
Interventions
Sponsors
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* a mild stroke as NIHSS total scores 0-5 * 18-90 years of age * English speaking * identified as having at least one other chronic condition besides stroke
Exclusion criteria
* severe aphasia (NIHSS aphasia score=2) * moderate to severe cognitive impairment (MOCA \< 21) * history of dementia * hemorrhagic stroke * neurological diagnoses other than stroke * major psychiatric illness (A diagnosis of bipolar disorder, obsessive compulsive disorder, panic disorder, schizophrenia, post-traumatic stress disorder, and borderline personality disorder) * a score of no-higher than 20 on the PHQ-9 indicating significant depressive symptoms * terminal illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adapted Illness Intrusiveness Ratings (AIIR) | Change from baseline to 6-months post-stroke |
| Healthcare Utilization Survey (HCUS) | Change from baseline to 6-months post-stroke |
Secondary
| Measure | Time frame |
|---|---|
| Multidimensional Assessment of Fatigue (MAF) | Change from baseline to 6-months post-stroke |
| Activity Card Sort (ACS) | Change from baseline to 6-months post-stroke |
| Stroke Impact Scale (SIS) | Change from baseline to 6-months post-stroke |
| World Health Organization Quality of Life (WHOQOL-BREF) | Change from baseline to 6-months post-stroke |
| Work Ability Index (WAI) | Change from baseline to 6-months post-stroke |
| Reintegration to Normal Living Index (RNLI) | Change from baseline to 6-months post-stroke |
| Patient Health Questionnaire (PHQ-9) | Change from baseline to 6-months post-stroke |
| Chronic Disease Self-Efficacy Scale (CDSES) | Change from baseline to 6-months post-stroke |
Countries
United States
Outcome results
None listed