Strategy Training + Acceptance and Commitment Therapy for Stroke
Trial Summary
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. However, if you have major depressive disorder, you must be undergoing treatment for at least 4 weeks and be released to participate by your physician or counselor.
What data supports the effectiveness of the treatment Strategy Training + Acceptance and Commitment Therapy for Stroke?
Research shows that Acceptance and Commitment Therapy (ACT) can improve symptoms and quality of life for people with depression and anxiety, including those who have had a stroke. ACT has been effective in helping individuals with acquired brain injuries to improve their psychological well-being and functionality.12345
Is Strategy Training + Acceptance and Commitment Therapy safe for humans?
The studies reviewed focus on the effectiveness of Acceptance and Commitment Therapy (ACT) for stroke and acquired brain injury patients, but they do not report any specific safety concerns. Generally, ACT is considered safe as it involves psychological techniques to help people manage their thoughts and emotions.12467
How is the Strategy Training + Acceptance and Commitment Therapy treatment for stroke unique?
This treatment is unique because it combines Strategy Training with Acceptance and Commitment Therapy (ACT), which focuses on helping stroke survivors accept their thoughts and feelings and commit to actions that align with their values, potentially improving psychological flexibility and quality of life. Unlike traditional therapies, this approach integrates psychological acceptance and mindfulness principles, which are part of the third wave of behavioral therapies, to address both cognitive and emotional challenges after a stroke.12567
What is the purpose of this trial?
The goal of this clinical trial is to test a new rehabilitation program, combining acceptance and commitment therapy with strategy training (ST+ACT) to help people resume social participation after stroke and live in the community.Investigators will also compare the changes in social participation and psychological flexibility from baseline to follow-up at one-month after rehabilitation to see if participants who receive ST+ACT report clinically meaningful improvements (Cohen's d=0.2 or greater) compared to ST alone.Participants will:* complete testing to see if they are eligible for the study. If qualified, complete testing to understand how the stroke has affected their daily life* be randomized to receive either ST+ACT or ST alone rehabilitation program for 10 sessions at their home* repeat part of the tests at the end of the intervention and one month after
Research Team
Minmei Shih, PhD
Principal Investigator
University of Pittsburgh
Eligibility Criteria
This trial is for chronic stroke survivors who want to improve their social participation and live independently in the community. Participants must have had a stroke, be in a stable phase of recovery, and able to complete tests about daily life impacts. They cannot join if they don't meet these criteria.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either ST+ACT or ST alone rehabilitation program for 10 sessions at their home
Follow-up
Participants are monitored for changes in social participation and psychological flexibility one month after rehabilitation
Treatment Details
Interventions
- Strategy Training embedded with Acceptance and Commitment Therapy Principles
- Strategy Training Only
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pittsburgh
Lead Sponsor