Cognitive Priming for Stroke Tele-rehabilitation

Medical University of South Carolina (MUSC)

Status: Enrolling

Conditions: Stroke

Treatments: Behavioral: Occupational Therapy; Behavioral: Cognitive Rehabilitation

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06555302

3P20GM109040-10S2 (U.S. NIH Grant/Contract)

Pro00136303

Details and patient eligibility

About

The goal of this pilot study is to investigate whether adding cognitive rehabilitation to an existing occupational therapy (OT) stroke telerehabilitation program will improve stroke survivors' functioning. The main question it aims to answer is whether this intervention improves cognition, participation, upper extremity use in real-world activities, and mood/quality of life. Participants will be asked to engage in an 8-week stroke tele-rehabilitation program (13 sessions), which includes both cognitive rehabilitation and OT for arm/hand function, and complete assessments before and after the intervention.

Enrollment: 20 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Have experienced ischemic or hemorrhagic stroke with resultant paresis of one arm/hand at least 30 days prior
• Adults ages 21 years or older
• Are able to speak and read English
• Have corrected vision to be able to read text on a screen
• Have a device on which a telerehabilitation visit can be conducted (i.e., phone, tablet, or laptop) and a Wi-Fi connection or cellular service
• Able to participate in the study's assessment sessions as per the judgment of the licensed, experienced stroke telerehabilitation occupational therapist.

Exclusion criteria

• Have moderate-severe or severe aphasia.
• Have impaired decision making capacity as determined by a standard protocol for assessing capacity to provide informed consent.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Cognitive Rehabilitation + Occupational Therapy (Telerehabilitation)

Experimental group

Description:

A trained OT will deliver the 8-week stroke telerehabilitation program. There will be 13 total sessions with 2 sessions/week for the first 5 weeks and 1 session/week for the last 3 weeks. The cognitive rehabilitation and OT components will be titrated as follows: * Sessions 1-4 will focus on cognitive rehab. * Sessions 5-10 will review/provide additional cognitive rehab and deliver OT. * Sessions 11-13 may briefly review cognitive rehab but focus primarily on OT.

Treatment:

Behavioral: Cognitive Rehabilitation

Behavioral: Occupational Therapy