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The study will administer an intervention called strategy training to adult stroke survivors living in the community who do and do not have pets, and will examine the role of a pet in promoting cognitive performance and community participation outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stroke survivors with pets | Experimental | Stroke survivors with pets will receive strategy training for 10-15 sessions, 45 minutes each session, delivered by a trained occupational therapist in the home. |
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| Stroke survivors without pets | Active Comparator | Stroke survivors without pets will receive strategy training for 10-15 sessions, 45 minutes each session, delivered by a trained occupational therapist in the home. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Strategy Training | Behavioral | Strategy training is comprised of participant-selected activity based goals, self evaluation, global problem solving strategies, and therapist-delivered guided training. The strategy training therapist will guide participants using prompting questions, as well as work sheets that facilitate learning and aid the participants in implementing the process. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean engagement score as measured by the Pittsburgh Rehabilitation Participation Scale | The scale is a valid and reliable criterion referenced measure that assesses engagement in rehabilitation therapy sessions. Each session is scored by the occupational therapist, 1 (no participation, refusal) to 6 (excellent participation). Scores are averaged across the 10-15 intervention sessions to generate the mean engagement score. | Baseline to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in attention as measured by the Color Trail Test 1 | This measure assesses perceptual tracking, sustained attention and grapho-motor skills. It is a pencil and paper, timed test. Completion time in seconds for each task is recorded, with a lower score representing better function. Change in attention will be calculated by subtracting the time to do the task at baseline from the time to do the task at 3 months. |
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Stroke survivors with pets
Inclusion Criteria:
Exclusion Criteria:
Stroke survivors without pets
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Naor Domotor, PhD | Contact | 4123836617 | NAD129@pitt.edu | |
| Elizabeth Skidmore, PhD | Contact | 4123836617 | skidmore@pitt.edu |
| Name | Affiliation | Role |
|---|---|---|
| Naor Domotor, PhD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15219 | United States |
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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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The proposed study is a single site, two-group quasi-experimental design comparing the effects of strategy training on rehabilitation engagement, cognitive performance, and community participation of home-dwelling stroke survivors living with and without pets. The investigators will also conduct qualitative interviews with participants who have pets.
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| Baseline to 3 months |
| Change in executive function as measured by the Color Trail Test 2 | This measure assesses divided attention and sequencing skills, which are executive function performance. It is a pencil and paper, timed test of effortful executive processing abilities that assesses the ability to alternate between two colors. Completion time in seconds for each task is recorded, with a lower score representing better function. Change in executive function will be calculated by subtracting the time to do the task at baseline from the time to do the task at 3 months. | Baseline to 3 months |
| Change in community participation as measure by Community Participation Indicators score | This participant reported questionnaire will measure the frequency of community participation over a 7 days period. Each item is measured on a 5-point Likert scale, with 1=no participation in that activity and 5=7 days of participation in that activity. A total of 20 items are summed to yield a total score. Change in community participation will be calculated by subtracting baseline total score from the 3 month total score. | Baseline to 3 months |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |