iADAPT to Support Strategy Training After Stroke

University of Pittsburgh

Status: Completed

Conditions: Stroke; Strategy Training; Adherence, Patient

Treatments: Behavioral: Strategy Training

Study type: Interventional

Funder types: Other

Identifiers

NCT03253601

PRO17030372

Details and patient eligibility

About

Adherence to rehabilitation interventions is associated with functional outcomes (e.g. independence in daily activities, return of motor function) after stroke. Low adherence to rehabilitation home programs is common after stroke. Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g. medication routines, smoking cessation). The investigators developed the iADAPT mobile application to support adherence to Strategy Training. Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke. This study examines the effects of the iADAPT mobile health application relative to a workbook on adherence to Strategy Training after stroke.

Enrollment: 32 patients

Sex: All

Ages: 18 to 105 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

-Diagnosis of Stroke

Exclusion criteria

• prior exposure to Strategy Training
• vision impairment that impairs ability to read device screen or worksheet
• poor self-awareness (score of ≥2 on Self Awareness of Deficits Inventory item #1 or #2
• current major depressive, bipolar, or psychotic disorder (Patient Health Questionnaire-9, PRIME-MD)
• current alcohol or drug abuse (Mini International Neuropsychiatric Interview)
• severe aphasia (score ≤1 on Boston Diagnostic Aphasia Examination)
• current diagnosis of dementia, neurodegenerative disease, or cancer
• anticipated discharge to a skilled nursing facility

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Strategy Training: iADAPT Application

Experimental group

Description:

Participants will use the iADAPT mobile health application to supplement to in-person and remote intervention sessions.

Treatment:

Behavioral: Strategy Training

Strategy Training: Workbook

Active Comparator group

Description:

Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.

Treatment:

Behavioral: Strategy Training