A Trial of a Client-centered Intervention Aiming to Improve Functioning in Daily Life After Stroke "LAS-2"

Completed

Phase N/A Results N/A

Trial Description

This is a cluster randomized controlled trial in which client-centered rehabilitation of activities of daily living (CADL) will be compared to usual rehabilitation of activities of daily living (UADL) regarding participation in activities of daily living, independence in activities of daily living and life satisfaction during the first year after stroke. In addition use of health services, caregiver burden and significant others' life satisfaction will be studied. Study design, methods and power analysis are based on our previous pilot study. Participating rehabilitation centers in the counties of Stockholm, Uppsala and Gavleborg have been randomized to supply CADL or UADL. Patients are included who are: < 3 months after stroke, dependent in at least two activities of daily living, understand instructions and referred to a participating rehabilitation unit. Data are collected at baseline, 3, 6 and 12 months. For sufficient power 280 participants will be included. In addition qualitative longitudinal studies will be performed in order to describe how CADL is integrated.

Conditions

Interventions

  • Client-centered ADL intervention Behavioral
    Intervention Desc: Client-centered ADL refers to rehabilitation of activities of daily living specifically guided by the needs as expressed by the client/patient and her/his significant others, a process that specifically aims to support the client by taking the client's goals and views as the guide for the rehabilitation process.
  • Usual ADL intervention Behavioral
    Intervention Desc: The variation of strategies and ways to conduct usual ADL rehabilitation according to the routines and praxis of the participating rehabilitation units randomized to supply the control condition.

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Health Services Research
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Perceived participation 12 months No
Secondary Life satisfaction 3 and 12 months No
Secondary Utilization of health care and health related services During one year after inclusion No
Secondary Fatigue baseline, 3, 6 and 12 months No
Secondary Caregiver burden 3 and 12 months No
Secondary Self rated impact of stroke 3, 6 and 12 months No
Secondary Activities of daily living baseline, 3, 6 and 12 months No
Secondary Satisfaction with care 3, 6 and 12 months No

Sponsors