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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Strategy Training: iADAPT Application | Experimental | Participants will use the iADAPT mobile health application to supplement to in-person and remote intervention sessions. |
|
| Strategy Training: Workbook | Active Comparator | Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Strategy Training | Behavioral | Strategy training is a form of meta-cognitive instruction that trains individuals with stroke-related cognitive impairments to identify and prioritize problematic daily activities, identify the barriers impeding performance, generate and evaluate their own strategies to address barriers, and apply these skills through iterative practice. |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence: Observed client behavior | Number of completed activity trials in the iADAPT application or Workbook | Baseline to 3 months |
| Adherence: Client-reported progress on goals. | Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure) | Baseline and 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence: Client perspectives on treatment environment | Client rating on patient-provider connection and treatment expectancy measured by Healing Encounters and Attitudes Lists | Baseline and 3 months |
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Inclusion Criteria:
-Diagnosis of Stroke
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth R. Skidmore, PhD, OTR/L | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15260 | United States |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D010349 | Patient Compliance |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |