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NCT Number: NCT07272759

Feasibility Study of Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program Among People With Stroke in Bang

Stroke causes major disability issues in Bangladesh and often leaves people unable to look after themselves, work, or participate in family and community life. Most stroke survivors in Bangladesh do not receive adequate rehabilitation, and existing services focus mainly on physical exercises, not on helping people return to meaningful activities.

The REAP programme is a new therapy approach that remediates skills through structured training, educates patients and families on stroke management, adapts tasks or environments to make daily activities easier, and promotes participation in meaningful roles and activities.

This study will test whether the REAP programme can be delivered successfully in a Bangladeshi rehabilitation centre, whether patients find it acceptable, and whether it helps people become more independent and improves quality of life.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre for the Rehabilitation of the Paralysed (CRP)

Dhaka, Bangladesh

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18-64 years,
  • Diagnosed with stroke (ischemic/hemorrhagic) 3-24 months prior,
  • Medically stable and able to provide informed consent,
  • MoCA score ≥18.

Exclusion criteria

  • Severe receptive aphasia,
  • Major psychiatric disorders,
  • Unstable medical conditions

Treatment and study plan

Occupation-Based 'Remediation, Education, Adaptation, Promotion' (REAP) Program

Other

The REAP program consists of four core components designed to address the complex needs of stroke survivors:

  • Remediation
  • Education
  • Adaptation
  • Promotion

Primary outcomes

  1. Barthel Index

    Time frame: From enrollment to 12 weeks

    Assesses independence in activities of daily living (ADLs).

  2. Montreal Cognitive Assessment (MoCA)

    Time frame: Enrollment to 12 weeks

    Screens for cognitive impairment.

  3. Bangladeshi Occupational Self-Assessment - Short Form (BOSA-SF) (

    Time frame: Enrollment to 12 weeks

    Evaluates perceived occupational competence and values within the local context.

  4. Fugl-Meyer Assessment (FMA)

    Time frame: Enrollment to 12 weeks

    Assesses motor recovery post-stroke

  5. Occupational Balance Questionnaire

    Time frame: Enrollment to 12 weeks

    Measures balance between different occupational areas in everyday life.

  6. Life Satisfaction Questionnaire (LiSat-11)

    Time frame: Enrollment to 12 weeks

    Assesses subjective life satisfaction across various domains

  7. Zarit Caregiver Burden Scale

    Time frame: Enrollment to 12 weeks

    Assesses the level of burden experienced by informal caregivers

Sponsors and collaborators

Lead sponsor

Tokyo Metropolitan University

Other

Collaborators

  • Centre for the Rehabilitation of the Paralysed, Bangladesh

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Dec 9, 2025
Registry last updated
Dec 9, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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