No registrations found.
ID
Source
Health condition
stroke; rehabilitation in nursing home; effect of increased therapytime on cognition, rest—activity rhythm and level of depression and anxiety ( mood)
Sponsors and support
Intervention
Outcome measures
Primary outcome
We want to study the effect of increased therapytime on cognition rest—activity rhythm and level of depression and anxiety ( mood).
Secondary outcome
1. Barthel index;
2. Medication;
3. Comorbidity.
Background summary
We want to investigate if the increased therapytime has a possitive effect on cognition rest—activity rhythm and level of depression and anxiety ( mood) with patients with stroke who stay on a rehabilitation unit of a nursing home.
Study objective
N/A
Study design
Within the first week of staying at the nursing home, patients who gave their informed consent will be tested by trained clinical neuropsychologists. They will assess patients'cognitive functioning , level of depression (mood) and rest-activity rhythm. The same variables will be assessed after 8 weeks.
Intervention
In our previous research we have already implemented 4 interventions from the evidence based clinical nursing stroke guideline, in our nursing home. These interventions were focused on muscle strenghtening, sitting balance and reach, getting up from a chair and walking. We found out that the therapytime increased significantly. Please see previous publication.
In our present research we want to investigate if the increased therapytime has an effect on cognition, rest—activity rhythm and level of depression and anxiety ( mood). Furthermore we will not implement new interventions. We compare this group with a controlgroup where care as usual is conducted based on the Dutch Stroke Guideline. These patients receive about on average 8 hours a week on rehabilitation.
Marleen Huijben-Schoenmakers
Hoeven 4741 DL
The Netherlands
0165 504467
marleenhuijben@gmail.com
Marleen Huijben-Schoenmakers
Hoeven 4741 DL
The Netherlands
0165 504467
marleenhuijben@gmail.com
Inclusion criteria
Stroke and rehabilitation on the unit of the nursing homes.
Exclusion criteria
1. Too ill to participate;
2. Aphasia;
3. Mmse < 13.
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 |
|---|---|
| NTR-new | NL3701 |
| NTR-old | NTR3871 |
| Other | METC VUmc : 2011/375 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
Summary results
Clinical Rehabilitation: Filling up the hours: How do stroke patients on a
rehabilitation nursing home spend the day?
Marleen Huijben-Schoenmakers, Claudia Gamel Nursing Science Department, University Medical Centre Utrecht and
Tho´ ra B Hafsteinsdo´ ttir Division of Neuroscience of the Rudolf Magnus Institute of Neurosciences, University Medical Centre
Utrecht, Utrecht, and Care for the Elderly and Chronically Ill, University of Applied Sciences, Utrecht, The Netherlands and the
Faculty of Nursing, University of Iceland, Reykjavik, Iceland
Received 30th March 2009; returned for revisions 7th May 2009; revised manuscript accepted 21st May 2009.
<br><br>
Second publication:<br>
Clinical Rehabilitation: “Can practice undertaken by patients be increased simply through implementing agreed national guidelines”? An observational study. Is online.
<br><br>
Submitted to BMC Geriatrics:The effects of increased therapy time on cognition, rest—activity rhythm and level of depression and anxiety ( mood) in frail patients with a stroke on rehabilitation units of nursing homes in the Netherlands: A protocol of a comparative study.
Marleen Huijben- Schoenmakers, Arno Rademaker, Peter van Rooden and Erik Scherder.