The overall goal of this proposed study is to evaluate the efficacy of a small-group, stroke-specific, self-management program delivered via telehealth to improve self-efficacy, activity performance, and quality of life in individuals with sub-acute stroke.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
The IPASS-R program is a group-based self-management intervention that aims to improve problem-solving, action-planning, and resource utilization skills for improved community living and participation. The Activity-Barriers-Changes-Doing-Evaluation (ABCDE) framework is a user friendly problem-solving and goal setting framework that is used repetitively in each session throughout the program. Participants are guided to identify (1) an activity that they want to improve or re-engage in (A); (2) individual and environmental barriers that hinder their engagement (B); (3) changes that they can make to deal with the barriers and improve their engagement (C); and (4) an action plan to pursue (D). After the action plan, participants come back in the next session and evaluate their performance in following through on their plans (E).
The program is facilitated by two trained leaders in small groups in a community setting with individuals who have chronic health problems and will follow the CDSMP protocol. Participants receive education on various health-related topics applicable to a range of chronic conditions, share experiences, and support one another.
University of Missouri
Columbia, Missouri, United States
RECRUITINGCanadian Occupational Performance Measure (COPM) Performance
Self-report measure of activity performance. Minimum = 1, Maximum = 10. Higher scores mean better performance.
Time frame: Pre-intervention (week 0), post-intervention (week 6), and 6-month follow-up (week 32)
Canadian Occupational Performance Measure (COPM) Satisfaction
Self-report measure of activity performance. Minimum = 1, Maximum = 10. Higher scores mean higher satisfaction.
Time frame: Pre-intervention (week 0), post-intervention (week 6), and 6-month follow-up (week 32)
Participation Strategies Self-Efficacy Scale (PS-SES)
Self-report measure of self-efficacy in using participation strategies. The subject rates confidence across 35 items within six subscales: (1) managing home participation, (2) staying organized, (3) planning and managing community participation, (4) managing work and productivity), (5) managing communication, and (6) advocating for resources. Range of scores from 35-350. Higher scores indicate greater self-efficacy.
Time frame: Pre-intervention (week 0), post-intervention (week 6), and 6-month follow-up (week 32)
In home activity level as measured by sensor system
average hourly percentage of time spent engaged in activity
Time frame: Duration of study (from baseline assessment (week 0) to 6-month follow-up assessment)
Community engagement as measured by sensor system
Time outside the home as measured by time between door sensor activations
Time frame: Duration of study (from baseline assessment (week 0) to 6-month follow-up assessment)
Stroke Impact Scale participation domain
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Measures perceived stroke recovery/quality of life. Range of scores 0-100. Higher scores indicate higher performance.
Time frame: Pre-intervention (week 0), post-intervention (week 6), and 6-month follow-up (week 32)
Assessment of Life Habits (LIFE-H)
Measures self-reported participation in daily activities by measuring total score across 6 domains. Score range of 0 to 9 with higher scores indicating better performance.
Time frame: Pre-intervention (week 0), post-intervention (week 6), and 6-month follow-up (week 32)