Stroke (cerebral hemorrhage or cerebrovascular infarct) Stroke (cerebral hemorrhage or cerebrovascular infarct)
Conditions
Interventions
Participants will receive the RISE intervention, a 15-weeks blended behavioral
intervention, where a primary care physiotherapist coaches participants to
reduce and interrupt their sedentary time.
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: In order to be eligible, a subject must meet all of the following criteria: 1. Aged 18 years or older; 2. All types of stroke diagnosed in hospital within six months before start of the RISE intervention; 3. Able to walk independently, as defined by a Functional ambulation categories score of at least 3; 4. Independent regarding activities of daily living pre-stroke, as defined by a Barthel Index score of >18; 5. Discharged to the home-setting; 6. Not participating in a physiotherapeutic traject lasting >= 3 months, as determined by the physiotherapist in charge. 7. Given their written informed consent.
Exclusion criteria
Exclusion criteria: A potential subject will be excluded from participation in this study if: 1. The participant is (cognitively) not capable of understanding the intervention content; 2. The participant has severe comorbidities that withhold that person from safely reducing and interrupting their sedentary time (e.g. sever pulmonary diseases, hart failure or malignity*s) as determined with the Physical Activity Readiness Questionnaire (PAR-Q);
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aim of the present study is to determine the effectiveness of the RISE intervention on reducing sedentary behavior after discharge from acute hospital care in community dwelling people with a first-ever stroke, who have a sedentary movement behavioral pattern (so called *sedentary prolongers* and *sedentary movers*), in the first year after start of the RISE intervention, in comparison to usual care. | — |
Secondary
| Measure | Time frame |
|---|---|
| - To investigate the cost-effectiveness of the RISE blended behaviour change intervention in people with a first stroke to prevent MACE. - To determine the effectiveness of the RISE intervention on improving 24-hour activity pattern in community dwelling people with a first ever stroke, in the experimental group in comparison to usual care, at the end of the intervention period. - To determine the long-term effectiveness of the RISE intervention at six months and one year post-randomization in the experimental group in comparison to usual care. - To determine the 24-hour activity pattern (sedentary behaviour, physical activity and sleep) in community dwelling people with a first-ever stroke at baseline. - To investigate the effectiveness on self-efficacy and self-management in community dwelling people with a first-ever stroke, in the first year after start of the RISE intervention, in comparison to usual care. - To investigate the cost-effectiveness of the RISE blended behaviour change intervention in people with a first stroke to prevent MACE. - To determine the end-user satisfaction, acceptability and feasibility of the RISE application in supporting people with a first-ever stroke to reduce and interrupt their sedentary time, in participants who received the RISE intervention and in physiotherapists who delivered the RISE intervention. | — |
Countries
Netherlands
Contacts
Public ContactM.F. Pisters
Universitair Medisch Centrum Utrecht
Outcome results
None listed