iADAPT to Support Strategy Training After Stroke
2020年7月1日 更新者：Elizabeth R. Skidmore, PhD, OTR/L、University of Pittsburgh
Adherence to rehabilitation interventions is associated with functional outcomes (e.g.
independence in daily activities, return of motor function) after stroke.
Low adherence to rehabilitation home programs is common after stroke.
Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g.
medication routines, smoking cessation).
The investigators developed the iADAPT mobile application to support adherence to Strategy Training.
Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke.
This study examines the effects of the iADAPT mobile health application relative to a workbook on adherence to Strategy Training after stroke.
研究概览
研究类型
介入性
注册 (实际的)
32
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Pennsylvania
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Pittsburgh、Pennsylvania、美国、15260
- University of Pittsburgh
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-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 105年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
-Diagnosis of Stroke
Exclusion Criteria:
- prior exposure to Strategy Training
- vision impairment that impairs ability to read device screen or worksheet
- poor self-awareness (score of ≥2 on Self Awareness of Deficits Inventory item #1 or #2
- current major depressive, bipolar, or psychotic disorder (Patient Health Questionnaire-9, PRIME-MD)
- current alcohol or drug abuse (Mini International Neuropsychiatric Interview)
- severe aphasia (score ≤1 on Boston Diagnostic Aphasia Examination)
- current diagnosis of dementia, neurodegenerative disease, or cancer
- anticipated discharge to a skilled nursing facility
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Strategy Training: iADAPT Application
Participants will use the iADAPT mobile health application to supplement to in-person and remote intervention sessions.
|
Strategy training is a form of meta-cognitive instruction that trains individuals with stroke-related cognitive impairments to identify and prioritize problematic daily activities, identify the barriers impeding performance, generate and evaluate their own strategies to address barriers, and apply these skills through iterative practice.
|
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有源比较器：Strategy Training: Workbook
Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.
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Strategy training is a form of meta-cognitive instruction that trains individuals with stroke-related cognitive impairments to identify and prioritize problematic daily activities, identify the barriers impeding performance, generate and evaluate their own strategies to address barriers, and apply these skills through iterative practice.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Adherence: Observed client behavior
大体时间：Baseline to 3 months
|
Number of completed activity trials in the iADAPT application or Workbook
|
Baseline to 3 months
|
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Adherence: Client-reported progress on goals.
大体时间：Baseline and 3 months
|
Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure)
|
Baseline and 3 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Adherence: Client perspectives on treatment environment
大体时间：Baseline and 3 months
|
Client rating on patient-provider connection and treatment expectancy measured by Healing Encounters and Attitudes Lists
|
Baseline and 3 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Elizabeth R. Skidmore, PhD, OTR/L、University of Pittsburgh
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2017年8月14日
初级完成 (实际的)
2019年7月8日
研究完成 (实际的)
2019年12月31日
研究注册日期
首次提交
2017年8月14日
首先提交符合 QC 标准的
2017年8月16日
首次发布 (实际的)
2017年8月18日
研究记录更新
最后更新发布 (实际的)
2020年7月2日
上次提交的符合 QC 标准的更新
2020年7月1日
最后验证
2020年7月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Strategy Training的临床试验
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Karolinska InstitutetMinistry of Health and Social Affairs, Sweden完全的
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Mental Health Services in the Capital Region, DenmarkCopenhagen Trial Unit, Center for Clinical Intervention Research; Center for Clinical Intervention...完全的
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Second Affiliated Hospital, School of Medicine,...The First Affiliated Hospital of Nanchang University; Chinese PLA General Hospital; The Affiliated... 和其他合作者招聘中