Activities of Daily Living, Stroke
Conditions
Keywords
Stroke, Self-supporting Care Model, Home Care Services
Brief summary
The purpose of this study was to administer intervention based on self-supporting care model in home environment and to explore the effects of this intervention on stroke patients' activities of daily living, movement, cognition, nutritional status, and quality of life.
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 8 measures: Barthel Index-based Supplementary Scales, Canadian Occupational Performance Measure, Fugl-Meyer Assessment, Balance Computerized Adaptive Testing, Mini Mental State Examination-2nd edition, Mini Nutritional Assessment, Stroke Impact Scale, and Stroke Self-Efficacy Questionnaire.
Interventions
BEHAVIORALSelf-supporting Care
Individualized self-supporting care with four principals (i.e., drinking water, exercise, excretion, and nutrition)
BEHAVIORALHome health education
Individualized home health education
Sponsors
National Taipei University of Nursing and Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 99 Years
Healthy volunteers
No
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 * readmission because of stroke
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Barthel Index -based Supplementary Scales | Baseline to 4 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. |
| Canadian Occupational Performance Measure | Baseline to 4 weeks | The Canadian Occupational Performance Measure is to measure occupational performance though 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. |
| Fugl-Meyer Assessment | Baseline to 4 weeks | The Fugl-Meyer Assessment scale is 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 4 weeks | The Balance computerized adaptive testing is to assess balance ability.The score ranges is 0 to 10. A higher score indicates better balance ability. |
| Mini Mental State Examination-2nd edition | Baseline to 4 weeks | The Mini Mental State Examination-2nd edition is to assess cognitive functions. The score ranges is 0 to 90. A higher score indicates better cognitive functions. |
| Mini Nutritional Assessment | Baseline to 4 weeks | The Mini Nutritional Assessment is a comprehensive nutritional assessment scale. The score range is 0 to 30 points. The higher the score, the lower the risk of malnutrition. |
| Stroke Impact Scale | Baseline to 4 weeks | The Stroke Impact Scale is to assess 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 4 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. |
Countries
Taiwan
Outcome results
None listed