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

Summary

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

• Stroke
• Physical Disability
• Multiple Disability

Interventions

BEHAVIORAL

Client-centered ADL intervention

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.

BEHAVIORAL

Usual ADL intervention

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.

Sponsors & Collaborators

• The Swedish Research Council

  collaborator OTHER_GOV

• Swedish Council for Working Life and Social Research

  collaborator OTHER

• The Swedish Brain Foundation (Hjärnfonden)

  collaborator UNKNOWN

• Stroke-Riksförbundet

  collaborator UNKNOWN

• Region Stockholm

  collaborator OTHER_GOV

• Uppsala County Council, Sweden

  collaborator OTHER_GOV

• Uppsala-Örebro Regional Research Council

  collaborator OTHER

• Karolinska Institutet

  lead OTHER

Principal Investigators

• Kerstin Tham, PhD · Karolinska Institutet

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2009-09-30

Primary Completion

2012-09-30

Completion

2012-12-31

Countries

• Sweden

Study Locations