Adapting Daily Activity Performance Through Strategy Training

N/ACompletedNCT01934621

University of Pittsburgh128 enrolled

Overview

Individuals with cognitive impairments after stroke sustain significant disability in their daily tasks, and account for a significant proportion of stroke-related healthcare costs. The proposed study examines a novel intervention, strategy training, that shows promise for helping individuals with stroke-related cognitive impairments reduce disability in daily tasks, which may lead to reductions in healthcare costs. We predict that strategy training will result in significantly greater independence 6 months after stroke compared to an attention control intervention, and that strategy training may reduce cognitive impairments.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

128

Conditions

Strategy Training Attention Control

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * primary diagnosis of acute stroke * admission to acute inpatient rehabilitation * impairment in higher order cognitive functions (EXIT-14 ≥ 3) Exclusion Criteria: * pre-stroke diagnosis of dementia in the medical record * inability to follow two- step commands 80% of the time * severe aphasia (BDAE ≤ 1) * current major depressive, bipolar, or psychotic disorder * drug or alcohol abuse within 3 months

Outcomes

Primary Outcomes

Change in Independence with Daily Activities

Moderate effect size of difference between groups in independence (measured with the Functional Independence Measure)

Time frame: Baseline to Month 6

Secondary Outcomes

Change in Executive Functions

Moderate effect size of difference between groups in independence (measured with selected indices of the Delis-Kaplan Executive Function System)