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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A-IADL Group | Experimental | Approach-Instrumental Activities of Daily Living in home |
|
| Control group | Active Comparator | Home health education |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Approach-Instrumental Activities of Daily Living | Behavioral | Individualized instrumental activities of daily living training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Meyer Assessment | The Fugl-Meyer Assessment scale is an index to assess the sensorimotor impairment in individuals who have had stroke. The score ranges is 0 to 226. A higher score indicates better body function. | Baseline to 6 weeks |
| Balance computerized adaptive testing | The Balance computerized adaptive testing is a test about stroke patients, includes movement, balance, activities of daily living. | Baseline to 6 weeks |
| Mini Mental State Examination | The Mini Mental State Examination general cognitive function. The score ranges is 0 to 30. A higher score indicates better general cognitive function. | Baseline to 6 weeks |
| Participation Measure-3 Domains ,4 Dimensions | The Participation Measure-3 Domains, 4 Dimensions assesses social participation. A higher score indicates better social participation. | Baseline to 6 weeks |
| Canadian Occupational Performance Measure | The COPM protocol is divided into three areas: self-care, productivity, and leisure. Patients define important activities and classify them with a score of one to 10. A higher score indicates better occupational performance. | Baseline to 6 weeks |
| Barthel Index (BI) -based Supplementary Scales | The Barthel Index-based Supplementary Scales assesses basic activities of daily living using three scales:actual performance, ability, and self-perceived difficulty. The score ranges the three scales (i.e., actual performance, ability, and self-perceived difficulty)is 0-20, 0-18, and 0-20, respectively. A higher score indicates better basic activities of daily living. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| En-Chi Chiu, PhD | National Taipei University of Nursing and Health Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardinal Tien Hospital | New Taipei City | Xindian Dist | 231403 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35349186 | Derived | Gibson E, Koh CL, Eames S, Bennett S, Scott AM, Hoffmann TC. Occupational therapy for cognitive impairment in stroke patients. Cochrane Database Syst Rev. 2022 Mar 29;3(3):CD006430. doi: 10.1002/14651858.CD006430.pub3. |
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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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| Home health education | Behavioral | Individualized home health education |
|
| Baseline to 6 weeks |
| Frenchay Activities Index | The Frenchay Activities Index is a measure of instrumental activities of daily living for use with patients recovering from stroke. The score ranges is 0 to 45. A higher score indicates better instrumental activities of daily living. | Baseline to 6 weeks |
| Lawnton Instrumental Activities of Daily Living | The Lawnton Instrumental Activities of Daily Living assesses instrumental activities of daily living.The score ranges is 0 to 8. A higher score indicates better instrumental activities of daily living. | Baseline to 6 weeks |
| Stroke Impact Scale | The Stroke Impact Scale assesses other dimensions of health-related quality of life: emotion, communication, memory and thinking, and social role function.The score ranges is 59 to 295. A lower score indicates the quality of life less affected by stroke. | Baseline to 6 weeks |
| Stroke Self-Efficacy Questionnaire | The Stroke Self-Efficacy Questionnaire is a self-report scale measuring self-efficacy judgments in specific domains of functioning post stroke. The score ranges is 0 to 130. A higher score indicates better self-efficacy. | Baseline to 6 weeks |
| Kingston Caregiver Stress Scale | The Kingston Caregiver Stress Scale is a self-report scale measuring caregiver stress. The score ranges is 10 to 50. A higher score indicates greater stress. | Baseline to 6 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |