Evidence map›Paper›PMID 27077987›Full record

Trial reportTopics in stroke rehabilitation2016

The Development of the Improving Participation after Stroke Self-Management Program (IPASS): An Exploratory Randomized Clinical Study.

Timothy J Wolf, Carolyn M Baum, Danbi Lee, Joy Hammel

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Topics in stroke rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06588647 (Efficacy of the Improving Participation After Stroke Self-Management-Rehabilitation), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06588647 narecruitingnot on this mapstarted 2024, after this paper: background citation

Efficacy of the Improving Participation After Stroke Self-Management-Rehabilitation (IPASS-R) Program in Sub-acute Stroke

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2024 to 2029Enrolled100ConditionsStrokeArmsImproving Participation after Stroke Self-Management Program (IPASS), Chronic Disease Self-Management Program (CDSMP)
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Adaptive Interventions for Enhancing Participation Poststroke: A Systematic Review and Meta-Analysis.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Pooled it
  2. Do self-management interventions improve self-efficacy and health-related quality of life after stroke? A systematic review.International journal of stroke : official journal of the International Stroke Society · 2025
    Pooled it
  3. Pooled it
  4. Theory-Based Self-Management Interventions for Community-Dwelling Stroke Survivors: A Systematic Review and Meta-Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2022
    Pooled it
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  18. Perceived Community Participation and Associated Factors in People With Stroke.Archives of rehabilitation research and clinical translation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Timothy J Wolfa Department of Occupational Therapy , University of Missouri , Columbia , MO , USA.
Carolyn M Baumb Program in Occupational Therapy , Washington University School of Medicine , St. Louis , MO , USA.
Danbi Leec Department of Occupational Therapy , University of Illinois at Chicago , Chicago , IL , USA.
Joy Hammelc Department of Occupational Therapy , University of Illinois at Chicago , Chicago , IL , USA.
University of Illinois Chicago · USUniversity of Missouri · USWashington University in St. Louis · US

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
CLINICAL EFFECTIVENESS OF SELF MANAGEMENT INTERVENTION POST-MILD STROKEK23HD073190 · NICHD · WASHINGTON UNIVERSITY · PI WOLF, TIMOTHY J. · 2012 to 2015
$389k
NICHD NIH HHS K12 HD055931NICHD NIH HHS K23 HD073190
6 · The paper itself

Abstract

introductionThere is a heavy emphasis in rehabilitation on restoration of function post-stroke at the expense of addressing how to manage the impact of stroke and the environment long term. Management of chronic health conditions is often and effectively addressed using self-management education; however, self-management is mostly focused on managing symptoms and health behaviors, not additional participation and community reintegration issues experienced following stroke. This study evaluated the Improving Participation after Stroke Self-Management Program (IPASS) to improve self-efficacy and participation in everyday life activities for individuals living with the long-term consequences of stroke.

methodsA multisite, single-blind, exploratory randomized clinical study was conducted with participants with mild-to-moderate chronic stroke (n = 185). Participants were randomized either to receive the IPASS intervention immediately or to a wait list control group. The assessment was completed pre- and post-intervention and at 6-9 months post-intervention follow-up. The primary outcome assessments included measures of self-efficacy to manage chronic health conditions and to participate in everyday life activities.

resultsThe results show that there was significant short-term increase in health-related self-efficacy both within-group and between-groups in managing chronic conditions which were retained at follow-up; the average effect size was 0.46, indicating moderate effect overall. Further, a significant short-term increase was found in participation self-efficacy, with an overall moderate effect size of 0.55.

conclusionsThese results provide early support for the use of IPASS to help improve self-efficacy to manage health behaviors and to improve participation post-stroke. Further investigation is warranted to confirm these findings with an active control group and a more sensitive outcome measure to capture participation changes.

Indexed as

Outcome Assessment, Health CareSocial ParticipationAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedSelf-ManagementSingle-Blind MethodStrokeStroke RehabilitationOccupational therapyParticipationSelf-managementStroke

Identifiers

PMID27077987
PMCPMC4929017
OpenAlexW2324785972

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.