Clinical trial NCT06633146: Stroke Rehabilitation Utilizing Therapeutical Methods Designed for Nature Environments
Official title: Outpatient Stroke Rehabilitation Supported by Nature Interventions
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Stress, Psychological
Post Traumatic Stress Disorder
Depression, Anxiety
Loneliness
Keywords: stroke
rehabilitation
social support
cognitive functions
activity
Lead sponsor: Joint Authority for Päijät-Häme Social and Health Care
Sponsor class: OTHER
Collaborators: name: University of Helsinki
name: University of Jyvaskyla
name: Tampere University
First posted: 2024-10-09
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: randomised controlled study
Primary purpose: SUPPORTIVE_CARE

Brief summary: Outpatient participants with a recent stroke diagnoses receive complimentary rehabilitation. The nature interventions include ergo- and physiotherapeutic and neurocognitive tasks with the support of an psychotherapeutic frame designed to be performed in a nature environment.

Detailed description: Patients with an acute stroke are recruited to the study when signing out from the acute hospital care services. The patients are selected randomly into two groups: intervention and control groups in proportions 1:1. During the four-week study period the partipants in the control group are encouraged to maintain light physical activity 1 to 3 times per week with or without company. The research worker contacts the participants every week. In the nature group the research worker organises individual nature visits in the nearby nature twice a week and encourages the participants to go outdoors with a close-one once a week. All interventional contacts in the nature group are performed in a ecopsychotherapeutical frame consisting of ergo- and physiotherapeutic and neurocognitive tasks.

Eligibility criteria: Inclusion Criteria:

* Acute stroke

Exclusion Criteria:

* Traumatic intracranial bleeding without stroke
* A malign, aggressive disease
* Severe aphasia or incapable of independent decision making

Primary outcomes:
measure: The effect of nature interventions on PROMIS questionnaire
timeFrame: 4 weeks
Secondary outcomes:
measure: The effect of nature interventions on moods assessed by GAD7
timeFrame: 4 weeks
measure: The effect of nature-based intervention on neurocognitive functions in COMET questionnaire
timeFrame: 4 wk
Other outcomes:
measure: The effect of nature interventions on functional ability assessed by a validated questionnaire WHODAS
timeFrame: 4 weeks
measure: The effect of nature interventions on microbiome
timeFrame: 4 weeks
measure: The effect of nature interventions on the activity of autonomic nervous system
timeFrame: 4 weeks
Locations:
city: Lahti
country: Finland
facility: Joint Authority for Päijät-Häme Social and Health Care
Study officials:
affiliation: Wellbeing Services County of Paijat-Hame
name: Hanna Haveri, MD PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Salonen K, Hyvonen K, Paakkolanvaara JV, Korpela K. Flow With Nature Treatment for Depression: Participants' Experiences. Front Psychol. 2022 Jan 5;12:768372. doi: 10.3389/fpsyg.2021.768372. eCollection 2021.