Examining Rehabilitation Training Methods

Completed · Not applicable

Conditions studied: Guided Training, Directed Training

In brief

Individuals with cognitive impairments after stroke sustain significant disability in their daily tasks, and account for a significant proportion of stroke-related healthcare costs. This loss of independence is costly because individuals with stroke-related cognitive impairments require more rehabilitation and more resources to support their living, whether in institutional or community settings. The proposed study examines the effects of directed and guided training on the recovery of independence with daily activities in adults with stroke-related cognitive impairments in acute rehabilitation. The investigators predict that patients in both groups will demonstrate significant improvement in independence with daily activities in the first 12 months after rehabilitation admission, but that patients who receive guided training will demonstrate significantly more improvements than patients who received directed training.

Key facts

Study ID

NCT02766400

Run by

University of Pittsburgh

People needed

77

Starts

2012-08-01

Expected to finish

2015-07-01

Last updated by the study team

2020-01-09

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• primary diagnosis of acute stroke
• admission to acute inpatient rehabilitation
• impairment in cognitive functions (as indicated by 14-item Executive Interview ≥ 3)

You may not qualify if…

• diagnosis of dementia in the medical record
• inability to follow two-step commands 80% of the time
• severe aphasia (score of 0 or 1 on the Boston Diagnostic Aphasia Examination 3rd Edition Severity Rating Scale)
• current untreated major depressive, bipolar, or psychotic disorder (PRIME-MD)
• drug or alcohol abuse within 3 months (Mini-International Neuropsychiatric Interview)

Where it is running

• University of Pittsburgh — Pittsburgh, Pennsylvania, United States

Full record on ClinicalTrials.gov

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