Community Health Worker Assisted Task Specific and Cognitive Therapy at Home With Exposure After Stroke

Completed · Not applicable

Conditions studied: Stroke, Acute Ischemic

In brief

CATCHES is a novel intervention for preliminary testing, integrating Task Specific Therapy at home guided by Community Health Workers (CHW) under supervision of a licensed Physical Therapist (PT) guided by telehealth based Cognitive Behavioral Therapy (CBT) to reduce task specific fears through repetitive exposure and adaptive behavioral activation strategies and facilitate engagement in physical activity. 1. To integrate and establish feasibility of CATCHES intervention. Hypothesis: A multidisciplinary team providing home based TST with exposure therapy tailored to an underserved urban setting will inform a patient-centered behavioral intervention to reduce fear of falling (FOF) among post-acute stroke patients returning home. Feasibility outcomes will include recruitment, retention, and fidelity of implementation. 2. Test effects of the intervention on hypothesized treatment mechanism of fear of falling. Hypothesis: Therapy will reduce task specific fear of falling Primary outcome will be change in Activities-specific Balance Confidence Scale. 3. Explore physical activity measures subjectively and objectively. Exploratory outcomes include pre and post Timed Up and Go test, patient reported outcome surveys and activity as measured by wearable devices.

Key facts

Study ID

NCT06314308

Run by

Columbia University

People needed

30

Starts

2024-05-09

Expected to finish

2025-05-31

Last updated by the study team

2026-04-20

Who can join

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

You may qualify if…

• Aged over 18 years
• Plan for discharge home after stroke and ability to provide consent
• Low balance confidence (Activities-specific Balance Confidence < 80)

You may not qualify if…

• Modified Rankin Scale > 2 at time of enrollment
• Severe Stroke (NIH Stroke Scale > 14 and/or significant aphasia, dysarthria, or cognitive impairment precluding ability to complete study questionnaires as determined by interviewer)
• Legal blindness precluding ability to view infographic or education materials
• Terminal non-cardiovascular illness (life expectancy < 1 year)
• Co-morbid mental illness requiring hospitalization
• Unavailable for follow-up
• Non-English and non-Spanish speaking

Where it is running

• The Neurological Institute of New York, Columbia University — New York, New York, United States

Full record on ClinicalTrials.gov

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