Physical Activity Maintenance Intervention for People With Stroke

NCT07569497 | Active Not Recruiting

• 2 other identifiers: REC/24/0044FCNUR-24-062
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 2

Brief Summary

Most people living with stroke engage in low levels of physical activity putting them at higher risk of having a second stroke and developing a range of chronic health conditions. Despite their desire to participate in physical activity, numerous barriers exist. Whilst Northern Ireland Chest Heart and Stroke has successfully implemented the Post Rehabilitation Exercise Programme, the challenge arises post-completion, as survivors of stroke struggle to sustain physical activity over the longer term. This study aims to design and test an intervention to support physical activity in the longer term.

Conditions

Stroke

Keywords

Physical activity; Co-design

Outcome Measures

Primary Outcomes (1)

• International Physical Activity Questionnaire short form

  Self report questionnaire measuring physical activity levels related to low, moderate and high intensity activity and amount of time sitting

  Baseline (pre intervention), post intervention (week 6) and 3 months post intervention completion

Study Arms (1)

Cohort

EXPERIMENTAL

A group of stakeholders (people living with stroke, carers, therapists and health and fitness professionals) will co-design a physical activity maintenance program. This will then be trialled with a cohort of stroke survivors.

Other: Physical activity maintenance

Interventions

Physical activity maintenance OTHER

Co-designed PA maintenance program

Cohort

Eligibility Criteria

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

You may qualify if:

• PREP Participants:
• Adults 18 years and older with a clinical diagnosis of stroke, currently attending PREP or completed PREP. Adults with communication impairment will be able to participate via alternative methods of communication (e.g., assistive communication device).
• Carers who have supported an adult who have a clinical diagnosis of stroke to complete PREP either currently or have completed PREP.
• PREP Staff/Health Care workers:
• Currently working for Northern Ireland Chest Heart and Stroke as a care coordinator role or PREP delivery physiotherapist
• Minimum experience of 12 weeks involvement in PREP. Or
• Have experience of supporting people with stroke to complete physical activity within the community setting e.g exercise, health, voluntary and statutory organization staff. (There is no minimum amount of experience required (i.e. even if they have supported one person, they can still participate) and therefore there is no additional criteria required for these subjects.)

You may not qualify if:

• PREP Participants:
• Unable to participate in a group based conversation.
• Carers who have no knowledge or experience of PREP.
• Unable to use/access a digital device with internet access and a microphone (for online focus group only).
• Being a member of the advisory board
• PREP Staff/Health care workers:
• Experience of supporting people with stroke to complete physical activity within the acute hospital setting only.
• Unable to use/access a digital device with internet access and a microphone (for online focus group only).
• Being a member of the advisory board

Sponsors & Collaborators

• University of Ulster: lead
• Northern Ireland Chest Heart and Stroke: collaborator

Study Sites (2)

Ulster University

Belfast, BT15 1ED, United Kingdom

Location

Ulster University

Belfast, United Kingdom

Location

Related Publications (19)

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  PMID: 26257146 BACKGROUND

• Shrivastav SR, Ciol MA, Lee D. Perceived Community Participation and Associated Factors in People With Stroke. Arch Rehabil Res Clin Transl. 2022 Jul 16;4(3):100210. doi: 10.1016/j.arrct.2022.100210. eCollection 2022 Sep.

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• Kramer SF, Hung SH, Brodtmann A. The Impact of Physical Activity Before and After Stroke on Stroke Risk and Recovery: a Narrative Review. Curr Neurol Neurosci Rep. 2019 Apr 22;19(6):28. doi: 10.1007/s11910-019-0949-4.

  PMID: 31011851 BACKGROUND

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  PMID: 30051462 BACKGROUND

• Saunders DH, Sanderson M, Hayes S, Johnson L, Kramer S, Carter DD, Jarvis H, Brazzelli M, Mead GE. Physical fitness training for stroke patients. Cochrane Database Syst Rev. 2020 Mar 20;3(3):CD003316. doi: 10.1002/14651858.CD003316.pub7.

  PMID: 32196635 BACKGROUND

• Yeoh YS, Koh GC, Tan CS, Tu TM, Singh R, Chang HM, De Silva DA, Ng YS, Ang YH, Yap P, Chew E, Merchant RA, Yeo TT, Chou N, Venketasubramanian N, Lee KE, Young SH, Hoenig H, Matchar DB, Luo N. Health-related quality of life loss associated with first-time stroke. PLoS One. 2019 Jan 28;14(1):e0211493. doi: 10.1371/journal.pone.0211493. eCollection 2019.

  PMID: 30689666 BACKGROUND

• Williams O, Sarre S, Papoulias SC, Knowles S, Robert G, Beresford P, Rose D, Carr S, Kaur M, Palmer VJ. Lost in the shadows: reflections on the dark side of co-production. Health Res Policy Syst. 2020 May 7;18(1):43. doi: 10.1186/s12961-020-00558-0.

  PMID: 32380998 BACKGROUND

• Bate P, Robert G. Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Qual Saf Health Care. 2006 Oct;15(5):307-10. doi: 10.1136/qshc.2005.016527.

  PMID: 17074863 BACKGROUND

• Hawkins J, Madden K, Fletcher A, Midgley L, Grant A, Cox G, Moore L, Campbell R, Murphy S, Bonell C, White J. Development of a framework for the co-production and prototyping of public health interventions. BMC Public Health. 2017 Sep 4;17(1):689. doi: 10.1186/s12889-017-4695-8.

  PMID: 28870192 BACKGROUND

• Morovatdar N, Di Napoli M, Stranges S, Thrift AG, Kapral M, Behrouz R, Farzadfard MT, Andalibi MSS, Oskooie RR, Sawant A, Mokhber N, Azarpazhooh MR. Regular physical activity postpones age of occurrence of first-ever stroke and improves long-term outcomes. Neurol Sci. 2021 Aug;42(8):3203-3210. doi: 10.1007/s10072-020-04903-7. Epub 2020 Nov 25.

  PMID: 33241533 BACKGROUND

• Mead GE. Physical fitness training after stroke-a crucial and exciting field for service development and research. J Stroke Cerebrovasc Dis. 2023 Apr;32(4):106991. doi: 10.1016/j.jstrokecerebrovasdis.2023.106991. Epub 2023 Jan 25. No abstract available.

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• Marcus BH, Dubbert PM, Forsyth LH, McKenzie TL, Stone EJ, Dunn AL, Blair SN. Physical activity behavior change: issues in adoption and maintenance. Health Psychol. 2000 Jan;19(1S):32-41. doi: 10.1037/0278-6133.19.suppl1.32.

  PMID: 10709946 BACKGROUND

Related Links

• Global Health Estimates provides statistics on health problems worldwide
• World Stroke Organization: Global Stroke Fact Sheet
• Web-based implement Toolkit (WIT)

MeSH Terms

Conditions

Stroke; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior lecturer in Physiotherapy

Model Details: A mixed methods study involving three stages of the DECIPHer co-production framework will occur during this study.

Study Record Dates

• First Submitted: January 27, 2025
• First Posted: May 6, 2026
• Study Start: December 12, 2024
• Primary Completion (Estimated): July 4, 2026
• Study Completion (Estimated): August 28, 2026
• Last Updated: May 6, 2026

Record last verified: 2026-04

Locations

GB (2)