acquired brain injury stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient: 1) 18 years or older 2) written informed consent 3) able to understand the Dutch language (on sufficient level to understand instructions and complete the questionnaires) 4) knowing and able to appoint a caregiver who he/she wants to participate in the programme (with a maximum of two caregivers) 5) living independently before the acquired brain injury 6) planned to be discharged home 7) being able to follow instructions (a MMSE score > 18 points) 8) Functional Ambulation Score (FAC)
Exclusion criteria
Exclusion criteria: For patient and caregiver: Serious comorbidity which interferes with participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary measurements of outcome: 1) Length of Stay; 2) self-reported health-status with the Stroke Impact Scale (SIS version 3.0) and 3) Self-Efficacy for patient (Sef-Efficacy for Symptom Management Scal (SESx)) and caregiver (Revised Scale for Caregiving Self-Efficacy (RSCSE)). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes for included stroke patients are EuroQol-5D (EQ-5D), the Barthel Index, Rivermead Mobility Index, Berg Balance Scale, 5 meter walking speed, 6 minute walking test, Timed Up and Go Test, the Motricity Index (leg), The Fugl-Meyer assessment (leg), Nottingham Extended Activities of Daily Living and modified Rankin Scale. In order to track the daily activity, patients will wear a wireless activity monitor on the wrist one week before and after the intervention. In addition, patients keep a diary to record adherence to the exercise program and emerging complications. Caregiver burden will be evaluated with the Caregiver Strain Index and Carer Quality of Life Index. For patients and caregivers the Hospital Anxiety and Depression Scale, Fatigue Severity Scale, Family Assessment Device and Personal Opinion Questionnaire for empowerment will be used. In addition each couple will use a cost diary. | — |
Countries
Netherlands