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Clinical Trial Summary

Background and Purposes: Administering activities of daily living (ADL) and recovery of ADL functions are the primary efficacy indicators in long-term care and the main treatment goals in rehabilitation for patients with stroke. Residential rehabilitation is a direct way to observe patients' living environment and provides feasible ADL treatment plans for patients with stroke living at home or in the community. However, there are three limitations in previous studies on ADL training in residential rehabilitation. First, few studies provide clear programs or principles on ADL training in home environment. Second, the domains of ADL that are assessed are too limited. Previous studies only assess patients' ADL actual performance, not assess ADL capability and ADL perceived difficulty. Three, effects of ADL training on other function (e.g., motor, cognition, perception) are not investigated. These limitations reduce clinicians and researchers to provide effective ADL training in home environment. Therefore, to overcome these limitations, the investigators will develop a program of Domiciliary care- Activities of Daily Living (DO-ADL) and evaluate the effects of the DO-ADL program on ADL and other functions (i.e., motor, cognition, perception, sensory, quality of life, and depression).

Methods: The 3-year research project consists of 2 stages. In the first stage, the investigators will conduct a pilot study. A six-week home program on basic ADL (BADL) will be designed. Thirty patients with stroke will be recruited and assigned into two groups (i.e., BADL home program and control group who receives traditional rehabilitation in hospital) for evaluating the feasibility of the BADL home program. In the second stage, the investigators will hold expert meetings to establish the principles of administrating the DO-ADL program and design the 12-week DO-ADL program according to the results from the first stage. The DO-ADL program contains the training on BADL and instrumental ADL (IADL). The investigators will recruit 60 patients with stroke and divide them into two groups (i.e., DO-ADL group and traditional rehabilitation group). The primary outcome measures are the Canadian Occupational Performance Measure, the Barthel Index-based Supplementary Scales, the Frenchay Activities Index, and ADL domain of the Stroke Impact Scale. The secondary outcome measures are the Fugl-Meyer Assessment, the Mini Mental State Examination, the Test of Visual Perceptual Skills-Third Edition, and the Center of Epidemiological Study-Depression

Clinical Trial Description


Study Design

Related Conditions & MeSH terms

NCT number NCT03828851
Study type Interventional
Source National Taiwan University Hospital
Contact Der-Sheng Han, Doctor
Phone +886-2371-7101
Status Recruiting
Phase N/A
Start date February 15, 2018
Completion date February 14, 2021

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