Emotional Stress, Performance Anxiety
Conditions
Keywords
Caregivers, Apraxias, Stroke, Cerebral Stroke, Rehabilitation, Pragmatic Clinical Trials as Topic
Brief summary
The purpose of this study is to analyze the effects of a intervention on a specific health prevention/intervention program aimed at caregivers of mild and moderate patients post stroke with upper limb apraxia in comparison to a control group with a no specific formation in that kind of patients.
Detailed description
Patients with Upper limb apraxia after stroke have severe problems to adapt their daily life. The upper limb apraxia syndrome affects the performance of skilled movements carried out by the upper limbs and provoke that many patients´activities have to be made by their main caregiver or carers. Caregivers usually have to occupy much time and efforts for caring their familiar or client, and it can result in a overload in different areas of the caregiver health. Few data are available on the effectiveness of interventions in caregivers that informally works with that kind of patients. The specific prevention health program is based on improving the awareness of the assistance that the caregivers provide, and knowing the process of the information that carer has to give to the patient while the patients have their activities made.
Interventions
OTHERProgram on specific prevention of health
The intervention will be centered in provide effective tools to manage each situation presented while a caregiver cares for patients poststroke with upper limb apraxia. Moreover, the workshops will be focused on the balance between the assistance provided by the caregiver and the improvement and the increase the autonomy and independence of the patients. Finally, we will provide skills and strategies to the caregiver for enhancing the environment adaptation of the patients.
OTHERProgram on general prevention of health
The general health educative program will consist in an educational workshop for caregivers where they are taught the habitual guidelines to caring for patients in situation of dependency.
Sponsors
Universidad de Granada
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
* Having an habitual role of carer (informal or formal). * Being caring a mild-moderate poststroke patient with upper limb apraxia. * Subjective manifestations of overload in the role as carer. * More than two month as carer.
Exclusion criteria
* Uncooperativeness * Being formed in the care of that kind of patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from Baseline in Stroke Impact Scale (SIS-16) at 8 weeks | Eight weeks |
| Change from Baseline in Stroke Impact Scale (SIS-16) at 16 weeks | Sixteen weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change from Baseline in Disabilities of the Arm, Shoulder and Hand (Quick-DASH) at 8 weeks | Eight weeks |
| Change from Baseline in Disabilities of the Arm, Shoulder and Hand (Quick-DASH) at 16 weeks | Sixteen weeks |
| Change from Baseline in General health questionnaire (GHQ-28) at 8 weeks | Eight weeks |
| Change from Baseline in General health questionnaire (GHQ-28) at 16 weeks | Sixteen weeks |
| Change from Baseline in Zarit questionnaire at 8 weeks | Eight weeks |
| Change from Baseline in Barthel index at 8 weeks | Eight weeks |
| Change from Baseline in family APGAR at 8 weeks | Eight weeks |
| Change from Baseline in family APGAR at 16 weeks | sixteen weeks |
| Change from Baseline in Duke-UNC-11 questionnaire of functional social support at 8 weeks | Eight weeks |
| Change from Baseline in Duke-UNC-11 questionnaire of functional social support at 16 weeks | Sixteen weeks |
| Change from Baseline in Zarit questionnaire at 16 weeks | Sixteen weeks |
| Change from Baseline in Barthel index at 16 weeks | Sixteen weeks |
Countries
Spain
Outcome results
None listed