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Author Notes:

Sarah Blanton: Sblanto@emory.edu, Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, 1441 Clifton Road NE, Room 213, Atlanta, GA 30322, USA

Protocol design was by SB, SD, PC, SW, RL, and BJ. SB wrote the protocol which was edited by all authors.

SB oversaw study implementation.

PC and SD served as mentors for SB during study development and implementation.

PC and SB developed CARE-CITE intervention.

GC and BL created randomization protocol and developed and conducted statistical analysis.

All authors read and approved the final manuscript.

The authors would like to thank the following occupational and physical therapists assisting with recruitment, evaluations, and interventions: Marsha Bidgood, Lois Wolf, Sarah Caston, Heather Stewart, Theresa McClaughlin, and Laura Glazebrook.

The study PI (SB) would like to thank her valuable mentorship team (Clark, Dunbar, Lyles, Wolf, Jones) and the graduate students working in her lab, Deborah Korzun, Melissa McCune, Josue Rodriquez, Korynn Duke, and Tina Bova.

Special gratitude to the stroke survivors and carepartners that assisted in the development of the CARE-CITE video intervention and the research study participants.

The authors declare that they have no competing interests.

Subjects:

Research Funding:

American Heart Association Mentored Clinical and Population Research Award 14CRP18730037; National Institute of Child Health and Human Development Mentored Patient Oriented Research Career Development Award (K23); National Institutes of Health K23 grant (5K23HD080837-03); National Institute of Neurologic Disease and Stroke (NINDS) Clinical Trials methodology course R25 NS088248; Emory Library Information Technology Services grant support (UL1 TR000424) for REDCap data management system.

Keywords:

  • Caregiver
  • Depression
  • Rehabilitation
  • Stroke
  • Telehealth

A web-based carepartner-integrated rehabilitation program for persons with stroke: study protocol for a pilot randomized controlled trial.

Tools:

Journal Title:

Pilot and Feasibility Studies

Volume:

Volume 5

Publisher:

, Pages 58-58

Type of Work:

Article | Final Publisher PDF

Abstract:

Background: Family carepartner management and support can improve stroke survivor recovery, yet research has placed little emphasis on how to integrate families into the rehabilitation process without increasing negative carepartner outcomes. Our group has developed creative approaches for engaging family carepartners in rehabilitation activities to improve physical and psychosocial health for both the carepartner and stroke survivor. The purpose of this study is to explore a novel, web-based intervention (Carepartner and Constraint-Induced Therapy; CARE-CITE) designed to facilitate positive carepartner involvement during a home-based application of constraint-induced movement therapy (CIMT) for the upper extremity. Methods: The primary aim of the study is to determine feasibility of CARE-CITE for both stroke survivors and their carepartners. Carepartner mental health, family conflict surrounding stroke recovery, and stroke survivor upper extremity function will be evaluated using an evaluator blinded, two-group experimental design (blocked randomization protocol according to a 2:1 randomization schema) with 32 intervention dyads and 16 control dyads (who will receive CIMT without structured carepartner involvement). CARE-CITE consists of online education modules for the carepartner to review in parallel to the 30-h CIMT that the stroke survivor receives. The intent of CARE-CITE is to enhance the home-based intervention of CIMT, by helping the carepartner support the therapy and create a therapeutic home environment encouraging practice of the weaker arm in functional tasks. Discussion: The CARE-CITE study is testing the feasibility of a family-integrated rehabilitation approach applied in the home environment, and results will provide the foundation for larger clinical studies. The overall significance of this research plan is to increase the understanding and further development of interventions that may serve as models to promote family involvement in the rehabilitation process.

Copyright information:

© The Author(s). 2019

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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