F@ce 2.0 a Mobile Phone-supported and Family-centred Rehabilitation Intervention After Stroke in Uganda

Karolinska Institute

Status: Completed

Conditions: Stroke

Treatments: Behavioral: Mobile phone supported and family-centred rehabilitation; Procedure: Information and blood pressure measurement

Study type: Interventional

Funder types: Other

Identifiers

NCT04337034

F@ce 2.0

Details and patient eligibility

About

The purpose of the present proposal is to implement and evaluate a new model for mobile phone supported and family-centred rehabilitation intervention (F@ce 2.0) with regard to functioning in activities in daily living and participation in everyday life among persons with stroke and their families (in rural and urban areas) in Uganda.

Full description

The investigators' previous feasibility study suggested beneficial effects on self-efficacy and occupational performance and satisfaction of a mobile phone supported and family-centred rehabilitation intervention (F@ce1.0) after stroke in Uganda. The purpose of the present proposal is to implement and evaluate F@ce on functioning in activities in daily living (ADL) and participation in everyday life among persons with stroke and their families.

With recommendations on evaluation of complex interventions both outcomes and processes will be studied and hence both quantitative and qualitative methods will be applied. In a randomized controlled trial F@ce 2.0 will be evaluated compared to ordinary rehabilitation in urban/rural Uganda regarding; self-efficacy, perceived performance and participation in everyday activities, independence in ADL, health care utilization and the families´ perceived participation in everyday activities. Qualitative data will explore experiences of people with stroke and family members of participating in F@ce 2.0. This research program has a multidisciplinary perspective for sustainable rehabilitation, a prerequisite for better living conditions for people with stroke in low/middle income countries.

Enrollment: 98 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• stroke diagnosis identified with CT scan or clinical symptoms
• inhabitant in a rural part of Kalungu District, near Masaka Uganda, or Kampala with surroundings
• access to and ability to use a mobile phone
• ability to speak and express themselves in English and/or Luganda
• Modified Rankin Scale level 2 to 4.

Exclusion criteria

• none

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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98 participants in 2 patient groups

mobile phone supported and family-centred rehabilitation

Experimental group

Description:

Participants in the intervention group will receive an 8-week mobile phone supported and family-centred rehabilitation intervention (F@ce 2.0)

Treatment:

Procedure: Information and blood pressure measurement

Behavioral: Mobile phone supported and family-centred rehabilitation

Information and blood pressure measurement

Active Comparator group

Description:

Control group participants will be given information about stroke and their blood pressure will be measured

Treatment:

Procedure: Information and blood pressure measurement