A study looking at a new walking intervention for stroke survivors

Completed

• Conditions: Topic: Stroke; Subtopic: Rehabilitation; Disease: Therapy type; Nervous System Diseases; Stroke

• Registration Number: ISRCTN35709311
• Lead Sponsor: Guy's and St. Thomas' NHS Foundation Trust

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2016-03-17
• Last Update Posted: 30 October 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. Aged > 18 years
2. Lives in Lambeth or Southwark
3. Discharged from hospital after stroke, and from formal, community-based stroke rehabilitation
4. Completed 3-month post stroke SLSR assessment
5. People who report walking outside for fifteen minutes at least once in the last 3 months on the version of the Frenchay Activities Index most recently completed as part of SLSR data collection
6. No known cognitive impairment at time sent invitation pack (Abbreviated Mental Test (AMT) score is 8/10 or greater at most recently completed SLSR data collection time point)
7. Not known to be living in a care home or other institution
8. Not taking part in any other research studies (apart from SLSR)
9. Able to walk outside their home and has done so for at least 15 minutes in the last 3 months
10. Able to understand spoken English to the level required to be able to actively participate in the intervention
11. Able to use a telephone and will have consistent access to one during the study.
12. Willing to wear an accelerometer to measure their physical activity during the study
13. No history of recent falls (any fall in the past 3 months)
14. No history of recurrent falls (= 2 falls in past 12 months)
15. Has not received, is not currently receiving or on the waiting list for a falls prevention intervention (e.g. falls clinic, strength and balance classes targeted at those at risk of falling, 1:1 physiotherapy to mitigate falls risk)
16. Is not currently receiving or awaiting physiotherapy for any health problem
17. Is not awaiting hip or knee replacement surgery
18. Does not have a cardiac pacing device (the accelerometers used to monitor physical activity in this study may potentially interfere with the operation of cardiac pacing devices)
19. No experience of fainting/blackouts since discharge from hospital for most recent stroke
20. Does not report walking outdoors for more than 30 minutes consecutively, or if able to walk for 30 minutes consecutively, does not do so on more than 4 days per week
21. AMT test score is 8/10 or greater when screened by the study RA over the phone.
22. Not currently pregnant
23. No known allergy/sensitivity to both hypafix and tegaderm adhesive dressing tape (used to apply the accelerometers)
24. Timed up and go test score = 12.34 seconds

Exclusion Criteria

1. Lacking capacity to provide consent
2. Aged < 18 years
3. Live outside of Lambeth, or Southwark
4. Have not been discharged from hospital after their most recent stroke
5. Have not completed the 3 month South London Stroke Register follow-up
6. Live in a care home or other institution
7. Are unable to walk outside at least a little
8. Are currently taking part in other research studies
9. Have fallen over in the last 3 months
10. Have a history of recurrent falls (=2 falls in the last year)
11. Currently receiving or on the waiting list for falls prevention intervention (s
12. Currently receiving physiotherapy for another health problem
13. Awaiting hip or knee replacement
14. Have a cardiac pacing device
15. Have experienced fainting/blackouts since discharge from hospital for most recent stroke
16. Scored 7/10 or less on AMT
17. Are currently pregnant
18. Are unable to speak English to the level required to actively participate in the intervention
19. Are unwilling to wear an accelerometer
20. Have an allergy to the components of both Tegaderm and Hypafix
21. Completed the timed up and go” test = 12.34 seconds, which indicates a risk of falls

Study & Design

• Study Type: Interventional
• Study Design: Not specified