Home-Based Therapy for Stroke (CATCHES Trial)

N/A

Recruiting

Led By Imama A Naqvi, MD, MS

Research Sponsored by Columbia University

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 3 months

Awards & highlights

No Placebo-Only Group

Summary

This trial is testing a new intervention called CATCHES, which involves providing Task Specific Therapy at home guided by Community Health Workers and a licensed Physical Therapist using telehealth based Cognitive Behavioral Therapy. The

Who is the study for?

This trial is for individuals who have had an ischemic stroke and are dealing with fear of falling. Participants should be in a post-acute phase, returning home, and living in an underserved urban area. The study aims to help them engage more in physical activities.

What is being tested?

The CATCHES program combines Task Specific Therapy at home led by Community Health Workers under a Physical Therapist's guidance, with Cognitive Behavioral Therapy via telehealth to address fears through exposure and behavior strategies.

What are the potential side effects?

Since this intervention involves therapy rather than medication, typical drug side effects aren't expected. However, participants may experience discomfort or anxiety when facing their fears during the exposure part of the therapy.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 3 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~3 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and 3 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Percentage of intervention completers to demonstrate feasibility

Secondary study objectives

Change in Activities-specific Balance Confidence Scale Score

Other study objectives

Timed Up and Go Test Score

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups

Experimental Treatment

Group I: InterventionExperimental Treatment1 Intervention

Task Specific Training Task-Specific Training (TST) which is the repeated, active practice of a motor skill or activity that is meaningful to an individual with the goal of skill acquisition and retention will be provided over 5 sessions after initial an initial assessment by a physical therapist. Cognitive Behavioral Therapy (CBT) with exposure is a psychotherapeutic intervention that focuses on modifying individuals' thoughts and behavior guided through graded exposure will be guided by a psychologist.

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