|- candidate number||14454|
|- NTR Number||NTR3871|
|- ISRCTN||ISRCTN wordt niet meer aangevraagd.|
|- Date ISRCTN created|
|- date ISRCTN requested|
|- Date Registered NTR||1-mrt-2013|
|- Secondary IDs||2011/375 METC VUmc|
|- Public Title||Is er een effect merkbaar van toegenomen therapietijd op cognitie, stemming bij patienten met een beroerte die revalideren in een verpleeghuis.|
|- Scientific Title||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.|
|- Healt Condition(s) or Problem(s) studied||Stroke, Rehabilitation, Nursing home, Cognition, Depression, Anxiety|
|- Inclusion criteria||Stroke and rehabilitation on the unit of the nursing homes.|
|- Exclusion criteria||1. Too ill to participate;|
3. Mmse < 13.
|- mec approval received||yes|
|- multicenter trial||no|
|- control||Not applicable|
|- Type||Single arm|
|- planned startdate ||1-apr-2011|
|- planned closingdate||1-apr-2015|
|- Target number of participants||80|
|- Interventions||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.|
|- 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;|
|- Timepoints||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.|
|- Trial web site||N/A|
|- status||open: patient inclusion|
|- CONTACT FOR PUBLIC QUERIES||MSc. Marleen Huijben-Schoenmakers|
|- CONTACT for SCIENTIFIC QUERIES||MSc. Marleen Huijben-Schoenmakers|
|- Sponsor/Initiator ||Vrije Universiteit Amsterdam|
(Source(s) of Monetary or Material Support)
|Vrije Universiteit Amsterdam|
|- Publications||First publication:|
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.
Clinical Rehabilitation: “Can practice undertaken by patients be increased simply through implementing agreed national guidelines”? An observational study. Is online.
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.
|- Brief 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.|
|- Main changes (audit trail)|
|- RECORD||1-mrt-2013 - 11-mrt-2013|