Stroke
Conditions
Keywords
self-management, rehabilitation
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.
Interventions
BEHAVIORALBridges self-management programme
The Bridges self-management programme is based on self-efficacy principles. It includes a Bridges stroke workbook consisting of stroke survivors' experiences and strategies, with space to record and reflect on personal goals and achievements, which the practitioner will work through with the participant. The practitioner will also used strategies based on key principles of self-management during interactions with patients.
Sponsors
Jenny Freeman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline Stroke Self-Efficacy Scale at 6 weeks | Baseline and 6 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Modified Rivermead Mobility Index at 6 weeks | Baseline and 6 weeks | Functional mobility |
| Change from baseline SIPSO at 6 weeks | Baseline and 6 weeks | social integration |
| Change from baseline EQ5D at 6 weeks | Baseline and 6 weeks | health-related quality of life |
| Change from baseline PHQ-9 at 6 weeks | Baseline and 6 weeks | depression |
Outcome results
None listed