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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
32
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.
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Adherence: Observed client behavior
Number of completed activity trials in the iADAPT application or Workbook
Time frame: Baseline to 3 months
Adherence: Client-reported progress on goals.
Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure)
Time frame: Baseline and 3 months
Adherence: Client perspectives on treatment environment
Client rating on patient-provider connection and treatment expectancy measured by Healing Encounters and Attitudes Lists
Time frame: Baseline and 3 months
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