Thriving, Activity and Social Participation After Stroke

Study Overview
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Brief Summary
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The aim of the study is to evaluate the effect of a group intervention programme for community dwelling elders with stroke or TIA.The intervention is inspired by a Lifestyle Redesign method developed in the USA. The study is conducted as a multi centre randomized controlled trial. Participants are recruited from five hospitals and the intervention is implemented at six to seven senior centres. The control group is offered physical activity at the senior centre once a week. The intervention group is offered the same with addition of the programme inspired by Lifestyle Redesign. The study will contribute to knowledge whether the intervention will promote social participation and thriving in daily life and prevent social isolation and depressive symptoms among community dwelling elders with stroke or TIA.

Detailed Description
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Stroke is a common disease among older people. In Norway 60-70 000 people live with sequela after stroke. Depressive symptoms, anxiety and social isolation are occurring among 20 to 60 percent. Little is known about intervention for people with mild neurological symptoms who simultaneously perceive social isolation, depression and reduced satisfaction in their daily life after stroke. Lifestyle redesign (LR) is developed in the USA and is a health promoting group intervention programme with focus on the participants' exchange of experiences and involvement. The aim of the study is to evaluate the effect on thriving, activity and social participation of a group intervention program inspired by Lifestyle redesign for community dwelling persons with stroke. The study is conducted as a multicentre randomized controlled trial. Participants are recruited from five hospitals and the intervention is carried through at six to seven senior centres. The control group is offered a physical activity programme at the senior centre once a week. The intervention group is offered the same with the additional intervention programme also once a week. The study will contribute to knowledge whether this group intervention will promote social participation and thriving in daily life and prevent social isolation and depressive symptoms among community dwelling elders with stroke or TIA.

Official Title
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Well-being, Activity and Social Participation After Stroke/TIA. RCT-psycho Social Intervention Study.

Conditions
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Stroke

Intervention / Treatment
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* Behavioral: Group intervention inspired by Lifestyle Redesign
* Behavioral: Group intervention inspired by Lifestyle redesign


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: oral and written consent age 65+ clinical stroke ref WHO definition home-dwelling previous to stroke home-service less than twice a week previous to stroke Barthel ADL-index >14 of 20 MMS >23 of 30 be able to communicate evaluated by Ulleval aphasia screening test Exclusion Criteria: reduced consent severe disease clinical contradictions evaluated by the responsible physician

Ages Eligible for Study
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Minimum Age: 65 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br> | Behavioral: Group intervention inspired by Lifestyle Redesign<br>* Group intervention inspired by Lifestyle Redesign<br>* Other names: Lifestyle councelling;Behavioral: Group intervention inspired by Lifestyle redesign<br>* Lifestyle programme once a week for two hours over an intervention period of 9 months<br>|
| Active Comparator: 2<br> | Behavioral: Group intervention inspired by Lifestyle Redesign<br>* Group intervention inspired by Lifestyle Redesign<br>* Other names: Lifestyle councelling;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SF-36 |  | Approximately 3 months after stroke-BASELINE, after 6 and 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital Anxiety Depression Scale (HAD), Canadian Occupational Performance Measure (COPM), Trail making A and B, Timed up and go (TUG) |  | Approximately 3 months after stroke-BASELINE, after 6 and 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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group intervention, stroke, senior centres, health promotion