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N/A N=30 Randomized Single-blind Treatment

CO-OPerative Training for Stroke Rehabilitation

CO-OP · Attention Control

Enrolled (actual)
30
Serious AEs
0.0%
Results posted
Oct 2016
Primary outcome: Primary: Difference in Independence With Activities of Daily Living (Functional Independence Measure) Between Groups Over Time — 65.27; 62.60; 86.80; 80.53 units on a scale — p=0.007

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
CO-OP (Behavioral); Attention Control (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Dec 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Difference in Independence With Activities of Daily Living (Functional Independence Measure) Between Groups Over Time
65.27; 62.60; 86.80; 80.53; 109.69; 91.23 0.007 sig
SECONDARY
Difference in Executive Function- Inhibition, CWI (Color Word Interference Inhibition Scale)
4.85; 4.00; 8.73; 4.40; 8.20; 3.67 0.09
SECONDARY
Difference in Executive Function - Cognitive Flexibility, CWI (Color Word Interference Switching Scale)
3.69; 2.73; 8.82; 3.00; 8.20; 2.78 .002 sig
SECONDARY
Differences in Apathy Symptoms Between Groups Over Time
25.79; 25.18; 25.18; 34.13; 21.38; 29.00 .04 sig

Summary

Cognitive impairments occur frequently after stroke, and are associated with significant long-term activities of daily living (ADL) disability and poor quality of life. This research study will undertake an innovative approach addressing cognitive impairments, by examining a new patient-centered functionally-relevant rehabilitation intervention that teaches individuals with cognitive impairments to manage their deficits to reduce ADL disability.

Eligibility Criteria

Inclusion Criteria

  • primary diagnosis of acute stroke
  • admission to acute inpatient rehabilitation
  • impairment in cognitive functions (Quick Executive Interview ≥ 3)

Exclusion Criteria

  • dementia diagnosis (as indicated in the medical record)
  • severe aphasia as indicated by score ≥ 2 on the Boston Diagnostic Aphasia Examination (3rd Edition) Severity Rating Scale (BDAE-3)
  • current major depressive disorder (unless treated and in partial remission), bipolar or any other psychotic disorder (Primary Care Evaluation of Mental Disorders)
  • drug or alcohol abuse within 3 months (Mini-International Neuropsychiatric Interview)
  • anticipated length of stay less than 5 days
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02755805). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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