A Telehealth Intervention to Promote Chronic Disease Management After Stroke: A Pilot Randomized Controlled Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- University of British Columbia
- Enrollment
- 126
- Locations
- 7
- Primary Endpoint
- Global measure of lifestyle behavior (Health Promoting Lifestyle Profile II)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to examine the efficacy of a lifestyle modification telehealth program on health-related behaviours in community-dwelling individuals living with stroke.
Detailed Description
Participants recruited in this study will be randomly assigned to either the Healthy Lifestyle Training Program, or Attention Control Memory Training Program. Individuals in the Healthy Lifestyle Training Program will each receive 7 lifestyle coaching telephone-sessions (30-60 minutes) with a trained lifestyle coach over a 6 month period. Individuals in the Memory Training Program will each receive 7 memory coaching telephone sessions (30-60 minutes) with a trained memory training coach over a 6 month period. 100 evaluable subjects will be recruited (124 to accommodate for 20% dropout).
Investigators
Janice Eng
Principal Investigator
University of British Columbia
Eligibility Criteria
Inclusion Criteria
- •Has experienced a stroke in the last 12 months
- •50 years of age or older
- •Living in the community with phone access
- •Mild to moderate stroke severity (i.e., modified Rankin Scale score ranging from 1 to 4)
- •Able to communicate in English
Exclusion Criteria
- •Stroke of non-vascular origin
- •Actively engaged in formal stroke rehabilitation services
- •Uncontrolled arrhythmias
- •Significant musculoskeletal or other neurological condition
- •Severe aphasia or dysarthria
- •Not medically stable
- •Pain or co-morbidities which would preclude activity
- •Living in long-term residential care
- •Cognitive impairment, dependent in activities of daily living, and no caregiver participation
Outcomes
Primary Outcomes
Global measure of lifestyle behavior (Health Promoting Lifestyle Profile II)
Time Frame: End of program (6 months)
The 52-item Health Promoting Lifestyle Profile II provides a composite score of lifestyle, in the areas of: health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management.
Secondary Outcomes
- Body composition (Body Mass Index, waist circumference)(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Dietary behavior (26 items SmartDiet Questionnaire)(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Depressive symptoms (20-item Centre for Epidemiological Studies-Depression [CES-D] Scale)(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Daily walking physical activity(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Medication adherence (8-item Morisky Medication Adherence Scale)(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Health-related quality of life (SF-36)(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Cognition (Montreal Cognitive Assessment [MoCA])(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Cardiovascular risk factors (resting blood pressure, lipid, and glucose profiles, C-Reactive Protein, Homocysteine).(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Health and Social Services Utilization (Health and Social Service Utilization Inventory)(End of program (6 months), and 6 months after the program ends (12 months from baseline))
- Global measure of lifestyle behavior (Health Promoting Lifestyle Profile II)(6 months after the program ends (12 months from baseline))