Topic: Stroke
Conditions
Interventions
Participants are randomly allocated to one of two groups.
Brief written information group: This is an active control group, who will receive a postal written information leaflet about the importance
Sponsors
Guy's and St. Thomas' NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Eligibility rate is recorded during the telephone and face-to-face screening phase, by totalling the number of participants who were screened and identified as eligible/not eligible: the study inclusion and exclusion criteria, the Abbreviated Mental Test and the Timed ‘Up and Go’ test. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Recruitment rate is recorded using details of the following participant contacts/correspondence, in which a potential participant: 1.1. Does not wish to participate (to include any reason the individual provides regarding the basis for this decision) 1.2. Feels they no longer meet the inclusion/exclusion criteria (plus any further details the individual chooses to provide) 1.3. Has a query about the study 1.4. Does wish to participate 1.5. Letter returned to sender 2. Retention rate is assessed throughout the study via recording date of attrition 3. Missing data at each timepoint for both questionnaires and accelerometer data is assessed at baseline, week 12 and week 24 using SPSS 4. Proportion of intended sessions of the novel intervention actually delivered is measured during weeks 0-7 (intervention delivery period) on the intervention delivery log 5. Extent to which the novel intervention is delivered as intended in each session (i.e. the walking coach discusses all the things specified in the intervention manual with the participant) is measured using the stroke impact scale at baseline, 12 and 24 weeks 6. Standard deviation of social participation scale scores is measured using the stroke impact scale at baseline, 12 and 24 weeks 7. Acceptability of the intervention from participants’ perspectives is measured using an interview at 24 weeks | — |
Countries
United Kingdom
Outcome results
None listed