Actively Recruiting

Phase Not Applicable
Age: 21Years +
All Genders
Healthy Volunteers
ID06596551

Aspirational Rehabilitation Coaching for Holistic Health (ARCH): A Pilot Pre-Post Evaluation of Psychosocial Recovery in First-Time Stroke Survivors and Family Caregivers

Led by Nanyang Technological University · Updated on 2024-09-19

60

Participants Needed

1

Research Sites

78 weeks

Total Duration

On this page

Sponsors

N

Nanyang Technological University

Lead Sponsor

T

Tan Tock Seng Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate the Aspirational Rehabilitation Coaching for Holistic Health (ARCH) programme, a new strength-based, multi-part psychosocial intervention designed to support first-time stroke survivors and their family caregivers. The study focuses on addressing psycho-socio-emotional and spiritual challenges faced after discharge from inpatient care. It uses a pre-post experimental design to assess the impact of the ARCH intervention on wellbeing, self-compassion, independence, quality of life, hope, resilience, self-efficacy, and the quality of the caregiver-survivor relationship. Participants will receive the ARCH intervention over four weekly sessions, each lasting 1.5 hours, totaling six hours. This dyadic programme integrates psychoeducation, psychosocial support, and self-compassion practices. The sessions guide families to understand and cope with post-stroke losses, build on their strengths, set achievable goals, and strengthen family bonds, while encouraging seeking support from wider social networks and care services. During the study, participants will be assessed at four time points: before the intervention, immediately after, and then three and six months post-intervention. Measurements include wellbeing, post-stroke reintegration, caregiver burden, self-efficacy, dyadic relationship quality, spiritual wellbeing, anxiety and depression symptoms, social support perception, resilience, and hope. The study also evaluates the acceptability and feasibility of the programme from the participants' perspectives. The total duration of participation spans approximately seven months from baseline to final follow-up.

CONDITIONS

Brief Title

Aspirational Rehabilitation Coaching for Holistic Health (ARCH): A Pilot Pre-Post Experimental Study

Who Can Participate

Age: 21Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 21 years and above
  • Recovering from their first stroke at mild to moderate degree of severity
  • Discharged from inpatient care at no later than 3 months
  • Clinically assessed to have cognitive capacities to engage in and complete the research study
  • Language capabilities in English or Mandarin
  • One identified primary family caregiver aged 21 years and above with similar language capabilities
Not Eligible

You will not qualify if you...

  • Families with survivors suffering from aphasia
  • Being too ill to participate
  • Experiencing moderate to severe cognitive impairment
  • Family caregivers who are not interested to participate

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants engage in a 4-week dyadic intervention involving weekly 1.5-hour sessions that provide psychoeducation, psychosocial support, and self-compassion practices aimed at helping stroke survivors and their family caregivers manage post-stroke psychosocial challenges.

Weekly visits for 4 weeks (each 1.5 hours)

Follow-up

Duration - 6 months

Participants are assessed at multiple times post-intervention to monitor changes in well-being, caregiver burden, spiritual health, and other psychosocial outcomes.

3 visits at immediately post-intervention, 3 months, and 6 months post-intervention

Trial Site Locations

Total: 1 location

1

Tan Tock Seng Hospital

Singapore, Singapore

Actively Recruiting

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Research Team

A

Andy HY Ho, PhD, EdD

S

Shaik Muhammad Amin, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Living losses in stroke caregiving: A qualitative systematic review of systematic reviews on psycho-socio-emotional challenges and coping mechanisms.

Ping Ying Choo, Muhammad Amin Shaik, Geraldine Tan-Ho...

https://pubmed.ncbi.nlm.nih.gov/35619566

Measuring mental well-being: A validation of the Short Warwick-Edinburgh Mental Well-Being Scale in Norwegian and Swedish.

Annie Haver, Kristin Akerjordet, Peter Caputi...

https://pubmed.ncbi.nlm.nih.gov/26041133

Measurement properties of a modified Reintegration to Normal Living Index in a community-dwelling adult rehabilitation population.

Alison Miller, Lindy Clemson, Natasha Lannin

https://pubmed.ncbi.nlm.nih.gov/21306195

A psychosocial intervention for stroke survivors and carers: 12-month outcomes of a randomized controlled trial.

Catherine Minshall, David J Castle, David R Thompson...

https://pubmed.ncbi.nlm.nih.gov/32191569

Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--Spiritual Well-being Scale (FACIT-Sp).

Amy H Peterman, George Fitchett, Marianne J Brady...

https://pubmed.ncbi.nlm.nih.gov/12008794