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

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Behavioral: Bridges self-management programme

• Registration Number: NCT02648750
• Lead Sponsor: Jenny Freeman

Brief Summary

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.

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 Timeline

• Study Start: 2015-06
• Primary Completion: 2015-09
• Study Completion: 2015-11
• Study First Submitted: 2015-12-24
• Study First Submitted QC: 2016-01-06
• Study First Posted: 2016-01-07
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-02
• Last Update Posted: 2024-07-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 15

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 & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Rehabilitation Assistant	Bridges self-management programme	Bridges stroke self-management programme. Delivered by rehabilitation assistants. Participants will receive a minimum of 4 sessions over a 4-6 week period.
Therapist	Bridges self-management programme	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.

Primary Outcome Measures

Name	Time	Method
Change from baseline Stroke Self-Efficacy Scale at 6 weeks	Baseline and 6 weeks

Secondary Outcome Measures

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