Occupational Gaps After Mild Stroke: a Single-Center Observational Study

Grosmaire50 enrolled

Overview

The goal of this observational study is to investigate participation restrictions and their determinants in people after a mild stroke. The main questions it aims to answer are: Do mRS score, time since stroke onset, cognitive disorders, mood disorders and fatigue negatively impact occupations after mild stroke? Does an increased prevalence of occupational gaps correlate with a diminished quality of life following mild stroke?

Study Type

OBSERVATIONAL

Enrollment

Conditions

Stroke Occupational Problems

Interventions

This research has only one arm. The intervention focuses on occupational issueBEHAVIORAL

During the post-stroke consultation, each participant is invited to complete questionnaires on occupational gaps, mood disorders, fatigue, cognition, and quality of life.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * over 18 years old, * a diagnosis of stroke confirmed by cerebral imaging, * an mRS score \<3 at the post-stroke consultation, * informed about the study * not opposed to participation Exclusion Criteria: * cognitive dysfunction making participation in the study impossible, * phasic disorders preventing comprehension of the questionnaires, * neurological deficits prior to the stroke, a history of psychiatric disorders * being under legal protection.

Locations (1)

Clinique Les Trois Soleils

Boissise-le-Roi, France

Outcomes

Primary Outcomes

Occupational Gaps Questionnaire

The Occupational Gaps Questionnaire (OGQ) assesses presence of occupational gaps in 28 activities, i.e. instrumental ADL, social- leisure- and work/work related activities. Two studies are published on occupational gaps. An occupational gap is defined as the gap that occurs between what an individual wants and needs to do and what he/she actually does.

Time frame: the OGQ was administred at the inclusion

Secondary Outcomes

Hospital Anxiety and Depression scale

The Hospital Anxiety and Depression Scale (HADS) is a questionnaire widely used for detecting anxiety and depressive disorders.HADS comprises 14 items, seven of which relate to anxiety symptoms and seven to depressive symptoms. Each item is coded from 0 to 3. The scores for anxiety and depression can therefore vary from 0 to 21, depending on the presence and severity of the symptoms

Time frame: HADS was asministred at the inclusion

Montreal Cognitive Assessment

The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for the detection of mild cognitive impairment. The MoCA assesses the following cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation.

Time frame: MoCA was administred at the inclusion

Stroke Impact Scale

The Stroke Impact Scale (SIS) is a stroke-specific, self-report, health status measure. It was designed to assess multidimensional stroke outcomes, including strength, hand function Activities of Daily Living / Instrumental Activities of Daily Living (ADL/IADL), mobility, communication, emotion, memory and thinking, and participation.

Time frame: The SIS was administred at the inclusion

modified Ranking Scale

The Modified Rankin Scale (MRS) is a single item, global outcomes rating scale for patients post-stroke. It is used to categorize level of functional independence with reference to pre-stroke activities rather than on observed performance of a specific task.

Data from ClinicalTrials.gov

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