Clinical trial NCT01194102: Fit for Function: A Community Wellness Program for Persons With Stroke
Official title: Fit for Function: A Community Wellness Program for Persons With Stroke
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: Stroke
Exercise
Physical function
Community program
Patient education
Self-management
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Hamilton Health Sciences Corporation
name: Ontario Stroke Network
First posted: 2010-09-02
Enrollment: 61
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of this study is to evaluate whether persons with stroke participating in a 12-week community based wellness program for persons who have had a stroke, experience improved mobility (6 Minute Walk Test), balance, (The Short Portable Performance Test and Timed Up and Go), strength (JAMAR hand grip dynamometry), level of physical activity (Rapid Assessment of Physical Activity), reintegration in community (Reintegration into Normal Living Index), self efficacy (Patient Activation Measure) and Quality of Life (Stroke Specific Quality of Life Scale) compared to persons who do not participate in the program.

Detailed description: The program will be delivered through a partnership between Hamilton Health Sciences, the YMCA and McMaster University. Participants will attend the YMCA for exercise sessions several times a week and receive education on how to take care of themselves after a stroke. The staff who will deliver the program will have specialized training on how to help people with stroke to exercise safely and effectively. Control group participants will be provided with YMCA memberships but will not have access to stroke specific education and group exercise classes.

Staff assisting the control group will be trained in safety and contraindications after stroke, but will not receive the additional specialized training in exercise/education programs for persons with stroke.

Eligibility criteria: Inclusion Criteria:

* adults ≥18years
* living in the community
* able to ambulate ≥10 meters with or without an assistive device
* able to tolerate 60 minutes activity with rest intervals
* have clearance from a physician to participate in the program
* can independently follow instructions
* are not involved in active rehabilitation

Exclusion Criteria:

* musculoskeletal contraindications to exercise
* unstable cardiovascular conditions
* unstable medical conditions
* significant cognitive impairment

Primary outcomes:
measure: Six minute Walk Test (6MWT)
timeFrame: baseline, 12 weeks and 24 weeks
measure: Hand Grip Strength
timeFrame: baseline, 12 weeks, 24 weeks
measure: Rapid Assessment of Physical Activity (RAPA)
timeFrame: baseline, 12 weeks, 24 weeks
Secondary outcomes:
measure: Patient Activation Measure (PAM)
timeFrame: baseline, 12 weeks, 24 weeks
Other outcomes:
Locations:
city: Hamilton
country: Canada
facility: Les Chater Family YMCA
state: Ontario
Study officials:
affiliation: McMaster University
name: Julie Richardson, PhD
role: PRINCIPAL_INVESTIGATOR
References: