A Trial of Nature-based Post-stroke Fatigue Rehabilitation (NASTRU)

A Randomized Controlled Trial of Nature-based Post-stroke Fatigue Rehabilitation (NASTRU)

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02435043

Acronym

NASTRU

Enrollment

101

Registered

2015-05-06

Start date

2012-08-31

Completion date

2020-01-31

Last updated

2020-02-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stroke

Brief summary

The aim of NASTRU was to examine whether ten weeks of nature-based rehabilitation, as add-on to standard management, could influence post-stroke fatigue (primary outcome), depression, work ability or functional outcome (secondary outcomes), compared to controls.

Detailed description

Patients randomized to the intervention undergo a rehabilitation program in groups up to 8 patients in an especially designed garden at the Swedish University of Agricultural Sciences, Alnarp. The intervention is grounded in environmental psychology and occupational therapy, supported by a multimodal rehabilitation team that utilizes the garden/nature for sensory stimulation, body awareness, meaningful occupations and nature experiences. The enrollment of 101 patients (51 intervention; 50 control) was completed on August 2014. Follow-up is on-going, with assessments by examiner blinded to treatment group, at end of intervention period, 8 months, and 14 months after randomization. A parallel study with qualitative in-depth interviews in a subset of patients, who were randomized to the intervention group, as well as the staff, is also ongoing.

Interventions

OTHERNature based rehabilitation

ten weeks of nature-based rehabilitation, as add-on to standard management. A rehabilitation program in groups up to 8 patients in an especially designed garden at the Swedish University of Agricultural Sciences, Alnarp. The intervention was grounded in environmental psychology and occupational therapy, supported by a multimodal rehabilitation team that utilized the garden/nature for sensory stimulation, body awareness, meaningful occupations and nature experiences.

OTHERstandard management after stroke

standard management after stroke is individualised.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

55 Years to 80 Years

Healthy volunteers

Inclusion criteria

* Ischemic or haemorrhagic stroke * First ever or recurrence, about 3 months (group 1) or more than one year prior to screening (group 2) * Age: 55-80 years

Exclusion criteria

* Dementia * Severe communication disorder that made it difficult to participate and/or serious illnesses besides stroke (for example, serious cancer disease)

Design outcomes

Primary

Measure	Time frame	Description
Post stroke fatigue	8 months after inclusion	Mental Fatigue Scale (MFS) pre-post design by blinded assessor.
Occupational value of everyday occupation	8 months after inclusion	Occupational Value (OVal-pd) pre-post design by blinded assessor

Countries

Sweden

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026