RecruitingACTRN12619001182189

The Effectiveness of Home-Based Therapy on Functional Outcome, Self-Efficacy and Anxiety Among Discharged Stroke Survivors

Sponsor

National University of Malaysia

Enrollment

72 participants

Start Date

Oct 1, 2019

Study Type

Interventional

Conditions

functional performance of stroke survivors self efficacy level of stroke survivors anxiety of stroke survivors

Summary

This is an assessor-blinded randomized control trial involving two types of intervention which are home-based therapy (experimental group) and usual therapy (control group). The purpose of this study is to identify the feasibility and effectiveness of home-based therapy (HBT) in stroke survivors after discharge from hospital physiotherapy outpatient service based on self-efficacy, anxiety and functional outcome (mobility and gait speed). This study can hypothesize that the HBT yields better effects than UT on mobility level, gait speed, self-efficacy and level of anxiety among stroke patients who have been discharged from hospital outpatient physiotherapy service.

Eligibility

Sex: Both males and femalesMin Age: 60 YearssMax Age: 85 Yearss

Plain Language Summary

Simplified for easier understanding

Recovering from a stroke is a long process that often continues well after hospital discharge, but access to ongoing physiotherapy can be limited. Home-based therapy (HBT) offers a way to continue rehabilitation in the comfort of your own home with the support of a trained caregiver. This study tests whether a structured home-based therapy program is more effective than usual care (for those discharged from hospital outpatient physiotherapy) in improving mobility, walking speed, confidence, and anxiety in stroke survivors. Participants aged 60–85 who are stroke survivors and have been discharged from hospital physiotherapy are randomly assigned to home-based therapy (supported by their caregiver) or to continue with their usual routine. Assessments take place at the start, end, and follow-up to measure progress. You may be eligible if you are aged 60–85, have had a stroke, were discharged from outpatient physiotherapy more than four months ago, require a caregiver for daily activities, and are able to walk on level ground (with or without supervision). People with significant cognitive impairment, depression, or who already have a home physiotherapist are not eligible.

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Interventions

This is an assessor-blinded randomized control trial involving two types of intervention which are HBT (experimental group) and UT (control group). Stroke survivor will be randomly allocated into HBT

This is an assessor-blinded randomized control trial involving two types of intervention which are HBT (experimental group) and UT (control group). Stroke survivor will be randomly allocated into HBT (experimental group) and UT (control group). The duration of the intervention is 12 weeks. Participant and their caregiver in HBT group will be given at least one training session with the researcher at Unit Physiotherapy, Cheras Rehabilitation Hospital. Exercise program consist of a total of 7 exercises which include strengthening exercise, task-specific exercise, and balance exercise, with a total duration of 70 minutes. Exercise prescription in HBT group is followed FITT principle. FITT principle is the component of exercise prescription which includes frequency, intensity, time and type (or modality) (Billinger et al. 2014). Participants need to perform an exercise program at home 3 times a week for 12 weeks. A logbook containing exercise’s picture, instruction and intensity will be provided to the participant. Participant or caregiver needs to record the frequency of exercise in the given logbook. The researcher will contact the participant weekly to check on the progress (which will alter the intensity of the exercise), any adverse or unexpected events, and any issue(s) raised by participant or caregiver. Baseline outcome measure data will be assessed pre-intervention and week 13 post-intervention. caregiver define as the person who is able to provide minimal or moderate assistance to the stroke survivor in daily activities and/ or complex tasks; and able to assist stroke survivor to perform HBT.

Locations(1)

Kuala Lumpur, Malaysia

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ACTRN12619001182189