NCT02681146

Brief Summary

A stepped-wedge cluster design will be used, with the duration of the trial being 50 weeks. The 'stepped-wedge ' cluster randomised trial is a form of cross-over design with unidirectional cross-over ( from control to experimental ) but with randomisation of when each cluster undertakes this transition. In the stepped-wedge design, there is a staggered roll-out of the intervention, where the time and hence the sequence of units (clusters) that will start the intervention at each period is determined by random allocation. The randomisation occurs before the start of the trial. All clusters start the trial in a control phase with no intervention being delivered at any site, then sequentially cross over from the control group to the intervention group, until all sites are receiving the intervention. Outcomes are measured on the study participants in all clusters at every time period, hence measurement of outcomes takes place at each step in the wedge; each cluster provides data points in the control and intervention conditions allowing each site to act as its own control.

Trial Health

15
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Jan 2020

Longer than P75 for not_applicable stroke

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 9, 2016

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 12, 2016

Completed
3.9 years until next milestone

Study Start

First participant enrolled

January 1, 2020

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2025

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

June 4, 2024

Status Verified

June 1, 2024

Enrollment Period

5 years

First QC Date

February 9, 2016

Last Update Submit

June 2, 2024

Conditions

Keywords

educationphysiotherapy

Outcome Measures

Primary Outcomes (1)

  • Canadian Neurological Scale (CNS):

    Measures neurological status of stroke (psychometric properties: Spearman correlation coefficient of 0.924 (95% CI: 0.896-0.951) and internal consistency by Cronbach's alpha of 0.792, N=155

    8 weeks

Secondary Outcomes (6)

  • Trunk Control Test (TCT):

    8 weeks

  • Motricity index (MI) of the lower and upper limbs

    8 weeks

  • Barthel Index (BI)

    8 weeks

  • Stroke Impact Scale-16 (SIS-16):

    8 weeks

  • Modified Rankin Scale (MRS)

    8 weeks

  • +1 more secondary outcomes

Study Arms (8)

Group1

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group2

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group3

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group4

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group5

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group6

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group7

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Group8

EXPERIMENTAL

Educational advice + physiotherapist treatment

Other: Multimodal intervention

Interventions

Educational advice + physiotherapist treatment

Group1Group2Group3Group4Group5Group6Group7Group8

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The study subjects were all patients who had been hospitalised in 8 regional hospitals of Andalusian Health Service with acute cerebral stroke, clinically stable, presented an ischaemic or haemorrhagic aetiology and clinical symptoms of hemiplegia, were selectioned to receiving physiotherapy in hospitalisation, were assisted by a caregiver, had an adequate understanding of Spanish, and had given their written informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Crocker TF, Brown L, Lam N, Wray F, Knapp P, Forster A. Information provision for stroke survivors and their carers. Cochrane Database Syst Rev. 2021 Nov 23;11(11):CD001919. doi: 10.1002/14651858.CD001919.pub4.

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Phd

Study Record Dates

First Submitted

February 9, 2016

First Posted

February 12, 2016

Study Start

January 1, 2020

Primary Completion

January 1, 2025

Study Completion

June 1, 2025

Last Updated

June 4, 2024

Record last verified: 2024-06