Home-based therapy for stroke recovery with community health worker support
Community Health Worker Assisted Task Specific and Cognitive Therapy At Home with Exposure After Stroke
This study is testing a home-based therapy program with support from community health workers to help stroke survivors feel safer and more active in their daily lives.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Columbia University Academic / other |
| Locations | 1 site (New York, New York) |
| Trial ID | NCT06314308 on ClinicalTrials.gov |
What this trial studies
This intervention integrates Task Specific Therapy at home, guided by Community Health Workers (CHWs) under the supervision of licensed Physical Therapists (PTs), along with telehealth-based Cognitive Behavioral Therapy (CBT). The aim is to reduce the fear of falling among post-acute stroke patients, which can hinder their physical activity and community reintegration. The study will assess the feasibility of this approach, focusing on recruitment, retention, and implementation fidelity, while also exploring the behavioral mechanisms that facilitate engagement in physical activity.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old who are planning to be discharged home after a stroke and have low balance confidence.
Not a fit: Patients with severe strokes, significant cognitive impairments, or those unable to participate in follow-up may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly improve the rehabilitation outcomes and quality of life for stroke patients by reducing their fear of falling.
How similar studies have performed: While this approach is innovative, similar interventions have shown promise in improving rehabilitation outcomes for stroke patients, suggesting potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria: * Aged over 18 years * Plan for discharge home after stroke and ability to provide consent * Low balance confidence (Activities-specific Balance Confidence \< 80) Exclusion criteria: * Modified Rankin Scale \> 2 at time of enrollment * Severe Stroke (NIH Stroke Scale \> 14 and/or significant aphasia, dysarthria, or cognitive impairment precluding ability to complete study questionnaires as determined by interviewer) * Legal blindness precluding ability to view infographic or education materials * Terminal non-cardiovascular illness (life expectancy \< 1 year) * Co-morbid mental illness requiring hospitalization * Unavailable for follow-up * Non-English and non-Spanish speaking
Where this trial is running
New York, New York
- The Neurological Institute of New York, Columbia University — New York, New York, United States (Recruiting)
Study contacts
- Principal investigator: Imama A Naqvi, MD, MS — Columbia University
- Study coordinator: Carmen E Castillo
- Email: cec34@cumc.columbia.edu
- Phone: 212-305-7755
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.