Cerebrovascular Accident
Conditions
Keywords
Community program, Wellness, Exercise, Physical Activity, Education, Stroke, Self-management
Brief summary
Building on an earlier pilot study, this randomized controlled trial will compare the effectiveness of a 12 week community YMCA-based wellness program specifically designed for people with stroke (Fit for Function) to a standard YMCA membership.
Detailed description
The program will be delivered through a partnership between McMaster University, the YMCA and Hamilton Health Sciences/ the Brant Community Healthcare System/ the Niagara Health System. Participants will exercise three times a week and receive weekly education about how to take care of themselves after a stroke. The YMCA staff who deliver the program will have specialized training about how to help people with a stroke exercise safely and effectively. The hospital within each region will provide specialized on-site physiotherapy consultative support. The comparator standard YMCA membership will include typical sessions with a wellness coach who has basic safety training regarding stroke and exercise.
Interventions
OTHERFit For Function Program
A 12-week YMCA-based wellness program for persons with stroke, consisting of 2 group exercise sessions, one gym exercise session and one education session per week with trained instructors
OTHERStandard YMCA membership
A 12 week standard YMCA membership.
Sponsors
Canadian Institutes of Health Research (CIHR)
YMCA of Hamilton/Burlington/Brant
YMCA of Niagara
Brant Community Healthcare System
Niagara Health System
Hamilton Health Sciences Corporation
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diagnosed with stroke * 18 years of age or older * community dwelling * able to walk 10m independently, with or without an assistive device * medically approved by a physician to participate * able to tolerate 60 minutes of activity with rest intervals * able to independently follow instructions
Exclusion criteria
* involved in an active rehabilitation program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Reintegration to Normal Living Index (RNL) from baseline | baseline, 12 weeks, 24 weeks | This measure assesses the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in The Short Portable Performance Tests (SPPT) score from baseline | baseline, 12 weeks, 24 weeks | This test is used to quantify lower extremity function by evaluating the time to walk 8 feet, standing balance and repeated chair stands. |
| Change in The Six Minute Walk Test (6MWT) from baseline | baseline, 12 weeks, 24 weeks | This test is an indicator of exercise capacity and measures the distance walked in 6 minutes. |
| Change in Strength: Grip and Knee extension from baseline | baseline, 12 weeks, 24 weeks | Hand-held dynamometry will measure the average strength of three trials. |
| Change in The EQ-5D score from baseline | baseline, 12 weeks, 24 weeks | This is a generic utility-based health related quality of life questionnaire. |
| Change in The Patient Activation Measure (PAM) score from baseline | baseline, 12 weeks, 24 weeks | This is a 13-item measure of the patient's level of knowledge, skill and confidence for self-management. |
| Change in The Rapid Assessment of Physical Activity (RAPA) score from baseline | baseline, 12 weeks, 24 weeks | This is a 9-item measure that assesses frequency and intensity of aerobic physical activity and frequency of strengthening and flexibility exercises. |
| Change in Blood lipid levels from baseline | baseline, 12 weeks, 24 weeks | 12 hour fasting levels of lipids will be used as an indicator of cardiovascular health. |
| Change in blood glucose levels from baseline | baseline, 12 weeks, 24 weeks | 12 hour fasting levels of glucose in blood will be used as an indicator of cardiovascular health. |
| Change in blood inflammatory markers from baseline | baseline, 12 weeks, 24 weeks | 12 hour fasting levels of inflammatory markers in blood will be used as an indicator of cardiovascular health. |
| Healthcare Utilization Questionnaire | 0- 24 weeks | An indicator of healthcare resource utilization (hospitalizations, medical appointments and investigations, medication use) for economic analysis. |
| Change in The Body Mass Index (BMI) score from baseline | baseline, 12 weeks, 24 weeks | The BMI will be calculated from measurements of body mass and height as an indicator of cardiovascular health. |
Countries
Canada
Outcome results
None listed