PHysical Activity for Non-ambulatory Stroke Survivors (PHANSS-2), v1

  • Research type

    Research Study

  • Full title

    PHysical Activity for Non-ambulatory Stroke Survivors (PHANSS-2): Developing a feasible and acceptable intervention for stroke survivors who cannot walk independently.

  • IRAS ID

    188972

  • Contact name

    Megan Lloyd

  • Contact email

    megan.lloyd@gcu.ac.uk

  • Sponsor organisation

    Glasgow Caledonian University

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    Rationale: Stroke guidelines recommend physical activity (PA); however, there is a lack of evidence and service provision for non-ambulatory stroke survivors (i.e. those who need support of one person to walk). This is an important gap, because non-ambulatory stroke survivors are at higher risk of ill-health as they spend more time sitting. PA can improve health, mood and adaptation to life after stroke. Evidence involving stroke survivors who can walk cannot be applied directly to those who have difficulty walking, as many of the interventions use walking. Therefore a novel PA programme specifically for non-ambulatory stroke survivors is required.

    Design: mixed methods feasibility study. All participants receive either a home-based individual or group-based community PA intervention (according to preference).

    Objectives:
    1. To examine recruitment and retention rates, preliminary effects and adverse effects, uptake and adherence to the intervention.
    2. To explore the views of non-ambulatory stroke survivors and their carers on physical activity in general and the PA programme in this study in particular.

    Participants: Non-ambulatory survivors
    Intervention: Both PA programmes will include adapted fitness training at a moderate intensity where possible, applied to everyday activities.
    The intervention will last for 12 weeks, with 1 supervised, 1 hour PA session and 2 self-managed home sessions per week. Participants will take part in 4 interviews/focus groups lasting approximately 30 minutes. A final, optional, group session will be conducted after the programme to reach a consensus on which elements worked well. The community group programme will take place in a wheelchair accessible room at Glasgow Caledonian University. The home programme will take place in the participant’s home.

    Outcomes will include measures of disability, independence, strength, anxiety and depression, sedentary behaviour, confidence, general health, attainment of individual goals, carer burden (where appropriate).

    Feasibility will be assessed by numbers of participants accepting and recruited into the study, completing the intervention, adverse events.

  • REC name

    West of Scotland REC 5

  • REC reference

    16/WS/0065

  • Date of REC Opinion

    22 Mar 2016

  • REC opinion

    Favourable Opinion