Stroke Rehabilitation Utilizing Therapeutical Methods Designed for Nature Environments

ConditionsStroke Stress, Psychological Post Traumatic Stress Disorder Depression, Anxiety Loneliness

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18+

SponsorJoint Authority for Päijät-Häme Social and Health Care

About this trial

Outpatient participants with a recent stroke diagnoses receive complimentary rehabilitation. The nature interventions include ergo- and physiotherapeutic and neurocognitive tasks with the support of an psychotherapeutic frame designed to be performed in a nature environment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Acute stroke

Disqualifiers

Traumatic intracranial bleeding without stroke

A malign, aggressive disease

Severe aphasia or incapable of independent decision making

Trial design

Design model

Parallel

Treatments tested in this trial

Therapies in nature
Behavioral
Therapeutic tasks in nature specifically designed for the study

Treatment groups

40 Participants

are divided into 2 treatment groups

Group A: Nature intervention groupExperimental treatment 1 intervention

Group B: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

The effect of nature interventions on PROMIS questionnaire

Self-assessed quality of life assessed by a PROMIS (patient-reported outcomes measurement information system) questionnaire. Time points measured wk 0 and wk 4, efficacy evaluated on the basis of the difference between these time points. An increase in the obtained score is considered a positive effect.

Time frame

4 weeks

Secondary outcomes

The effect of nature interventions on moods assessed by GAD7

Evaluation of anxiety scales by a GAD7 (generalised anxiety disorder 7) interview, the score of the questionnaire (0-21 points) is evaluated wk 0 and wk 4. A decrease in the total score is considered as a positive effect on moods.

Time frame

4 weeks

The effect of nature-based intervention on neurocognitive functions in COMET questionnaire

Assessment of the efficacy of nature-based neuropsychological tasks on neurocognitive functions by a cognitive test COMET (cognitive method) -questionnaire. The total score is evaluated wk0 and wk4. An increase in the total score is considered a positive effect.

Time frame

4 wk

Other outcomes

The effect of nature interventions on functional ability assessed by a validated questionnaire WHODAS

Self-assessed functional ability in everyday life with a validated questionnaire WHODAS (WHO disability assessment scale). The total scores are evaluated wk0 and wk4. An increase in the total score is considered a positive effect.

Time frame

4 weeks

The effect of nature interventions on microbiome

Microbiological analyses from skin flake and stool samples

Time frame

4 weeks

The effect of nature interventions on the activity of autonomic nervous system

The evaluation of the state of the autonomic nervous system by heart rate variability by a portable device.

Time frame

4 weeks

Sponsors and contacts

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Joint Authority for Päijät-Häme Social and Health Care

Lead sponsor

University of Helsinki

Collaborator

University of Jyvaskyla

Collaborator

Tampere University

Collaborator

Source ClinicalTrials.gov

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