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NCT06314308Completed

Community Health Worker Assisted Task Specific and Cognitive Therapy at Home With Exposure After Stroke

Source: ClinicalTrials.gov · Last updated 20 Apr 2026

Brief summary (registry, in English)

CATCHES is a novel intervention for preliminary testing, integrating Task Specific Therapy at home guided by Community Health Workers (CHW) under supervision of a licensed Physical Therapist (PT) guided by telehealth based Cognitive Behavioral Therapy (CBT) to reduce task specific fears through repetitive exposure and adaptive behavioral activation strategies and facilitate engagement in physical activity. 1. To integrate and establish feasibility of CATCHES intervention. Hypothesis: A multidisciplinary team providing home based TST with exposure therapy tailored to an underserved urban setting will inform a patient-centered behavioral intervention to reduce fear of falling (FOF) among post-acute stroke patients returning home. Feasibility outcomes will include recruitment, retention, and fidelity of implementation. 2. Test effects of the intervention on hypothesized treatment mechanism of fear of falling. Hypothesis: Therapy will reduce task specific fear of falling Primary outcome will be change in Activities-specific Balance Confidence Scale. 3. Explore physical activity measures subjectively and objectively. Exploratory outcomes include pre and post Timed Up and Go test, patient reported outcome surveys and activity as measured by wearable devices.

Status (registry)
Completed
Study type
Interventional
Enrollment
30 (actual)
First submitted
11 Mar 2024
Start date
9 May 2024
Primary completion date
21 Mar 2025
Lead sponsor
Columbia University
Diseases
Stroke
NCT number
NCT06314308

What you commit to

  • Study type: Interventional
  • Participants enrolled: 30
  • From 9 May 2024 to the primary completion date, 21 Mar 2025
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Severe Stroke (NIH Stroke Scale \> 14 and/or significant aphasia, dysarthria, or cognitive impairment precluding ability to complete study questionnaires as determined by interviewer)
  • Terminal non-cardiovascular illness (life expectancy \< 1 year)
  • Co-morbid mental illness requiring hospitalization

Other

  • Modified Rankin Scale \> 2 at time of enrollment
  • Legal blindness precluding ability to view infographic or education materials
  • Unavailable for follow-up
  • Non-English and non-Spanish speaking

Who the study is looking for

  • Aged over 18 years
  • Plan for discharge home after stroke and ability to provide consent
  • Low balance confidence (Activities-specific Balance Confidence \< 80)

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
The Neurological Institute of New York, Columbia University
Coordinator of this site? Confirm its status
New YorkUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.