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The project will investigate the effects of a novel 12-week Movement Improvisation Skill-building and Adaptive Dance Intervention (MDI) on participation, balance, mobility, balance confidence, psychological well-being, and health-related quality of life in survivors with hemiparesis.
A 2-arm, assessor-blinded, randomised controlled trial will be conducted. Individuals who are 18-80 years old and have hemiparesis after a first-ever/recurrent ischaemic/haemorrhagic stroke will be recruited. The participants will be randomly allocated to the control group receiving usual care or the intervention group receiving MDI and usual care. Based on Bandura's principles of Self-efficacy and Outcome Expectation, MDI is an online/hybrid intervention aimed to assist survivors in developing body awareness, body sense, movement improvisational skills, and abilities in creating mental images of movements and balance during their transition of care from the acute settings to home. The outcomes will be assessed before the intervention, immediately post-intervention, and 3 and 6 months post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Movement Improvisation Skill-building and Adaptive Dance Intervention | Experimental | The MDI is a hybrid in-person/online intervention aimed at developing body awareness, body sense, movement improvisational skills, and the ability to create mental images of movements and balance among stroke survivors with hemiparesis. |
|
| Usual care | No Intervention | Usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Movement Improvisation Skill-building and Adaptive Dance Intervention | Other | The MDI is a hybrid in-person/online intervention aimed at developing body awareness, body sense, movement improvisational skills, and abilities in creating mental images of movements and balance among stroke survivors with hemiparesis. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the level of participation in daily and social activities | The Reintegration to Normal Living Index (Chinese version) will be used to assess participants' participation in daily and social activities. | From baseline to immediately, 3 months and 6 months post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the level of balancing ability | The 14-item Mini- Balance Evaluation Systems Test will be used to measure participants' anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. | From baseline to immediately, 3 months and 6 months post-intervention |
| Change in the level of mobility |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Suzanne HS Lo, PhD | Contact | 852-39434485 | suzannelo@cuhk.edu.hk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Non-government organisations | Recruiting | Hong Kong | Hong Kong |
The information will be provided on request.
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D010291 | Paresis |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
The 6-minute walk test (MWT) will be performed according to the American Thoracic Society guidelines. |
| From baseline to immediately, 3 months and 6 months post-intervention |
| Change in the level of balance confidence | The Activities-specific Balance Confidence Scale (Chinese version) will be used to assess participants' confidence in balance when performing 16 daily functional activities. | From baseline to immediately, 3 months and 6 months post-intervention |
| Change in the level of psychological well-being | Participants' emotional well-being will be measured by the Hospital Anxiety and Depression Scale (Chinese version). | From baseline to immediately, 3 months and 6 months post-intervention |
| Change in the level of health-related quality of life | The EuroQoL 5 Dimension (Chinese version) will be used. It contains 5 dimensions (mobility, self-care, usual activities, pain/ discomfort, anxiety/depression), | From baseline to immediately, 3 months and 6 months post-intervention |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |