Improving Participation After Stroke Self-Management-Rehabilitation

Purpose

The overall goal of this proposed study is to evaluate the efficacy of a small-group, stroke-specific, self-management program delivered via telehealth to improve self-efficacy, activity performance, and quality of life in individuals with sub-acute stroke.

Condition

  • Stroke

Eligibility

Eligible Ages
Between 45 Years and 85 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • less than 6 months post-stroke - age 45-85 years - completed inpatient rehabilitation services (if recommended) - living in the community with or without caregiver support (i.e., not living in a skilled nursing facility) - ability to read, write, and speak English - diagnosis of mild or moderate stroke (National Institutes of Health stroke score <16) - able to use videoconferencing independently or with caregiver support

Exclusion Criteria

  • severe depressive symptoms as indicated by a score ≥21 on the Patient Health Questionnaire - dementia symptoms as indicated by a score of <23 on the Montreal Cognitive Assessment - additional neurological diagnoses (e.g., brain malignancy, previous severe stroke) - (4) moderate or severe aphasia as indicated by a National Institutes of Health Stroke Scale aphasia score of ≥ 2 - inability to provide informed consent - any other condition not otherwise specified that the PI determines would render participation in this study as unsafe for the participant

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)
Masking Description
All outcomes assessors will be blinded to participant study group assignment.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Improving Participation after Stroke Self-Management Program (IPASS) 		The IPASS-R intervention consists of 6 weekly 90-minute sessions delivered by an occupational therapist and stroke survivor peer facilitator. All sessions will be delivered remotely via videoconferencing.
  • Behavioral: Improving Participation after Stroke Self-Management Program (IPASS)
    The IPASS-R program is a group-based self-management intervention that aims to improve problem-solving, action-planning, and resource utilization skills for improved community living and participation. The Activity-Barriers-Changes-Doing-Evaluation (ABCDE) framework is a user friendly problem-solving and goal setting framework that is used repetitively in each session throughout the program. Participants are guided to identify (1) an activity that they want to improve or re-engage in (A); (2) individual and environmental barriers that hinder their engagement (B); (3) changes that they can make to deal with the barriers and improve their engagement (C); and (4) an action plan to pursue (D). After the action plan, participants come back in the next session and evaluate their performance in following through on their plans (E).
Active Comparator
Chronic Disease Self-Management Program (CDSMP) 		The CDSMP will consist of 6, weekly 90-minute sessions. All sessions will be delivered remotely via videoconferencing.
  • Behavioral: Chronic Disease Self-Management Program (CDSMP)
    The program is facilitated by two trained leaders in small groups in a community setting with individuals who have chronic health problems and will follow the CDSMP protocol. Participants receive education on various health-related topics applicable to a range of chronic conditions, share experiences, and support one another.

Recruiting Locations

University of Missouri
Columbia 4381982, Missouri 4398678 65211
Contact:
Juliana Earwood, OTD
573-884-6681
jmhudson@health.missouri.edu

More Details

Status
Recruiting
Sponsor
University of Missouri-Columbia

Study Contact

Anna E Boone, PhD, OTR/L
5738827023
booneae@umsystem.edu