Stroke
Conditions
Brief summary
Stroke causes major disability issues in Bangladesh and often leaves people unable to look after themselves, work, or participate in family and community life. Most stroke survivors in Bangladesh do not receive adequate rehabilitation, and existing services focus mainly on physical exercises, not on helping people return to meaningful activities. The REAP programme is a new therapy approach that remediates skills through structured training, educates patients and families on stroke management, adapts tasks or environments to make daily activities easier, and promotes participation in meaningful roles and activities. This study will test whether the REAP programme can be delivered successfully in a Bangladeshi rehabilitation centre, whether patients find it acceptable, and whether it helps people become more independent and improves quality of life.
Interventions
OTHEROccupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program
The REAP program consists of four core components designed to address the complex needs of stroke survivors: 1. Remediation 2. Education 3. Adaptation 4. Promotion
Sponsors
Centre for the Rehabilitation of the Paralysed, Bangladesh
Tokyo Metropolitan University
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-64 years, * Diagnosed with stroke (ischemic/hemorrhagic) 3-24 months prior, * Medically stable and able to provide informed consent, * MoCA score ≥18.
Exclusion criteria
* Severe receptive aphasia, * Major psychiatric disorders, * Unstable medical conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Barthel Index | From enrollment to 12 weeks | Assesses independence in activities of daily living (ADLs). |
| Montreal Cognitive Assessment (MoCA) | Enrollment to 12 weeks | Screens for cognitive impairment. |
| Bangladeshi Occupational Self-Assessment - Short Form (BOSA-SF) ( | Enrollment to 12 weeks | Evaluates perceived occupational competence and values within the local context. |
| Fugl-Meyer Assessment (FMA) | Enrollment to 12 weeks | Assesses motor recovery post-stroke |
| Occupational Balance Questionnaire | Enrollment to 12 weeks | Measures balance between different occupational areas in everyday life. |
| Life Satisfaction Questionnaire (LiSat-11) | Enrollment to 12 weeks | Assesses subjective life satisfaction across various domains |
| Zarit Caregiver Burden Scale | Enrollment to 12 weeks | Assesses the level of burden experienced by informal caregivers |
Countries
Bangladesh
Outcome results
None listed