Task Oriented Training and Evaluation at Home (TOTE Home)
Objective: To determine the effectiveness of an upper extremity, task oriented training program delivered at home (TOTE Home) for people who are in the subacute recovery phase of a stroke.
Method: A single-subject AB series design with a follow-up to assess the effectiveness of TOTE Home which includes a maximum of 30, one hour sessions of training conducted in participants' homes. Repeated target measures of accelerometry and level of confidence to be analyzed throughout the study. Change scores from standardized assessments to be evaluated at baseline, post-intervention, and follow-up time periods.
研究概览
详细说明
研究类型
注册 (实际的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- upper extremity hemiparesis due to a stroke but met minimal movement criteria in the affected arm and hand (at least 10 degrees of active movement at the wrist, elbow, and shoulder movement, along with 10 degrees of active movement in the thumb and two other fingers)
- minimal cognitive deficits as demonstrated by a 24 or higher on the Mini-Mental Status Exam
- able to identify at least five specific tasks participants wish to achieve with their affected upper extremity. This was assessed with the Canadian Occupational Performance Measure (COPM)
- at least 21 years of age
- able to communicate in English
- 3-12 months after their stroke which would classify them in the subacute level of recovery
- all formal occupational therapy was completed.
Exclusion Criteria:
- upper extremity pain that interfered with activities of daily living
- requiring maximal assistance for mobility
- arm or hand injury (unrelated to the stroke)
- upper extremity amputations
- inability to participate due to any illness, social or geographical reason, and any other diagnosis or limiting conditions that would affect participation
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Task Oriented Training
The intervention administered during each of the training sessions was modeled after the protocol outlined in Winstein et al. (2013) however implementation was in the participant's home setting and involved tasks in the participant's real world. The manual entitled, "Upper-Extremity Task-Specific Training After Stroke or Disability" by Lang and Birkenmeier (2014) was also utilized to give a general overview of task specific training for the upper extremity and to help guide each activity the participant chose to work on. |
The intervention administered during each of the training sessions was modeled after the protocol outlined in Winstein et al. (2013) however implementation was in the participant's home setting and involved tasks in the participant's real world. The manual entitled, "Upper-Extremity Task-Specific Training After Stroke or Disability" by Lang and Birkenmeier (2014) was also utilized to give a general overview of task specific training for the upper extremity and to help guide each activity the participant chose to work on. |
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Movement of the hemiparetic upper extremity as measured by accelerometry
大体时间:24 hour recordings over 8 day periods
|
24 hour recordings over 8 day periods
|
合作者和调查者
调查人员
- 学习椅:Marsha Neville, PhD, OT、Texas Woman's University
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- TOTE Home 001
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
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Task Oriented Treatment的临床试验
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Medical University of ViennaMedical University of Graz尚未招聘
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Instituto Nacional de Cardiologia Ignacio Chavez未知
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University of CincinnatiNational Institute of Nursing Research (NINR)完全的
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University of CincinnatiNational Institute of Nursing Research (NINR)招聘中
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Zealand University HospitalUniversity of Copenhagen; Steno Diabetes Center Copenhagen; Holbaek Sygehus招聘中
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Assistance Publique - Hôpitaux de Paris招聘中
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Universitaire Ziekenhuizen KU LeuvenLaboratoires Thea招聘中