Virtually Assisted Home Rehabilitation After Acute STroke (VAST-rehab)

The University of Texas Health Science Center, Houston20 enrolled

Overview

The purpose of this study is to investigate the feasibility of a virtual education and virtual visit program in engaging patients with rehabilitation at home after stroke.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke

Interventions

TelerehabilitationOTHER

Education based telerehab with rehabilitation therapists providing education on home exercises and stroke specific information

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Informed consent provided by the subject or legally authorized representative. * Occurrence of a hemorrhagic or ischemic stroke * pre-stroke mRS less than 3 * Qualifying Stroke Event must be confirmed by CT or MRI * Recommended to participate in self-guided or in-person rehabilitation activities by a physician or rehabilitation therapist * Must have sufficient cognitive and language abilities to comprehend verbal commands and to carry out the study assessments * Able to access the internet via a personal device Exclusion Criteria: * . History of neurological or other disease resulting in significant functional impairment (e.g.Parkinson's disease, motor neuron disease, moderate dementia, arthritis,contractures or fixed anatomical abnormality). * Subjects with a severe comorbid disorder that has reasonable likelihood of limiting survival to less than 6 months. * Any other conditions that, in the opinion of the investigators, would preclude safe and/or effective participation.

Locations (1)

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Outcomes

Primary Outcomes

Feasibility as assessed by number of participants that completed all scheduled visits.

Time frame: end of study(12 weeks form baseline)

Secondary Outcomes

Change in Functional independence as assessed by the Functional Independence Measure (FIM)

This is an 18 item questionnaire and each is scored from 1(complete dependence on helper) to 7(complete independence), a higher number indicating more independence

Time frame: Baseline, end of study (about 13-14 weeks after baseline)

Patient-Specific Functional Scale

This tool allows for Subjects to self report activities of daily living that have been affected by stroke and rate severity of impact on these activities. This is scored from 0(unable to perform activity) to 10(able to perform activity at the same level as before injury or problem)

Time frame: Baseline, end of study (about 13-14 weeks after baseline)

Change in impact of stroke as assessed by the Stroke Impact Scale (SIS)

This is a A 59 item questionnaire whereby subjects identify the impact of stroke on strength, hand function, mobility, activities of daily living, memory, communication, emotion, and handicap. Item responses are scored on a 5-point Likert-style scale. A score of 1 = an inability to complete the item and a score of 5 = no difficulty experienced at all. A standardized score ranging from 0 to 100 is calculated for all domains, with higher scores indicating a higher quality of life

Time frame: Baseline, end of study (about 13-14 weeks after baseline)

Change in quality of life as assessed by the EuroQol-5-5level scale (EQ-5D-5L)

A self reporting, quality of life measurement that asks Subjects to rate their severity of problems related to mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. There are 5 questions in the first section and each question is scored from 0-5,a higher number indicating a worse outcome .There is a visual scale at the end that is scored from 0(worst health) to 100(best health), higher number indicating better outcome . .

Data from ClinicalTrials.gov

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