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NCT04835363

Early Occupational Therapy Intervention in the Hospital Discharge After Stroke

Completed NA Results posted Last updated 10 February 2025
What this trial tests

NA trial testing Early Occupational Therapy intervention in Stroke in 117 participants. Completed in 30 November 2022.

Timeline
1 May 2021
Primary endpoint
30 November 2022
30 November 2022

Quick facts

Lead sponsorUniversity of Malaga
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment117
Start date1 May 2021
Primary completion30 November 2022
Estimated completion30 November 2022
Sites1 location across Spain

Drugs / interventions tested

Conditions studied

Sponsor

University of Malaga

Who can join

18 and older, any sex, with Stroke. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Patient Quality of Life Primary · Before intervention (baseline) and after intervention (3 months)

Assessed with Stroke and aphasia quality of life scale-39 (SAQOL-39). Unit of measure will be the result of this assessment. Final score goes from 0 to 195 (higher score, better outcome).

After intervention (3 months)
GroupValue95% CI
Control Group3.41± 0.69
OT Intervention.3.91± 0.70
Before intervention (baseline)
GroupValue95% CI
Control Group2.51± 0.75
OT Intervention.2.67± 0.72
Patient's Sensory-motor Skills Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Fugl Meyer Assessment (FMA). Unit of measure will be the result of this assessment. Total score is 0 to 126 (the higher score, the better upper limb sensory-motor skills).

After intervention (3 months)
GroupValue95% CI
Control Group111.10± 17.6
OT Intervention.117± 12.6
Before intervention (baseline).
GroupValue95% CI
Control Group99.80± 22.60
OT Intervention.102.00± 18.90
Patient Perceptual-cognitive Skills Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Montreal Cognitive Assessment (MoCA). MoCA has been proposed as a screening tool that promises good sensitivity to deficits that result from stroke and vascular cognitive impairment. Unit of measure will be the result of this assessment.The final score goes from 0 to 30 (higher score, better outcome).

After intervention (3 months).
GroupValue95% CI
Control Group20.1± 7.06
OT Intervention.24.8± 6.58
Before intervention (baseline).
GroupValue95% CI
Control Group16.6± 7.33
OT Intervention.18.6± 7.16
Patient Communication Skills Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Communicative Activity Log (CAL). Scale that allows obtaining information on communication skills in activities of daily life referring to comprehensive and expressive aspects of language. Unit of measure will be the result of this assessment. Final score goes from 0 to 190 (higher score, better outcome).

After intervention (3 months).
GroupValue95% CI
Control Group116± 31.1
OT Intervention.137± 24.2
Before intervention (baseline).
GroupValue95% CI
Control Group109.00± 37.00
OT Intervention.122.00± 27.30
Depression of the Patient Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Beck Depression Inventory (BDI-2). It is one of the most commonly used instruments to measure the severity of depression. Unit of measure will be the result of this assessment. Final score goes from 0 to 63 (lower score, better outcome).

After intervention (3 months).
GroupValue95% CI
Control Group15.3± 10.48
OT Intervention.8.4± 8.88
Before intervention (baseline).
GroupValue95% CI
Control Group13.60± 9.76
OT Intervention.11.23± 9.11
Patient Mobility Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Time up and go (TUG). The TUG assesses basic mobility, timing the time required for a person to get up from a standardized chair, walk a distance of three meters, turn, return to the chair, and sit down again. Unit of measure will be the result of this assessment, which is the time in seconds. Shorter time means better performance.

After intervention (3 months).
GroupValue95% CI
Control Group12.4± 4.83
OT Intervention.14.3± 12.8
Before intervention (baseline).
GroupValue95% CI
Control Group28.40± 17.68
OT Intervention.29.00± 12.90
Patient Functional Balance Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Berg Balance Scale (BBS) which evaluates assesses functional balance. Unit of measure will be the result of this assessment. Final score goes from 0 to 56 (higher score, better outcome).

After intervention (3 months).
GroupValue95% CI
Control Group45.3± 11.7
OT Intervention.47± 11.1
Before intervention (baseline).
GroupValue95% CI
Control Group22.70± 17.90
OT Intervention.27.60± 14.60
Anxiety of the Patient Secondary · Before intervention (baseline) and after intervention (3 months)

Assessed with Hamilton anxiety scale. This scale assesses the severity of anxiety globally in patients who meet criteria for anxiety or depression. Unit of measure will be the result of this assessment. Final score goes from 0 to 56 (lower score, better outcome).

