Morning Activation to Improve Mood After Stroke
This pilot randomized controlled trial will evaluate the feasibility and preliminary effects of a six-week behavioral intervention designed to improve mood and daily functioning in adults who have experienced a stroke and report depressive symptoms and difficulty becoming engaged in activities after waking.
Participants will be randomly assigned to either the behavioral intervention or a health education program. Assessments will be completed before and immediately after the six-week program and will include questionnaires and seven-day monitoring of sleep, activity, and mood. The study will also examine feasibility indices such as participant retention, intervention attendance, acceptability, and preliminary changes in mood.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Stephen Lau
- Numero di telefono: +852 2766 4283
- Email: chun-lun-stephen.lau@polyu.edu.hk
Luoghi di studio
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Hong Kong, Hong Kong
- Reclutamento
- The Hong Kong Polytechnic University
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Contatto:
- Stephen Lau
- Numero di telefono: +852 2766 4283
- Email: chun-lun-stephen.lau@polyu.edu.hk
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Investigatore principale:
- Stephen Lau, PhD
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Age 18 years or older.
- History of stroke at least 6 months before enrollment.
- Patient Health Questionnaire-9 score of 10 or higher.
- Difficulty getting started or engaging in activities in the morning.
- Able to provide informed consent.
Exclusion Criteria:
- Conditions that would interfere with study participation.
- Neurological condition other than stroke.
- Currently receiving psychological therapy for depression.
- Significant cognitive impairment or dementia.
- Current or past diagnosis of psychosis, bipolar disorder, or mania.
- Hospitalization that would interfere with study participation.
- Acute or significant suicidal ideation
- Alcohol or substance use problems within the past month.
- Use of antidepressant or anti-anxiety medication unless the dosage has been stable for at least 4 weeks and no changes are planned during the study.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: Morning Activation Program
Participants will receive a six-week individualized behavioral program delivered in weekly sessions of approximately 60 minutes.
The program is designed to support engagement in daily activities after waking, establish consistent daily routines, and improve mood and functioning after stroke.
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A six-week individualized behavioral program delivered in weekly sessions of approximately 60 minutes.
The program is designed to support engagement in daily activities after waking, establish consistent daily routines, and improve mood and functioning after stroke.
Sessions will be tailored to participants' needs and abilities.
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Comparatore attivo: Health Education Program
Participants will receive a six-week health education program delivered in weekly sessions of approximately 60 minutes.
The program will provide general information relevant to health and recovery after stroke and will be matched to the experimental program in session frequency and duration.
It will not include the individualized behavioral strategies provided in the experimental arm.
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A six-week health education program delivered in weekly sessions of approximately 60 minutes.
The program will provide general information relevant to health and recovery after stroke and will be matched to the experimental program in session frequency and duration.
It will not include the individualized behavioral strategies provided in the experimental arm.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Recruitment Rate
Lasso di tempo: From the start of recruitment until enrollment of the final participant.
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Number of participants enrolled divided by the number of months of active recruitment.
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From the start of recruitment until enrollment of the final participant.
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Retention Rate
Lasso di tempo: Immediately after completion of the 6-week intervention
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Number of randomized participants who complete the immediate post-intervention assessment divided by the total number randomized, expressed as a percentage.
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Immediately after completion of the 6-week intervention
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Intervention Attendance
Lasso di tempo: Throughout the 6-week intervention period
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Number and percentage of scheduled intervention or health education sessions attended by each participant during the 6-week program.
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Throughout the 6-week intervention period
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Intervention Acceptability
Lasso di tempo: Immediately after completion of the 6-week intervention
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Acceptability of the assigned program assessed using the 4-item Acceptability of Intervention Measure.
Each item is rated from 1 to 5, producing a total score ranging from 4 to 20.
Higher scores indicate greater intervention acceptability.
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Immediately after completion of the 6-week intervention
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Participants Experiencing Adverse Events
Lasso di tempo: From enrollment through completion of the immediate post-intervention assessment.
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Number of adverse events considered related or possibly related to study participation.
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From enrollment through completion of the immediate post-intervention assessment.
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change in Depressive Symptoms
Lasso di tempo: Baseline and immediately after completion of the 6-week intervention
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Depressive symptom severity assessed using the 9-item Patient Health Questionnaire-9.
Total scores range from 0 to 27, with higher scores indicating more severe depressive symptoms.
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Baseline and immediately after completion of the 6-week intervention
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Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- HSEARS20260321001
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