Occupational Gaps After Mild Stroke: a Single-Center Observational Study (POPPAL)

Investigating Occupational Gaps After Mild Stroke: Prevalence, Explanatory Factors, and Impact on Quality of Life in a Single-Center Study

The goal of this observational study is to investigate participation restrictions and their determinants in people after a mild stroke. The main questions it aims to answer are:

Do mRS score, time since stroke onset, cognitive disorders, mood disorders and fatigue negatively impact occupations after mild stroke?

Does an increased prevalence of occupational gaps correlate with a diminished quality of life following mild stroke?

Study Overview

• Status: Completed
• Conditions: Stroke; Occupational Problems
• Intervention / Treatment: Behavioral: This research has only one arm. The intervention focuses on occupational issue

• Study Type: Observational
• Enrollment (Actual): 50

Contacts and Locations

Study Locations

• France
  • Boissise-le-Roi, France, 77310
    • Clinique Les Trois Soleils

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

The study population was selected from the active file of stroke patients undergoing post-stroke consultation at the Centre Hospitalier Sud Francilien.

Description

Inclusion Criteria:

• over 18 years old,
• a diagnosis of stroke confirmed by cerebral imaging,
• an mRS score <3 at the post-stroke consultation,
• informed about the study
• not opposed to participation

Exclusion Criteria:

• cognitive dysfunction making participation in the study impossible,
• phasic disorders preventing comprehension of the questionnaires,
• neurological deficits prior to the stroke, a history of psychiatric disorders
• being under legal protection.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Occupational Gaps Questionnaire	The Occupational Gaps Questionnaire (OGQ) assesses presence of occupational gaps in 28 activities, i.e. instrumental ADL, social- leisure- and work/work related activities. Two studies are published on occupational gaps. An occupational gap is defined as the gap that occurs between what an individual wants and needs to do and what he/she actually does.	the OGQ was administred at the inclusion

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hospital Anxiety and Depression scale	The Hospital Anxiety and Depression Scale (HADS) is a questionnaire widely used for detecting anxiety and depressive disorders.HADS comprises 14 items, seven of which relate to anxiety symptoms and seven to depressive symptoms. Each item is coded from 0 to 3. The scores for anxiety and depression can therefore vary from 0 to 21, depending on the presence and severity of the symptoms	HADS was asministred at the inclusion
Montreal Cognitive Assessment	The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for the detection of mild cognitive impairment. The MoCA assesses the following cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation.	MoCA was administred at the inclusion
Stroke Impact Scale	The Stroke Impact Scale (SIS) is a stroke-specific, self-report, health status measure. It was designed to assess multidimensional stroke outcomes, including strength, hand function Activities of Daily Living / Instrumental Activities of Daily Living (ADL/IADL), mobility, communication, emotion, memory and thinking, and participation.	The SIS was administred at the inclusion
modified Ranking Scale	The Modified Rankin Scale (MRS) is a single item, global outcomes rating scale for patients post-stroke. It is used to categorize level of functional independence with reference to pre-stroke activities rather than on observed performance of a specific task.	The mRS was administred at the inclusion
Fatigue Severity Scale	The Fatigue Severity Scale (FSS) is a 9-item scale which measures the severity of fatigue and its effect on a person's activities and lifestyle in patients with a variety of disorders.	The FSS was administred at the inclusion

Collaborators and Investigators

• Sponsor: Grosmaire
• Collaborators: Centre Hospitalier Sud Francilien
• Investigators: Principal Investigator: Christophe T Duret, MD, Clinique Les Trois Soleils

Study record dates

Study Major Dates

• Study Start (Actual): February 13, 2023
• Primary Completion (Actual): May 11, 2023
• Study Completion (Actual): June 26, 2023

Study Registration Dates

• First Submitted: June 21, 2024
• First Submitted That Met QC Criteria: June 21, 2024
• First Posted (Actual): June 26, 2024

Study Record Updates

• Last Update Posted (Actual): March 18, 2026
• Last Update Submitted That Met QC Criteria: March 16, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Stroke
• Other Study ID Numbers: POPPAL

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO