Acceptance and Commitment Therapy for Post-Stroke Adjustment Via Telerehabilitation

NCT07512388 | Completed

• 1 other identifier: 348067
• Study Type: interventional
• Target: 5
• Locations: 1 country
• Sites: 1

Brief Summary

A stroke can affect someone physically and emotionally. There are more than 1.3 million stroke survivors in the UK, so it is important the right support is available. Acceptance and commitment therapy is a psychological therapy that helps people adjust to new circumstances. Studies have found that it is helpful for people with long-term health conditions such as brain injury, chronic pain, and multiple sclerosis. Therefore, we want to assess if this therapy can help people adjust to life after a stroke. To assess this, we are looking for adults over 18 who have:

• Had a stroke over three months ago.
• No other neurological illness.
• No severe cognitive or communication difficulties.
• Been discharged from all rehabilitation programmes.
• No severe psychological disorder.
• Not been diagnosed with a major health condition in the last 12 months.
• Access to a device with a camera, an internet connection and private space for video calls. Participants will:
• Complete a weekly questionnaire for up to seven weeks on acceptance and action.
• Complete a second questionnaire at week 7 on mood, what is important to participants and how the stroke has affected their life.
• Attend an eight-week online group of acceptance and commitment therapy. Sessions are weekly for 90 minutes, including breaks. Participants will repeat the questionnaire.
• Give feedback after therapy ends and repeat the questionnaires.
• Repeat the questionnaires after three and six months. Participants will be reminded to complete the online questionnaires and can take breaks as needed.

Conditions

Stroke; Psychological Flexibility; Acceptance and Commitment Therapy

Keywords

Stroke; acceptance and commitment therapy; ACT; psychological flexibility; wellbeing

Outcome Measures

Primary Outcomes (2)

• Psychological flexibility (CompACT-10)

  Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected weekly during baseline phase (up to 7 weeks) and intervention phase (8 weeks).

  From baseline to end of intervention (13-15 weeks dependent on baseline length allocated).

• Psychological Flexibility (CompACT-10)

  Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected 6 months after intervention ends.

  6 months post-intervention.

Secondary Outcomes (13)

• Psychological Flexibility (CompACT-10)

  3 months post-intervention.

• Psychological Distress (CORE-10)

  Start of intervention and 8 weeks later (after intervention ends)

• Psychological Distress (CORE-10)

  3 months post-intervention

• Psychological Distress (CORE-10)

  6 months post-intervention

• Stroke Specific Quality of Life (SSQoL-12)

  Start of intervention and post 8-week intervention.

Study Arms (1)

Acceptance and Commitment Therapy

EXPERIMENTAL

8-week ACT group intervention.

Other: Acceptance and Commitment Therapy

Interventions

Acceptance and Commitment Therapy OTHER

8 weeks of Acceptance and Commitment Therapy delivered as a group intervention via telerehabilitation (online, video call).

Also known as: ACT

Acceptance and Commitment Therapy

Eligibility Criteria

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

You may qualify if:

• Suffered a stroke over three months ago.
• No other neurological illness.
• Not currently receiving any psychological intervention.
• No severe communication difficulties.
• No severe cognitive impairments.
• No current or historical suicidal ideation/self-harming behaviours.
• Not been diagnosed with major long-term health conditions in the last 12 months (except for stroke or trans-ischaemic attack; TIA)
• Access to a device with a camera, stable internet connection and private space

You may not qualify if:

• Had a TIA without the presence of a stroke.
• No current distress around adjusting to the consequences of stroke.
• Distress of a severity that it cannot be managed safely in a group therapy setting.

Sponsors & Collaborators

• University of East Anglia: lead

Study Sites (1)

University of East Anglia

Norwich, United Kingdom

Location

MeSH Terms

Conditions

Stroke

Interventions

Acceptance and Commitment Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Cognitive Behavioral Therapy; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 25, 2026
• First Posted: April 6, 2026
• Study Start: September 4, 2025
• Primary Completion: June 22, 2026
• Study Completion: June 22, 2026
• Last Updated: August 19, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)