Stroke School -Including Physical Exercise, Patient Education and Individual Follow-up Sessions

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHerlev Hospital

About this trial

In a randomized controlled trial the effect of 12 weeks of cross-sectorial physical exercise combined with patient education and individual follow-up session is investigated in patients with minor stroke or non-disabling stroke.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with a minor stroke or TIA without the need of rehabilitation after hospital discharge, but need physical activity in order to prevent cardiovascular diseases

Patients spending ≤ 5 hour of leisure time on high-intensity physical activity on weekly basis within the last 3 months

Able to speak and read Danish and to provide informed consent

Individuals ≥ 18 years of age

Disqualifiers

Previous large-artery stroke or hemorrhagic stroke

Unstable cardiac condition, e.g. pacemaker

Uncontrolled hypertension (patients not responding adequately to antihypertensive medication when applying treatment according to guidelines)

Symptoms or comorbidities not allowing exercise on a stationary bicycle (e.g. claudication)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cardiorespiratory exercise combined with patient education and individual follow-up sessions

    Behavioral

    6 weeks of cardiorespiratory exercise combined with patient education at the hospital, followed by 6 weeks of cardiorespiratory exercise in the local municipality. Subsequently individual follow-up sessions with the aim to facilitate the patients to stay physically active in their everyday life

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: ExerciseActive comparator 1 intervention
Group B: Usual careNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change in 'the Graded Cycling Test with Talk Test' from baseline to 3 months

A sub-maximal exercise test on a stationary bicycle where the workload increases by 15 Watts (W) every minute and each minute the patient recites a standardized text passage. When the patient is no longer able to speak comfortably the test terminates. The higher score the better cardiorespiratory fitness

Time frame
from baseline to 3 months (post-intervention)

Secondary outcomes

1

Change in Physical Activity Scale

A questionnaire measuring number of hours of self-reported physical activity during daily living. It reveals daily time spent on sleep, sitting down at work, standing/walking at work, heavy physical work during working hours, active commuting to/from work, and sedentary behavior, including television watching and reading. Additionally, the patients record the weekly time spent on light-intensity, moderate-intensity, and vigorous-intensity activity during leisure time.

Time frame
from baseline to 3 months (post-intervention)
2

Change in Physical Activity Scale from baseline to 12-months post-stroke

A questionnaire measuring number of hours of self-reported physical activity during daily living. It reveals daily time spent on sleep, sitting down at work, standing/walking at work, heavy physical work during working hours, active commuting to/from work, and sedentary behavior, including television watching and reading. Additionally, the patients record the weekly time spent on light-intensity, moderate-intensity, and vigorous-intensity activity during leisure time.

Time frame
From baseline to 12-months post-stroke
3

Change in maximum cardiopulmonary exercise test from baseline to 3 months post-stroke

A maximal exercise test on a stationary bicycle

Time frame
from baseline to 3 months (post-intervention)
4

Change in The WHO-5 Well-being index from baseline to to 3 months post-stroke

A questionnaire measuring current mental well-being on a scale from 0-100 points where higher points indicates better mental well-being

Time frame
from baseline to 3 months (post-intervention)

Other outcomes

1

Number of patients with cardiovascular event from baseline to 5 years post-stroke

Follow-up 5 years from inclusion on cardiovascular events

Time frame
5 years post-stroke
2

Number of patients who have died from baseline to 5 years post-stroke

Follow-up 5 years from inclusion on death

Time frame
5 years post stroke

Sponsors and contacts

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