Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke

National Taipei University of Nursing and Health Sciences

Status: Completed

Conditions: Stroke; Activities of Daily Living

Treatments: Behavioral: Approach-Instrumental Activities of Daily Living; Behavioral: Home health education

Study type: Interventional

Funder types: Other

Identifiers

NCT04399759

CTH-108-2-5-029

Details and patient eligibility

About

The purpose of this study was to conduct a randomized clinical trial. Implement instrumental daily activities of daily living (A-IADL) in home rehabilitation. To explore the effect of A-IADL on stroke patients' movement, cognition, social participation, daily life function and quality of life.

Full description

Subjects were randomized to intervention group and control group. The experiment was designed as randomized cross-over control trial. The primary outcome included 11 measures, Fugl-Meyer Assessment, Balance computerized adaptive testing, Mini Mental State Examination, Participation Measure-3 Domains ,4 Dimensions, Canadian Occupational Performance Measure, Barthel Index-based Supplementary Scales, Frenchay Activities Index, Lawnton Instrumental Activities of Daily Living, stroke impact scale, Stroke Self-Efficacy Questionnaire, and Kingston Caregiver Stress Scale.

Enrollment: 27 patients

Sex: All

Ages: 20 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age > 20 years
• Diagnosis of stroke
• The modified Rankin Scale : 2~4
• Keep sitting for half an hour by himself/herself
• Follow instructions
• Willing to sign the subject's consent

Exclusion criteria

• Diagnosis of dementia
• History of orthopedic diseases or peripheral nerve injury

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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27 participants in 2 patient groups

A-IADL Group

Experimental group

Description:

Approach-Instrumental Activities of Daily Living in home

Treatment:

Behavioral: Approach-Instrumental Activities of Daily Living

Control group

Active Comparator group

Description:

Home health education

Treatment:

Behavioral: Home health education