Feasibility of a First-Line Physical Activity Intervention After Stroke (PA-ChatS)

University of Minnesota (UMN)

Status: Invitation-only

Conditions: Ischemic Stroke; Stroke; Hemorrhagic Stroke

Treatments: Behavioral: Physical Activity Chats after Stroke (PA-ChatS)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06679803

UM1TR004405 (U.S. NIH Grant/Contract)

KIN-2024-33389

Details and patient eligibility

About

The goal of this study is to explore a new intervention that supports physical activity within the first 6 weeks after stroke. All participants will complete assessments at weeks 0 and 7. During weeks 1 through 6, participants will use a Fitbit Inspire to track their step counts and meet with an occupational therapist one time per week. They will also complete weekly surveys. Physical activity levels will be measured using surveys and a wearable activPAL monitor 6 times during the study: Weeks 1, 3, 5, 7, 12, and 24.

Enrollment: 25 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Stroke diagnosis confirmed by imaging
• Admitted to Fairview Health System (Minnesota) at the time of study enrollment or discharged to a community-based setting from Fairview Health System within 10 days before study enrollment
• Able and willing to participate fully in the study and provide informed consent or proxy consent with participant assent

Exclusion criteria

• Discharge anticipated to a transitional care unit, skilled nursing facility, or other non-community-based care setting
• Severe cognitive or communication impairments (inability to respond accurately to complete study screening questions or to provide informed consent or assent
• Comorbid neurological disorder (Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis, myasthenia gravis, dementia, Alzheimer's disease, Huntington's disease, glioblastoma, spinal cord injury, cerebral palsy)
• Comorbid cancer, currently undergoing chemotherapy or radiation treatment
• Received inpatient treatment or was hospitalized for psychiatric condition and/or alcohol or substance abuse within the past 12 months
• Current diagnosis of a terimnal illness and/or receiving hospice care
• History of allergic reaction to adhesives that precludes the use of an adhesive necessary for adherence to activPAL measurement
• Inability to speak, read, or understand English
• Concurrent participation in another rehabilitation intervention research study
• Resides more than 50 miles outside of the Twin Cities metropolitan area
• Investigator discretion for safety or adherence reasons

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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25 participants in 1 patient group

PA-ChatS Intervention

Experimental group

Description:

Participants will receive 6, 20-30 minute intervention sessions delivered over the telephone by an occupational therapist over 6 weeks (1 session/week). They will also complete self-monitoring of step counts using a Fitbit Inspire.

Treatment:

Behavioral: Physical Activity Chats after Stroke (PA-ChatS)