Efficacy of the Improving Participation After Stroke Self-Management-Rehabilitation (IPASS-R) Program in Sub-acute Stroke
University of Missouri-Columbia
Summary
The overall goal of this proposed study is to evaluate the efficacy of a small-group, stroke-specific, self-management program delivered via telehealth to improve self-efficacy, activity performance, and quality of life in individuals with sub-acute stroke.
Eligibility
- Age range
- 45–85 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * less than 6 months post-stroke * age 45-85 years * completed inpatient rehabilitation services (if recommended) * living in the community with or without caregiver support (i.e., not living in a skilled nursing facility) * ability to read, write, and speak English * diagnosis of mild or moderate stroke (National Institutes of Health stroke score \<16) * able to use videoconferencing independently or with caregiver support Exclusion Criteria: * severe depressive symptoms as indicated by a score ≥21 on the Patient Health Questionnaire * dementia symptoms as indicated by…
Interventions
- BehavioralImproving Participation after Stroke Self-Management Program (IPASS)
The IPASS-R program is a group-based self-management intervention that aims to improve problem-solving, action-planning, and resource utilization skills for improved community living and participation. The Activity-Barriers-Changes-Doing-Evaluation (ABCDE) framework is a user friendly problem-solving and goal setting framework that is used repetitively in each session throughout the program. Participants are guided to identify (1) an activity that they want to improve or re-engage in (A); (2) individual and environmental barriers that hinder their engagement (B); (3) changes that they can make to deal with the barriers and improve their engagement (C); and (4) an action plan to pursue (D). After the action plan, participants come back in the next session and evaluate their performance in following through on their plans (E).
- BehavioralChronic Disease Self-Management Program (CDSMP)
The program is facilitated by two trained leaders in small groups in a community setting with individuals who have chronic health problems and will follow the CDSMP protocol. Participants receive education on various health-related topics applicable to a range of chronic conditions, share experiences, and support one another.
Location
- University of MissouriColumbia, Missouri