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

July 2, 2024 updated by: Jenny Freeman

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

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Actual)

15

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Rehabilitation Assistant
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
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.
Active Comparator: Therapist

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
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change from baseline Stroke Self-Efficacy Scale at 6 weeks
Time Frame: Baseline and 6 weeks
Baseline and 6 weeks

Secondary Outcome Measures

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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Jenny Freeman

Investigators

  • Study Director: Jenny Freeman, PhD, Plymouth University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2015

Primary Completion (Actual)

September 1, 2015

Study Completion (Actual)

November 1, 2015

Study Registration Dates

First Submitted

December 24, 2015

First Submitted That Met QC Criteria

January 6, 2016

First Posted (Estimated)

January 7, 2016

Study Record Updates

Last Update Posted (Actual)

July 5, 2024

Last Update Submitted That Met QC Criteria

July 2, 2024

Last Verified

July 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 177976

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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