Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke

Primary outcomes

1. Fugl-Meyer Assessment

   Time frame: Baseline to 6 weeks

   The Fugl-Meyer Assessment scale is an index to assess the sensorimotor impairment in individuals who have had stroke. The score ranges is 0 to 226. A higher score indicates better body function.

2. Balance computerized adaptive testing

   Time frame: Baseline to 6 weeks

   The Balance computerized adaptive testing is a test about stroke patients, includes movement, balance, activities of daily living.

3. Mini Mental State Examination

   Time frame: Baseline to 6 weeks

   The Mini Mental State Examination general cognitive function. The score ranges is 0 to 30. A higher score indicates better general cognitive function.

4. Participation Measure-3 Domains ,4 Dimensions

   Time frame: Baseline to 6 weeks

   The Participation Measure-3 Domains, 4 Dimensions assesses social participation. A higher score indicates better social participation.

5. Canadian Occupational Performance Measure

   Time frame: Baseline to 6 weeks

   The COPM protocol is divided into three areas: self-care, productivity, and leisure. Patients define important activities and classify them with a score of one to 10. A higher score indicates better occupational performance.

6. Barthel Index (BI) -based Supplementary Scales

   Time frame: Baseline to 6 weeks

   The Barthel Index-based Supplementary Scales assesses basic activities of daily living using three scales:actual performance, ability, and self-perceived difficulty. The score ranges the three scales (i.e., actual performance, ability, and self-perceived difficulty)is 0-20, 0-18, and 0-20, respectively. A higher score indicates better basic activities of daily living.

7. Frenchay Activities Index

   Time frame: Baseline to 6 weeks

   The Frenchay Activities Index is a measure of instrumental activities of daily living for use with patients recovering from stroke. The score ranges is 0 to 45. A higher score indicates better instrumental activities of daily living.

8. Lawnton Instrumental Activities of Daily Living

   Time frame: Baseline to 6 weeks

   The Lawnton Instrumental Activities of Daily Living assesses instrumental activities of daily living.The score ranges is 0 to 8. A higher score indicates better instrumental activities of daily living.

9. Stroke Impact Scale

   Time frame: Baseline to 6 weeks

   The Stroke Impact Scale assesses other dimensions of health-related quality of life: emotion, communication, memory and thinking, and social role function.The score ranges is 59 to 295. A lower score indicates the quality of life less affected by stroke.

10. Stroke Self-Efficacy Questionnaire

    Time frame: Baseline to 6 weeks

    The Stroke Self-Efficacy Questionnaire is a self-report scale measuring self-efficacy judgments in specific domains of functioning post stroke. The score ranges is 0 to 130. A higher score indicates better self-efficacy.

11. Kingston Caregiver Stress Scale

    Time frame: Baseline to 6 weeks

    The Kingston Caregiver Stress Scale is a self-report scale measuring caregiver stress. The score ranges is 10 to 50. A higher score indicates greater stress.