After intervention (3 months).
GroupValue95% CI
Control Group11.3± 9.4
OT Intervention.5.5± 7.94
Before intervention (baseline).
GroupValue95% CI
Control Group11.50± 10.88
OT Intervention.8.47± 10.96
Patient Functional Independence Assessed With Barthel Index Secondary · Before intervention (baseline) and after intervention (3 months)

The main unit of measure is the result of Barthel Index (from 0 to 100), 0 meaning disability and 100 meaning independence, therefore, higher score, better outcome. The main goal of this research is to assess independence of the patient and support needs in activities of daily living. The Barthel index measures the extent to which someone can function independently during basic activities of daily living.

After intervention (3 months).
GroupValue95% CI
Control Group85± 16.7
OT Intervention.90± 14.9
Before intervention (baseline).
GroupValue95% CI
Control Group52.5± 21
OT Intervention.54.7± 20.5
Patient Functional Independence Assessed With Stroke Impact Scale-16 Secondary · Before intervention (baseline) and after intervention (3 months)

Unit of measure will be the result of this assessment. The score goes from 16 to 80, 80 meaning independence (higher score, better outcome). The usefulness of this scale is similar to that of the Barthel Index, although it is more sensitive than the latter to discriminate between patients with mild disabilities.

After intervention (3 months).
GroupValue95% CI
Control Group61.9± 12.6
OT Intervention.66.3± 10.7
Before intervention (baseline).
GroupValue95% CI
Control Group36.60± 14.00
OT Intervention.37.70± 11.00
Patient Disability Assessed With Modified Rankin Scale (mRs) Secondary · Before intervention (baseline) and after intervention (3 months)

The mRS is used to describe disability in general. Unit of measure will be the result of this assessment. The score goes from 0 to 6, 0 meaning no symptoms and 6 meaning death (higher score, worse outcome).

After intervention (3 months).
GroupValue95% CI
Control Group2.5± 1.04
OT Intervention.1.83± 1.05
Before intervention (baseline).
GroupValue95% CI
Control Group3.60± 0.77
OT Intervention.3.63± 0.80
Caregiver Burden. Secondary · Before intervention (baseline) and after intervention (3 months)

Caregiver burden was evaluated with Caregiver Burden Scale (CBS). The Caregiver Burden Scale (CBS) is a 22-item scale that assesses the burden subjectively experienced by caregivers.The total score range is 0 to 88, where the higher the score, the more severe the burden: 0-21 no or mild burden, 21-40 mild to moderate burden, 41-60 moderate to severe burden, and ≥61 severe burden.

After intervention (3 months).
GroupValue95% CI
Control Group - Caregivers3.91± 0.70
OT Intervention Group - Caregivers3.41± 0.69
Before intervention (baseline).
GroupValue95% CI
Control Group - Caregivers12.8± 12.6
OT Intervention Group - Caregivers14.5± 6.91

Sponsor's own description

The general objective of this study is to determine if an early occupational therapy (OT) intervention together with the usual care at hospital discharge after suffering a stroke has a positive effect on the quality of life and functional independence of the patient, compared with the control group that will have the usual care and rehabilitation. We designed a four-week OT intervention program in patients who have suffered a stroke with the aim of improving the functional result and facilitating the return home by providing knowledge to the caregiver about specific care and neurorehabilitation.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Early Occupational Therapy Intervention in the Hospital Discharge after Stroke.
    García-Pérez P, Rodríguez-Martínez MDC, Lara JP, Cruz-Cosme C. · · 2021 · cited 8× · PMID 34948486 · DOI 10.3390/ijerph182412877
  2. Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial.
    García-Pérez P, Rodríguez-Martínez MC, Gallardo-Tur A, Blanco-Reina E, et al · · 2024 · cited 4× · PMID 39159190 · DOI 10.1371/journal.pone.0308800
  3. Early Occupational Therapy Intervention Programme and Coping Strategies and Burden in Caregivers of People with Sub-Acute Stroke: A Randomised Controlled Trial.
    García-Pérez P, Rodríguez-Martínez MC, Gallardo-Tur A, Blanco-Reina E, et al · · 2024 · PMID 39202012 · DOI 10.3390/jpm14080821

Verify or expand the search:

Other recruiting trials for Stroke

Currently open trials in the same condition.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing