Stroke Self-Management Delivered by Rehabilitation Assistants Within an Early Supported Discharge Service

Study Overview
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Brief Summary
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This feasibility study evaluates whether it is possible to run a larger scale study to investigate the use of a self-management programme with adults who have recently had a stroke. Half of the participants will receive support with self-management from stroke therapists, while the other half will receive it from rehabilitation assistants.

Detailed Description
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Supporting self-management post-stroke is a key priority in healthcare policy, but not yet embedded into the provision of stroke rehabilitation. Barriers to implementation include time and resource. The feasibility of using the Bridges Stroke Self-Management Programme within an Early Supported Discharge Service and delivery by Rehabilitation Assistants is unknown. The aim of this study was to evaluate key trial parameters to inform the protocol of a future definitive trial into the effectiveness of Bridges delivered by rehabilitation assistants within an Early Supported Discharge Service.

Official Title
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A Stroke Self-Management Programme Delivered by Rehabilitation Assistants Within an Early Supported Discharge Service: A Feasibility Randomised Controlled Trial

Conditions
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Stroke

Intervention / Treatment
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* Behavioral: Bridges self-management programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of new stroke Being referred to the ESD service Medically stable Able to give informed consent Can follow a two-stage command Exclusion Criteria: Being discharged to a care home

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Rehabilitation Assistant<br>Bridges stroke self-management programme. Delivered by rehabilitation assistants. Participants will receive a minimum of 4 sessions over a 4-6 week period. | Behavioral: Bridges self-management programme<br>* The Bridges self-management programme is based on self-efficacy principles. It includes a Bridges stroke workbook consisting of stroke survivors' experiences and strategies, with space to record and reflect on personal goals and achievements, which the practitioner will work through with the participant. The practitioner will also used strategies based on key principles of self-management during interactions with patients.<br>|
| Active Comparator: Therapist<br>Bridges stroke self-management programme. Delivered by registered stroke therapists (Occupational therapists or physiotherapists). Participants will receive a minimum of 4 sessions over a 4-6 week period. | Behavioral: Bridges self-management programme<br>* The Bridges self-management programme is based on self-efficacy principles. It includes a Bridges stroke workbook consisting of stroke survivors' experiences and strategies, with space to record and reflect on personal goals and achievements, which the practitioner will work through with the participant. The practitioner will also used strategies based on key principles of self-management during interactions with patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline Stroke Self-Efficacy Scale at 6 weeks |  | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline Modified Rivermead Mobility Index at 6 weeks | Functional mobility | 6 weeks | 
| Change from baseline SIPSO at 6 weeks | social integration | 6 weeks | 
| Change from baseline EQ5D at 6 weeks | health-related quality of life | 6 weeks | 
| Change from baseline PHQ-9 at 6 weeks | depression | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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self-management, rehabilitation