The purpose of this study is to test the (a) feasibility, (b) usability, and (c) acceptability of using the Oculus Virtual Reality (VR) for chronic stroke survivors who have mild-moderate cognitive and unilateral arm impairment to administer upper extremity and cognitive rehabilitation, to calculate the change in upper extremity and cognition scores on standardized measurements per standard of care and to qualitatively explore the impact of engaging caregivers in supporting the stroke survivor's rehabilitation and the impact of this engagement on the stroke survivor and caregiver dyad using semi-structured interviews.
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Feasibility as Assessed by the Number of Sessions Attended
Timeframe: end of intervention( about 4 weeks from baseline)
Feasibility as Assessed by the Time Spent Using the Oculus VR
Timeframe: end of intervention( about 4 weeks from baseline)
Usability as Assessed by the Score on the System Usability Scale (SUS)
Timeframe: end of intervention( about 4 weeks from baseline)
Usability as Assessed by the Score on the Presence Questionnaire (PQ)
Timeframe: end of intervention( about 4 weeks from baseline)
Cognition as Assessed by the Montreal Cognitive Assessment (MoCA)
Timeframe: Baseline
Cognition as Assessed by the Montreal Cognitive Assessment (MoCA)
Timeframe: end of intervention (about 4 weeks from baseline)
Limb Function as Assessed by the Action Research Arm Test (ARAT)
Timeframe: Baseline
Limb Function as Assessed by the Action Research Arm Test (ARAT)
Timeframe: end of intervention( about 4 weeks from baseline)
Arm Impairment as Assessed by Fugl Meyer - Upper Extremity Assessment
Timeframe: Baseline
Arm Impairment as Assessed by Fugl Meyer - Upper Extremity Assessment
Timeframe: end of intervention( about 4 weeks from baseline)
Burden of Caregivers in Supporting the Stroke Survivor as Assessed by the Burden Scale for Family Caregivers - Short Version
Timeframe: Baseline
Burden of Caregivers in Supporting the Stroke Survivor as Assessed by the Burden Scale for Family Caregivers - Short Version
Timeframe: end of intervention( about 4 weeks from baseline)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Baseline
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 1 (week 1 day 1)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 2 (week 1 day 2)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 3 (week 1 day 3)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 4(week 2 day 1)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 5 (week 2 day 2)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 6 (week 2 day 3)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 7 (week 3 day 1)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 8 (week 3 day 2)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 9 (week 3 day 3)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 10 (week 4 day 1)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 11 (week 4 day 2)
Acceptability (Ease of Use) as Assessed by the Score on the Simulator Sickness Questionnaire (SSQ) Questionnaire
Timeframe: Session 12 (week 4 day 3)