teleABLE to Reduce Post-Stroke Sedentary Behavior
teleABLE: Adapting a Behavioral Activation-Based Intervention to Reduce Post-Stroke Sedentary Behavior Using Telehealth (Pilot Randomized Controlled Trial)
The goal of this clinical trial to test whether a remotely delivered behavioral activation-based intervention called "teleABLE" works better than a health education intervention for (1) reducing sitting time and (2) improving health-related quality among adults who were diagnosed with stroke within the past 12 months.
Participants in this study will:
- Complete questionnaires at Weeks 1, 8, and 24
- Wear an activPAL monitor at Weeks 1, 8, and 24
- Participate in the teleABLE intervention (12 sessions) or the health education intervention (6 sessions)
- Complete an interview at Week 24
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Karli Jahnke, MOT, OTR/L
- Phone Number: 612-626-4046
- Email: dwell@umn.edu
Study Contact Backup
- Name: Emily Kringle, PhD, OTR/L
- Phone Number: 612-626-4046
- Email: dwell@umn.edu
Study Locations
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55455
- School of Kinesiology, University of Minnesota
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age: 18 years or older
- Diagnosis: Stroke diagnosis ≤12 months prior to study enrollment
- ≥6 hours of sedentary behavior on a typical weekday (Sedentary Behavior Questionnaire)
- Able to walk 150 feet or more without physical assistance from another person, with or without assistive device (assessed by Functional Independence Measure, mobility score ≥5)
- Able to access an electronic device (smartphone, tablet, or computer) that is compatible with a videoconferencing application
- Able to identify a support person with whom they have a face-to-face interaction at least one time per week.
- Able and willing to participate fully in the study and provide informed consent
Exclusion Criteria:
- Currently receiving care in an inpatient rehabilitation, transitional care unit, or skilled nursing facility
- Severe cognitive or communication impairments (inability to respond accurately to complete study telephone screening or complete informed consent)
- Comorbid neurodegenerative disorder (e.g. Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis, myasthenia gravis, dementia, Alzheimer's disease, Huntington's disease, glioblastoma)
- Comorbid cancer, currently undergoing chemotherapy or radiation treatment
- Comorbid major depressive disorder (Patient Health Questionnaire-2, score ≥2)
- Received inpatient treatment or hospitalized for psychiatric condition and/or alcohol or substance abuse within the past 12 months
- Diagnosis of a terminal illness and/or currently receiving hospice care
- Currently pregnant or expecting to become pregnant in the next 6 months
- History of skin sensitivity that precludes the use of medical tape necessary for adherence to activity monitor measure
- Inability to speak, read, or understand English
- Concurrent participation in any other rehabilitation intervention research study (including cognitive and/or physical rehabilitation studies)
- Investigator discretion for safety or adherence reasons
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: teleABLE
Participants meet with a study therapist 2x/week for 6 weeks (12 sessions) to complete behavioral activation focused on adding personally meaningful non-sedentary activities during times when they typically spend sitting.
All sessions are delivered remotely using Zoom videoconferencing.
|
teleABLE uses behavioral activation to build personally meaningful non-sedentary throughout the day.
This is accomplished using a global strategy, the ICAN Planning Process, which guides participants through activity scheduling, activity monitoring, self-assessment, and collaborative problem solving.
|
|
Active Comparator: Health Education
Participants meet with a study therapist 1x/week for 6 weeks (6 sessions) to review fact sheets focused on healthy lifestyles after stroke.
All sessions are delivered remotely using Zoom videoconferencing.
|
Health Education provides information about stroke using factsheets from the American Heart Association and reflection questions that support participants in applying the information.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Between-group difference in change scores on health-related quality of life
Time Frame: Week 0 to Week 8
|
European Quality of Life 5-Dimension 5-Level (EuroQOL-5D-5L) change score.
The possible range on this tool is -1 (worst) to 1 (best).
|
Week 0 to Week 8
|
|
Between-group difference in change in sedentary behavior
Time Frame: Week 0 to Week 8
|
Change in mean minutes per day spent in prolonged sedentary time (accumulated in bouts of 30 minutes or more) measured using the activPAL micro4 (7-day wear protocol)
|
Week 0 to Week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Between-group difference in change in sedentary behavior
Time Frame: Week 0 to Week 24
|
Change in mean minutes per day spent in prolonged sedentary time (accumulated in bouts of 30 minutes or more) measured using the activPAL micro4 (7-day wear protocol)
|
Week 0 to Week 24
|
|
Between-group difference in change scores on health-related quality of life
Time Frame: Week 0 to Week 24
|
European Quality of Life 5-Dimension 5-Level (EuroQOL-5D-5L) change score.
The possible range on this tool is -1 (worst) to 1 (best).
|
Week 0 to Week 24
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Between-group difference in change in step count
Time Frame: Week 0 to Week 8
|
Mean daily step count measured using the activPAL micro4 (7-day wear protocol)
|
Week 0 to Week 8
|
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Between-group difference in change in step count
Time Frame: Week 0 to Week 24
|
Mean daily step count measured using the activPAL micro4 (7-day wear protocol)
|
Week 0 to Week 24
|
|
Between-group difference in change in total activity retention
Time Frame: Week 0 to Week 8
|
Change in the proportion of total activities retained measured using the Activity Card Sort (ACS3)
|
Week 0 to Week 8
|
|
Between-group difference in change in total activity retention
Time Frame: Week 0 to Week 24
|
Change in the proportion of total activities retained measured using the Activity Card Sort (ACS3)
|
Week 0 to Week 24
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Emily Kringle, PhD, OTR/L, University of Minnesota
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- STUDY00021288
- K23HL159240 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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