RecruitingNot ApplicableNCT07084025

Home-based Cognitive Strategy Training for Daily Living in Adults With Chronic Stroke

Feasibility of Home-based Cognitive Strategy Training for Independence of Activities of Daily Living in Adults With Chronic Stroke

Sponsor

University Hospital, Toulouse

Enrollment

18 participants

Start Date

Jan 5, 2026

Study Type

INTERVENTIONAL

Conditions

Stroke Cerebrovascular Disorders

Summary

This pilot experimental study aims to describe the feasibility of a cognitive strategy training protocol : PRPP-I, in activities of daily life across home-based setting for adults with chronic stroke for improvement of independence and quality of life. Aditionnally to examine preliminary effectiveness of PRPP-I protocol within a home-based setting on functional cognitive strategies, independence, quality of life and career burden.

Eligibility

Min Age: 18 Years

Inclusion Criteria6

Patient's Main Eligibility criteria:
Adult over 18 years of age;
cognitive deficits (or Acquired Brain Injury) diagnosed due to ischemic or hemorrhagic, hemispheric or brainstem stroke, confirmed by brain imaging longer than 6 months;
Patient with mild (<26/30 or <25/30 for patients aged 71-85 yr) or moderate (\[18-25\]/30) cognitive impairment, measured by the Montreal Cognitive Assessment test ;
adults living in a home or community-based setting;
Patient with a non-professional caregiver;

Exclusion Criteria3

Neurological pathology other than stroke or psychiatric disorder;
Significant cognitive impairment, according to MoCA score <18/30;
Patient with severe aphasia, Boston Diagnostic Aphasia Examination score >2

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Interventions

OTHERPerceive, Recall, Plan and Perform-Intervention protocol (PRPP-I)

delivered over a 4-week period, in 12 sessions (45/60 min, 3 days a week for 4 weeks) for all patients according to the PRPP-I protocol. The intervention will be carried out by a PRPP-certified occupational therapist working on a Master's degree. It will consist of : * Implementation of training in functional cognitive strategies and meta-prompts through performance in home activities, * Repeated measurement of performance judgment criteria ; * Assessment of cognitive strategies * personalized implementation of the PRPP-I cognitive strategy training protocol. * Collection of feasibility modalities when tracking the intervention (e.g., time, transport, etc.).