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This experimental design will assess the feasibility & initial effectiveness of PRO-MAMAS (promoting participation, health and wellbeing through meaningful maternal-role activities after stroke and other chronic conditions) - a novel occupational therapy intervention program to promote participation, health and wellbeing of older mothers with chronic stroke.
Assessments will be conducted at three time points: baseline, pre, post the Pro-MAMA intervention
This study aims to test the feasibility and initial effectiveness of PRO-MAMAS (promoting participation, health and wellbeing through meaningful maternal-role activities after stroke and other chronic conditions) in improving participation, health and wellbeing among older community dwelling mothers with chronic stroke and other chronic conditions.
PRO-MAMAS is a group intervention that aims to promote the health and wellbeing of older mothers with chronic stroke and other chronic conditions by using meaningful maternal-role activities as a motivational mean for participation. The intervention will include group discussions and practice, analysis of facilitators and barriers for participation, and home exercise. PRO-MAMAS will focus on raising awareness to meaningful maternal-role activities, identifying facilitators and barriers for participation and problem solving to enhance meaningful participation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRO-MAMAS | Experimental | All participants will receive PRO-MAMAS - a novel occupational therapy intervention. PRO-MAMAS will include 8 sessions (2 sessions per week for 4 weeks). PRO-MAMAS will include small group of 5-8 participants, so approximately 4 rounds of PRO-MAMAS will be needed to reach 30 participants |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRO-MAMAS (Promoting participation, health and wellbeing through meaningful maternal-role activities after stroke and other chronic conditions) | Behavioral | PRO-MAMAS - a novel occupational therapy intervention program to promote participation, health and wellbeing of older mothers with chronic stroke and other chronic conditions. |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction with PRO-MAMAS intervention | A self-report questionnaire assessing the satisfaction with the novel intervention. The participants rate their agreement with statements relating to the intervention on a scale of 1=not at all to 5=very much. | Post intervention (week 8) |
| Change in scores of the Canadian Occupational Performance Measure (COPM) | Change in scores of performance and satisfaction of performance for therapeutic goals that the participants define as important to them. Goals will focus on maternal-role and general participation. | Change from pre (week 3) to post intervention (week 8) |
| Change in scores of the Short Form Health Survey (SF-12) | The SF-12 is a 12-question assessment measuring physical and mental health, including areas such as physical functioning, pain, social functioning, and emotional well-being. It generates Physical (PCS) and Mental (MCS) Component Summary scores, ranging from 0 to 100, with higher scores indicating better health. | Change from pre (week 3) to post intervention (week 8) |
| Change in scores of the Satisfaction with Life Scale (SWLS) | SWLS is a 5-item questionnaire that measures overall life satisfaction. Respondents rate their agreement with statements on a 7-point scale (1 = strongly disagree, 7 = strongly agree), producing a total score ranging from 5 to 35, with higher scores indicating greater life satisfaction. | Change from pre (week 3) to post intervention (week 8) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Older adults' - Meaningful Maternal-role Activities Assessment (O-MAMA) | A self-report questionnaire, includes 37 items and measures participation of older mothers in meaningful maternal-role activities, producing two total scores: percent-Participation and percent-Non-Participation. Higher percent-Participation scores indicate more participation in meaningful maternal-role activities whereas higher percent-Non-Participation scores indicate less participation in these activities. |
| Measure | Description | Time Frame |
|---|---|---|
| Demographic and stroke information questionnaire | To describe the participants | baseline (week 0) |
| The Montreal Cognitive Assessment (MoCA) | To describe the participants' cognitive status. Scores range between 0-30, a score of 26 or above is considered in the normal range. |
Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tel Aviv University | Tel Aviv | Israel | 6997801 | Israel |
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| ID | Term |
|---|---|
| D006262 | Health |
| ID | Term |
|---|---|
| D011154 | Population Characteristics |
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| Change from baseline (week 0) to post intervention (week 8) |
| Change in Reintegration to Normal Living Index (RNL) | A self-reported questionnaire for assessing participation in various contexts such as recreational activity and family roles. Scores range between 10-100, higher scores indicate more participation. | Change from baseline (week 0) to post intervention (week 8) |
| The Lawton Instrumental Activities of Daily Living (IADLq) | A self-report questionnaire, assesses independence in tasks such as shopping. Scores range between 0-23 points, higher scores indicate more independence. | Change from pre (week 0) to post intervention (week 8) |
| Change in Timed Up and Go (TUG) | An assessment of mobility, measures the time (in seconds) it takes for an individual to stand up from a chair, walk 3 meters, turn, walk back, and sit down. A longer completion time indicates reduced mobility and a higher fall risk. | Change from pre (week 3) to post intervention (week 8) |
| Change in ABILHAND | A self-reported questionnaire that assesses manual ability in individuals with upper limb impairments. It consists of 23 items, where respondents rate the difficulty of performing daily activities using their hands. Scores are measured on a 3-point scale (0 = impossible, 1 = difficult, 2 = easy), with higher scores indicating better manual ability. | Change from pre (week 3) to post intervention (week 8) |
| Change in Box and Blocks | An assessment of manual dexterity and upper limb function. It involves moving as many blocks as possible from one compartment of a box to another in 60 seconds using one hand. The score is based on the total number of blocks successfully transferred, with higher scores indicating better upper limb function. | Change from pre (week 3) to post intervention (week 8) |
| Baseline (week 0) |