iADAPTS to Support Strategy Training After Stroke

Recruiting

Phase N/A Results N/A

Trial Description

Adherence to rehabilitation interventions is associated with functional outcomes (e.g. independence in daily activities, return of motor function) after stroke. Low adherence to rehabilitation home programs is common after stroke. Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g. medication routines, smoking cessation). The investigators developed the iADAPTS mobile application to support adherence to Strategy Training. Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke. This study examines the effects of the iADAPTS mobile health application relative to a workbook on adherence to Strategy Training after stroke.

Conditions

Interventions

  • Strategy Training Behavioral
    Intervention Desc: Strategy training is a form of meta-cognitive instruction that trains individuals with stroke-related cognitive impairments to identify and prioritize problematic daily activities, identify the barriers impeding performance, generate and evaluate their own strategies to address barriers, and apply these skills through iterative practice.
    ARM 1: Kind: Experimental
    Label: Strategy Training: iADAPTS Application
    Description: Participants will use the iADAPTS mobile health application to supplement to in-person and remote intervention sessions.
    ARM 2: Kind: Experimental
    Label: Strategy Training: Workbook
    Description: Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.

Outcomes

Type Measure Time Frame Safety Issue
Primary Adherence: Observed client behavior Baseline to 3 months
Primary Adherence: Client-reported progress on goals. Baseline and 3 months
Secondary Adherence: Client perspectives on treatment environment Baseline and 3 months

Sponsors