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OpenTrials
Completed

NCT Number: NCT03253601

iADAPT to Support Strategy Training After Stroke

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.

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Key information

Conditions

Stroke Adherence, Patient Behavior Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Health Behavior Nervous System Diseases Patient Acceptance of Health Care Patient Compliance Strategy Training Treatment Adherence and Compliance Vascular Diseases

Age range

18 year–105 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pittsburgh

Pittsburgh, Pennsylvania, 15260, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

-Diagnosis of Stroke

Exclusion criteria

  • prior exposure to Strategy Training
  • vision impairment that impairs ability to read device screen or worksheet
  • poor self-awareness (score of ≥2 on Self Awareness of Deficits Inventory item #1 or #2
  • current major depressive, bipolar, or psychotic disorder (Patient Health Questionnaire-9, PRIME-MD)
  • current alcohol or drug abuse (Mini International Neuropsychiatric Interview)
  • severe aphasia (score ≤1 on Boston Diagnostic Aphasia Examination)
  • current diagnosis of dementia, neurodegenerative disease, or cancer
  • anticipated discharge to a skilled nursing facility

Treatment and study plan

Strategy Training

Behavioral

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.

Primary outcomes

  1. Adherence: Observed client behavior

    Time frame: Baseline to 3 months

    Number of completed activity trials in the iADAPT application or Workbook

  2. Adherence: Client-reported progress on goals.

    Time frame: Baseline and 3 months

    Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure)

Secondary outcomes

  1. Adherence: Client perspectives on treatment environment

    Time frame: Baseline and 3 months

    Client rating on patient-provider connection and treatment expectancy measured by Healing Encounters and Attitudes Lists

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Registry information

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Aug 18, 2017
Registry last updated
Jul 2, 2020

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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