ClinicalTrials.gg
CompletedNCT03253601Updated Jul 2, 2020

iADAPT to Support Strategy Training After Stroke

An interventional study of Strategy Training in Stroke, Adherence, Patient and Strategy Training, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 18 Years to 105 Years. Per ClinicalTrials.gov, last updated 2020-07-02.

Sponsored by University of Pittsburgh · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 105 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 25 studies in Stroke by University of Pittsburgh — 7 open to participants now, 7 under way, none of them phase 3. Stroke · University of Pittsburgh.

Enrollment
11th of 23
32 · median 32
Started
2017
with 1 other
No phase
17 of 25
4 open now
Registered
11th of 25
by date

Among the 25 studies in Stroke by University of Pittsburgh, this one is the 11th largest by enrollment of the 23 interventional ones that give a count, is one of 2 that started in 2017, is one of 17 with no phase, and was the 11th registered.

Stroke

8,258 studies on the registry are indexed under Stroke; 2,055 are open to participants now.

Browse Stroke studies →

Open to participants now

7 of the 25 studies in Stroke by University of Pittsburgh are open now, in 1 country. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Where they have run

Who these studies take

Of the 1,415 Stroke studies recruiting now, 695 (49%) set no upper age limit and 280 (20%) stop at 75 or younger; 77 take children under 18; 195 take healthy volunteers.

This study: 18 Years to 105 Years · all sexes · no healthy volunteers.

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02

Study summary

Adherence to rehabilitation interventions is associated with functional outcomes (e.g. independence in daily activities, return of motor function) after stroke. Low adherence to rehabilitation home programs is common after stroke. Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g. medication routines, smoking cessation). The investigators developed the iADAPT mobile application to support adherence to Strategy Training. Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke. This study examines the effects of the iADAPT mobile health application relative to a workbook on adherence to Strategy Training after stroke.

03

Conditions studied

  • Stroke
  • Adherence, Patient
  • Strategy Training

Keywords

  • Rehabilitation
  • Disability
  • Mobile Health Technology
04

Who can participate

Ages eligible
18 Years to 105 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

-Diagnosis of Stroke

Exclusion criteria

Exclusion Criteria:

  • prior exposure to Strategy Training
  • vision impairment that impairs ability to read device screen or worksheet
  • poor self-awareness (score of ≥2 on Self Awareness of Deficits Inventory item #1 or #2
  • current major depressive, bipolar, or psychotic disorder (Patient Health Questionnaire-9, PRIME-MD)
  • current alcohol or drug abuse (Mini International Neuropsychiatric Interview)
  • severe aphasia (score ≤1 on Boston Diagnostic Aphasia Examination)
  • current diagnosis of dementia, neurodegenerative disease, or cancer
  • anticipated discharge to a skilled nursing facility
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Strategy Training: iADAPT Application

    Participants will use the iADAPT mobile health application to supplement to in-person and remote intervention sessions.

    Behavioral: Strategy Training

  • Active comparator
    Strategy Training: Workbook

    Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.

    Behavioral: Strategy Training

Interventions

  • BehavioralStrategy Training

    Strategy training is a form of meta-cognitive instruction that trains individuals with stroke-related cognitive impairments to identify and prioritize problematic daily activities, identify the barriers impeding performance, generate and evaluate their own strategies to address barriers, and apply these skills through iterative practice.

06

What researchers measure

Primary outcomes

  1. Adherence: Observed client behavior

    Number of completed activity trials in the iADAPT application or Workbook

    Time frame: Baseline to 3 months

  2. Adherence: Client-reported progress on goals.

    Client rating of independence with self-selected goals (measured using Canadian Occupational Performance Measure)

    Time frame: Baseline and 3 months

Secondary outcomes

  1. Adherence: Client perspectives on treatment environment

    Client rating on patient-provider connection and treatment expectancy measured by Healing Encounters and Attitudes Lists

    Time frame: Baseline and 3 months

07

Study locations

1 site
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15260, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2017 to primary completion in Jul 2019, 22 months.

Of 3,111 non-industry interventional studies with no phase under Stroke, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's 22 months is close to that.

Counting every sponsor, half of 3,255 studies reached it within 23 months; a quarter within 10 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2017
First posted
Aug 18, 2017
StartActual
Aug 14, 2017
Primary completionActual
Jul 8, 2019
CompletionActual
Dec 31, 2019
Last update
Jul 2, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03253601
Responsible party
Elizabeth R. Skidmore, PhD, OTR/L (Professor, University of Pittsburgh) — Principal investigator
First posted
Aug 18, 2017
Start date
Aug 14, 2017
Primary completion
Jul 8, 2019
Completion
Dec 31, 2019
Last update
Jul 2, 2020

Study contacts

Elizabeth R. Skidmore, PhD, OTR/L
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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