About this trial
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. Is the PEER intervention feasible and acceptable for the intervention recipients who receive the intervention? 2. Is the PEER intervention feasible and acceptable for the peer coaches who deliver the intervention? 3. Do intervention recipients show a higher level of quality of life at immediate, 4-week, and 8-week post-intervention? 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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Single group
Treatments tested in this trial
Peer-Enriched Environment for Recovery (PEER)
BehavioralThe 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 groups
Trial outcomes
Primary outcomes
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.
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.
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.
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.
Secondary outcomes
Quality of life of peer coach
This secondary outcome will be assessed by the Single-Item Assessment of Quality of Life, an 1-item questionnaire to assess quality of life with a 10-point Likert scale. Scores of this scale range from 0 to 10, where higher scores indicate greater quality of life.
Life satisfaction of peer coach
This secondary outcome will be assessed by the Single-Item Life Satisfaction Measure, an 1-item questionnaire designed to assess life satisfaction, with a 4-point Likert scale. Scores of this scale range from 1 to 4, where higher scores indicate lower levels of life satisfaction.
Spiritual well-being of peer coach
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.
Resilience of peer coach
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.
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