The objectives of this study are to investigate the feasibility, the construct and criterion validity of dynamic assessments in stroke patients.
ID
Source
Brief title
Condition
- Central nervous system vascular disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Three dynamic assessments will be administered in patients diagnosed with
stroke. These dynamic assessments are; the Wisconsin Card Sorting Test, the
Battery of Learning Potential for Assessing Dementia (BEPAD) and the California
Verbal Learning test II.
Secondary outcome
The Barthel Index and a custom-designed questionnaire about the learning
potential of clients will be completed by respectively the care coordinator and
the paramedic team.
Background summary
Cognitive impairments after stroke are a major cause of disability for everyday
functioning. Learning potential refers to the ability to improve cognitive
performance after training. Therefore, learning potential could be a mediator
between basic cognition and functional outcome. Dynamic assessments identify
the learning potential of the individual, instead of measuring their static
cognitive ability. With this information, it is reasonable to believe that
individuals with limited learning potential may benefit to a lesser extent from
rehabilitation interventions.
Dynamic assessments, unlike static assessments, are able to measure learning
potential in patients with schizophrenia and Alzheimer Disease according to
current literature. Currently, dynamic assessments are not used in stroke
patients, but may provide clinically helpful diagnostic and prognostic
information about the rehabilitation potential of stroke patients. Therefore,
it is important to gain insight in dynamic assessments used in patients
diagnosed with stroke. Because dynamic assessments are a promising way to gain
insight into learning potential, the aim of this study is to determine whether
learning potential of patients diagnosed with stroke can be assessed with
dynamic assessments.
Study objective
The objectives of this study are to investigate the feasibility, the construct
and criterion validity of dynamic assessments in stroke patients.
Study design
A cross-sectional design will be used for this study. Data collection of 30
clients diagnosed with stroke will take place in the nursing homes of Vitalis
WoonZorg Groep in Eindhoven. Three dynamic assessments will be administered by
a trained occupational therapist. The researcher will contact the client (after
the approval of the client, obtained by a care assistant from the clients
ward), gives verbal and written information and answers possible questions.
After obtaining informed consent, an appointment for the assessments will be
made with the client.
Study burden and risks
There is no potential risk for the participants. The assessments, in a static
version, are already used in other settings and in patients diagnosed with a
stroke. In this study, the assessments are adapted for dynamic assessments,
which means that the test is applied in a test-train-test format. During the
train-interval the patients are given instructions to improve their performance
on the test after which the test is administered again. Thus, a dynamic
assessment measures how well patients benefit from instructions. The results of
the dynamic assessments or the termination of participation in this study will
not affect the care and treatment that a participant is entitled to.
Universiteitssingel 50
6229 ER
NL
Universiteitssingel 50
6229 ER
NL
Listed location countries
Age
Inclusion criteria
- The diagnosis stroke should be confirmed by the physician specialized in geriatric medicine;
- Time post-stroke should be maximum 10 years;
- Clients must be able to give informed consent (this will be determined by the physician and by the Sheffield Screening Test for Acquired Language Disorders);
- Clients should be current patients of Vitalis WoonZorg Groep;
- All clients should be clinically stable, defined by having no negative hemodynamic changes occurred in the last week (determined by a physician);
- Clients should at least be able to understand simple instructions. Therefore all clients are screened with the first three items of the Sheffield Screening Test for Acquired Language Disorders. Only clients who score the total eight points of these three items are included.
Exclusion criteria
- Living in the psychiatric or psycho-geriatric wards of the nursing home;
- Diagnosed with dementia;
- Age under 50;
- Not able to sit awake for at least three consecutive hours in a (wheel) chair;
- Comatose.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL38401.068.11 |