Peer Enriched Environment for Recovery (PEER)

NCT07463014 | Recruiting

• 1 other identifier: IRB-2024-279
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this interventional study is to assess whether a peer coaching intervention (PEER) can improve the well-being in individuals who experienced a stroke. The main questions it aims to answer are

1. 1.Is the PEER intervention feasible and acceptable for the intervention recipients who receive the intervention?
2. 2.Is the PEER intervention feasible and acceptable for the peer coaches who deliver the intervention?
3. 3.Do intervention recipients show a higher level of quality of life at immediate, 4-week, and 8-week post-intervention?
4. 4.Do intervention recipients display increases in measures of psycho-social-spiritual well-being at immediate, 4-week, and 8-week post-intervention? Peer coach participants will a) take training sessions, b) deliver 5 coaching sessions to an intervention recipient participant, c) complete surveys before training, after training, and after intervention delivery, and d) participate in a personal interview Intervention recipient participants will a) attend 5 coaching sessions delivered by a peer coach participant, b) complete surveys before intervention, immediately post intervention, 4-week post intervention, and 8 week post-intervention, and c) participate in a personal interview.

Conditions

Stroke

Keywords

peer coaching; peer support; post-stroke care; rehabilitation

Outcome Measures

Primary Outcomes (9)

• Mental well-being of intervention recipients

  This outcome will be assessed by the Short Warwick Edinburgh Mental Well-being Scale (SWEMBS), a validated 7-item questionnaire designed to measure positive mental wellbeing with a 5-point Likert scale. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being.

  From enrollment to 8-week post intervention

• Psychological distress of intervention recipients

  This outcome will be assessed by the Hospital Anxiety and Depression Scale (HADS), a widely used 14-item questionnaire designed to detect anxiety and depression. Scores of this scale range from 0 to 21, where higher scores indicate higher levels of anxiety and depression.

  From enrollment to 8-week post intervention

• Hope of intervention recipients

  This outcome will be assessed by the Herth Hope Index (HHI), a 12-item questionnaire developed to measure the level of hope. Scores of this scale range from 12 to 84, where higher scores indicate greater levels of hope.

  From enrollment to 8-week post intervention

• Resilience of intervention recipients

  This outcome will be assessed by the Brief Resilience Scale (BRS), a 6-item measure designed to assess an individual's ability to bounce back or recover from stress, adversity, and challenging life circumstances. Scores of this scale range from 6 to 30, where higher scores indicate more resilience and a better ability to bounce back from stress and adversity.

  From enrollment to 8-week post intervention

• Stroke self-efficacy of intervention recipients

  This outcome will be assessed by the Stroke Self-Efficacy Questionnaire (SSEQ), a 13-item tool used to measure a stroke survivor's confidence in performing functional activities and managing their condition. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being. Scores of this scale range from 0 to 39, where higher scores indicate better self-efficacy.

  From enrollment to 8-week post intervention

• Reintegration of intervention recipients

  This outcome will be assessed by the Modified Reintegration to Normal Living Index (mRNLI), a validated 11-item assessment tool used to measure the degree to which individuals with chronic illnesses, disabilities, or traumatic injuries resume their normal social roles and activities. Scores of this scale range from 0 to 110, where higher scores indicate higher, more satisfying levels of reintegration.

  From enrollment to 8-week post intervention

• Social support of intervention recipients

  This outcome will be assessed by the Inventory of Social Support, a 5-item questionnaire developed to assess the level of social support. Scores of this scale range from 5 to 25, where higher scores indicate higher levels of social support.

  From enrollment to 8-week post intervention

• Spiritual well-being of intervention recipients

  This outcome will be assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Scale (FACIT-Sp-12), a widely used 12-item measure of spiritual wellbeing. Scores of this scale range from 0 to 48, where higher scores indicate greater spiritual well-being.

  From enrollment to 8-week post intervention

• Stroke specific quality of life of intervention recipients

  This outcome will be assessed by the Stroke Specific Quality of Life Scale (SS-QOL), a 12-item questionnaire to assess health-related quality of life specifically for stroke survivors. Scores of this scale range from 12 to 60, where higher scores indicate better function and greater quality of life.

  From enrollment to 8-week post intervention

Secondary Outcomes (5)

• Quality of life of peer coach

  Baseline, pre-intervention, immediately post-intervention

• Life satisfaction of peer coach

  Baseline, pre-intervention, immediately post-intervention

• Spiritual well-being of peer coach

  Baseline, pre-intervention, immediately post-intervention

• Resilience of peer coach

  Baseline, pre-intervention, immediately post-intervention

• Self determination of peer coach

  Baseline, pre-intervention, immediately post-intervention

Study Arms (1)

Treatment

EXPERIMENTAL

Intervention recipient participants in this arm will undergo the peer coaching intervention to receive support from peer coaches

Behavioral: Peer-Enriched Environment for Recovery (PEER)

Interventions

Peer-Enriched Environment for Recovery (PEER) BEHAVIORAL

The PEER intervention is a post-stroke peer coaching intervention. Participants who undergo this intervention will have 5 coaching sessions, which are delivered by trained peer coaches in-person. In each session, peer coaches will practice psychoeducation, experience sharing, and interactive activity, to provide intervention recipients with psychosocial support. Each coaching session will focus on a specific topic related to post-stroke recovery.

Treatment

Eligibility Criteria

• Age: 21 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 21 years and above
• Diagnosed with stroke within the past 5 years and discharged from the hospital
• Aged 21 years and above
• Diagnosed with stroke within the past 1 year and discharged from the hospital

You may not qualify if:

• Unable to communicate in English
• Unable to provide informed consent
• Diagnosed with one or multiple conditions which affect cognitive and/or mental health severely
• Diagnosed with severe or potentially terminal co-morbidities

Sponsors & Collaborators

• Nanyang Technological University: lead

Study Sites (1)

Nanyang Technological University

Singapore, 639798, Singapore

RECRUITING

MeSH Terms

Conditions

Stroke

Interventions

Salvage Therapy

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Therapeutics

Central Study Contacts

Andy Hau Yan ho, PhD, EdD

CONTACT

+65 80112011; andyhyho@ntu.edu.sg

Farrah Dewanti, BSc

CONTACT

+65 8355 6789; farrah.dewanti@ntu.edu.sg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: February 20, 2026
• First Posted: March 10, 2026
• Study Start: January 1, 2025
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: March 10, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)