Fit For Function: A Community Wellness Program for Persons With Stroke
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cerebrovascular Accident
- Sponsor
- McMaster University
- Enrollment
- 218
- Locations
- 3
- Primary Endpoint
- Change in the Reintegration to Normal Living Index (RNL) from baseline
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Building on an earlier pilot study, this randomized controlled trial will compare the effectiveness of a 12 week community YMCA-based wellness program specifically designed for people with stroke (Fit for Function) to a standard YMCA membership.
Detailed Description
The program will be delivered through a partnership between McMaster University, the YMCA and Hamilton Health Sciences/ the Brant Community Healthcare System/ the Niagara Health System. Participants will exercise three times a week and receive weekly education about how to take care of themselves after a stroke. The YMCA staff who deliver the program will have specialized training about how to help people with a stroke exercise safely and effectively. The hospital within each region will provide specialized on-site physiotherapy consultative support. The comparator standard YMCA membership will include typical sessions with a wellness coach who has basic safety training regarding stroke and exercise.
Investigators
Eligibility Criteria
Inclusion Criteria
- •diagnosed with stroke
- •18 years of age or older
- •community dwelling
- •able to walk 10m independently, with or without an assistive device
- •medically approved by a physician to participate
- •able to tolerate 60 minutes of activity with rest intervals
- •able to independently follow instructions
Exclusion Criteria
- •involved in an active rehabilitation program
Outcomes
Primary Outcomes
Change in the Reintegration to Normal Living Index (RNL) from baseline
Time Frame: baseline, 12 weeks, 24 weeks
This measure assesses the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities.
Secondary Outcomes
- Change in The Rapid Assessment of Physical Activity (RAPA) score from baseline(baseline, 12 weeks, 24 weeks)
- Change in blood glucose levels from baseline(baseline, 12 weeks, 24 weeks)
- Change in The Short Portable Performance Tests (SPPT) score from baseline(baseline, 12 weeks, 24 weeks)
- Change in The Six Minute Walk Test (6MWT) from baseline(baseline, 12 weeks, 24 weeks)
- Change in Strength: Grip and Knee extension from baseline(baseline, 12 weeks, 24 weeks)
- Change in The EQ-5D score from baseline(baseline, 12 weeks, 24 weeks)
- Change in The Patient Activation Measure (PAM) score from baseline(baseline, 12 weeks, 24 weeks)
- Change in blood inflammatory markers from baseline(baseline, 12 weeks, 24 weeks)
- Change in The Body Mass Index (BMI) score from baseline(baseline, 12 weeks, 24 weeks)
- Change in Blood lipid levels from baseline(baseline, 12 weeks, 24 weeks)
- Healthcare Utilization Questionnaire(0- 24 weeks)