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| Name | Class |
|---|---|
| National Science and Technology Council, Taiwan | OTHER_GOV |
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To examine the feasibility of improving stroke patients' physical functional recovery and social participation through improving caregiver's care capability.
In the hospital, most rehabilitation units are like sheltered workshops and the therapists work with stroke patients in well-designed, but non-home-like, environment to improve the stroke patient's functional ability. After returning home, stroke patients face new challenges and also need to assume more responsibility for daily activities. Without continuing rehabilitation training or proper support, the patients can easily fall into a sedentary lifestyle and lead to declines in functional ability.However, providing home-based exercise by therapists directly would increase the health care cost and may not be practical for chronic stroke patients. Hence, the objective of the present study was to determine whether a caregiver-mediated, home-based intervention program is effective for improving stroke patients' functional ability and social participation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Care-giver mediated training | Active Comparator | Each patient and the caregiver of the intervention group received weekly home training and exercise counseling by a physical therapist about the caregiver mediated home exercise skill for stroke patient. The training program were progress weekly based on the patient's need. |
|
| Standard-care | No Intervention | Maintain the inherent standard-care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Care-giver mediated training | Other | A physical therapist visited each subject and the caregiver (of the intervention group) once weekly for about 90 min/session to teach patient-skills and caregiver-skills. The therapist first reviewed the condition of each patient and planned patient-specific training programs, continuously performed 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Stroke Impact Scale | Change from baseline in Stroke Impact Scale at 12 weeks | Baseline and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| 10-meter walking speed | Change from baseline in 10-meter walking speed (cm/sec) at 12 weeks | Baseline and 12 weeks |
| Berg balance scale | Change from baseline in berg balance scale score at 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Center for Epidemiologic Studies Depression Scale | Change from baseline in Center for Epidemiologic Studies Depression Scale score at 12 weeks | Baseline and 12 weeks |
| Caregiver Burden Scale | Change from baseline in Caregiver Burden Scale at 12 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alan. C Tsai, PhD | Asia University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Joseph Hospital | Kaohsiung City | 80288 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21233462 | Background | Galvin R, Cusack T, O'Grady E, Murphy TB, Stokes E. Family-mediated exercise intervention (FAME): evaluation of a novel form of exercise delivery after stroke. Stroke. 2011 Mar;42(3):681-6. doi: 10.1161/STROKEAHA.110.594689. Epub 2011 Jan 13. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| Baseline and 12 weeks |
| 6-min walking distance | Change from baseline in 6-min walking distance at 12 weeks | Baseline and 12 weeks |
| Bathel index score | Change from baseline in Bathel index score at 12 weeks | Baseline and 12 weeks |
| Lawton Instrumental Activities of Daily Living scale (IADL) | Change from baseline in Lawton Instrumental Activities of Daily Living Scale at 12 weeks | Baseline and 12 weeks |
| Fugl-Meyer Assessment Scale | Change frome baseline in Fugl-Meyer Assessment Scale score at 12 weeks | Baseline and 12 weeks |
| baseline and 12 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |