Feasibility Study of Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program Among People With Stroke in Bang

Stroke causes major disability issues in Bangladesh and often leaves people unable to look after themselves, work, or participate in family and community life. Most stroke survivors in Bangladesh do not receive adequate rehabilitation, and existing services focus mainly on physical exercises, not on helping people return to meaningful activities.

The REAP programme is a new therapy approach that remediates skills through structured training, educates patients and families on stroke management, adapts tasks or environments to make daily activities easier, and promotes participation in meaningful roles and activities.

This study will test whether the REAP programme can be delivered successfully in a Bangladeshi rehabilitation centre, whether patients find it acceptable, and whether it helps people become more independent and improves quality of life.

Study Overview

• Status: Active, not recruiting
• Conditions: Stroke
• Intervention / Treatment: Other: Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program

• Study Type: Interventional
• Enrollment (Actual): 6
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Bangladesh
  • Dhaka, Bangladesh
    • Centre for the Rehabilitation of the Paralysed (CRP)

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Aged 18-64 years,
• Diagnosed with stroke (ischemic/hemorrhagic) 3-24 months prior,
• Medically stable and able to provide informed consent,
• MoCA score ≥18.

Exclusion Criteria:

• Severe receptive aphasia,
• Major psychiatric disorders,
• Unstable medical conditions

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Stroke patients who are taking rehabilitation; Stroke patients aged 18-64 years, diagnosed with stroke (ischemic/hemorrhagic) 3-6 months prior, medically stable and able to provide informed consent, MoCA score ≥18.	Other: Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program; The REAP program consists of four core components designed to address the complex needs of stroke survivors: Remediation; Education; Adaptation; Promotion

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Barthel Index	Assesses independence in activities of daily living (ADLs).	From enrollment to 12 weeks
Montreal Cognitive Assessment (MoCA)	Screens for cognitive impairment.	Enrollment to 12 weeks
Bangladeshi Occupational Self-Assessment - Short Form (BOSA-SF) (	Evaluates perceived occupational competence and values within the local context.	Enrollment to 12 weeks
Fugl-Meyer Assessment (FMA)	Assesses motor recovery post-stroke	Enrollment to 12 weeks
Occupational Balance Questionnaire	Measures balance between different occupational areas in everyday life.	Enrollment to 12 weeks
Life Satisfaction Questionnaire (LiSat-11)	Assesses subjective life satisfaction across various domains	Enrollment to 12 weeks
Zarit Caregiver Burden Scale	Assesses the level of burden experienced by informal caregivers	Enrollment to 12 weeks

Collaborators and Investigators

• Sponsor: Tokyo Metropolitan University
• Collaborators: Centre for the Rehabilitation of the Paralysed, Bangladesh
• Investigators: Study Director: Peter Bontje, PhD, Tokyo Metropolitan University

Study record dates

Study Major Dates

• Study Start (Actual): October 20, 2025
• Primary Completion (Estimated): December 20, 2025
• Study Completion (Estimated): March 30, 2026

Study Registration Dates

• First Submitted: November 26, 2025
• First Submitted That Met QC Criteria: November 26, 2025
• First Posted (Estimated): December 9, 2025

Study Record Updates

• Last Update Posted (Estimated): December 9, 2025
• Last Update Submitted That Met QC Criteria: November 26, 2025
• Last Verified: November 1, 2025

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; Physiological Phenomena; Socioeconomic Factors; Population Characteristics; Biological Phenomena; Adaptation, Physiological; Adaptation, Biological; Educational Status; Acclimatization
• Other Study ID Numbers: CRP-ERC-R&E-0401-0479

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No