RecruitingNot ApplicableNCT06588647

Improving Participation After Stroke Self-Management-Rehabilitation

Efficacy of the Improving Participation After Stroke Self-Management-Rehabilitation (IPASS-R) Program in Sub-acute Stroke

Sponsor

University of Missouri-Columbia

Enrollment

100 participants

Start Date

Dec 16, 2024

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

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.

Eligibility

Min Age: 45 YearsMax Age: 85 Years

Inclusion Criteria7

less than 6 months post-stroke
age 45-85 years
completed inpatient rehabilitation services (if recommended)
living in the community with or without caregiver support (i.e., not living in a skilled nursing facility)
ability to read, write, and speak English
diagnosis of mild or moderate stroke (National Institutes of Health stroke score <16)
able to use videoconferencing independently or with caregiver support

Exclusion Criteria6

severe depressive symptoms as indicated by a score ≥21 on the Patient Health Questionnaire
dementia symptoms as indicated by a score of <23 on the Montreal Cognitive Assessment
additional neurological diagnoses (e.g., brain malignancy, previous severe stroke)
(4) moderate or severe aphasia as indicated by a National Institutes of Health Stroke Scale aphasia score of ≥ 2
inability to provide informed consent
any other condition not otherwise specified that the PI determines would render participation in this study as unsafe for the participant

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Interventions

BEHAVIORALImproving Participation after Stroke Self-Management Program (IPASS)

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).

BEHAVIORALChronic Disease Self-Management Program (CDSMP)

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.