Fit for Function: A Community Wellness Program for Persons With Stroke "FFF"

Completed

Phase N/A Results N/A

Trial Description

The purpose of this study is to evaluate whether persons with stroke participating in a 12-week community based wellness program for persons who have had a stroke, experience improved mobility (6 Minute Walk Test), balance, (The Short Portable Performance Test and Timed Up and Go), strength (JAMAR hand grip dynamometry), level of physical activity (Rapid Assessment of Physical Activity), reintegration in community (Reintegration into Normal Living Index), self efficacy (Patient Activation Measure) and Quality of Life (Stroke Specific Quality of Life Scale) compared to persons who do not participate in the program.

Detailed Description

The program will be delivered through a partnership between Hamilton Health Sciences, the YMCA and McMaster University. Participants will attend the YMCA for exercise sessions several times a week and receive education on how to take care of themselves after a stroke. The staff who will deliver the program will have specialized training on how to help people with stroke to exercise safely and effectively. Control group participants will be provided with YMCA memberships but will not have access to stroke specific education and group exercise classes.
Staff assisting the control group will be trained in safety and contraindications after stroke, but will not receive the additional specialized training in exercise/education programs for persons with stroke.

Conditions

Interventions

  • Community Based Exercise Program Behavioral
    Intervention Desc: Three supervised exercise sessions per week, including individual and group sessions aimed at strengthening, flexibility and cardiovascular exercise.
    ARM 1: Kind: Experimental
    Label: Stroke Community Wellness Program
    Description: Participants with stroke will attend a 12 week Community Wellness Program. The program consists of a Community Based Exercise Program at the YMCA (2x 1 hour exercise sessions per week with specially trained fitness instructors). They will also attend a 1 hour long "Living with Stroke" education session one time per week and an independent exercise session in the fitness centre one time per week.
  • Living with Stroke Education program Other
    Intervention Desc: Weekly 1 hour long education sessions on living with stroke, aimed at helping participants take better care of their health after a stroke.
    ARM 1: Kind: Experimental
    Label: Stroke Community Wellness Program
    Description: Participants with stroke will attend a 12 week Community Wellness Program. The program consists of a Community Based Exercise Program at the YMCA (2x 1 hour exercise sessions per week with specially trained fitness instructors). They will also attend a 1 hour long "Living with Stroke" education session one time per week and an independent exercise session in the fitness centre one time per week.
  • YMCA membership Other
    Intervention Desc: Participants have access to YMCA facilities along with up to 7 individual sessions with a fitness trainer.
    ARM 1: Kind: Experimental
    Label: Stroke Community Wellness Program
    Description: Participants with stroke will attend a 12 week Community Wellness Program. The program consists of a Community Based Exercise Program at the YMCA (2x 1 hour exercise sessions per week with specially trained fitness instructors). They will also attend a 1 hour long "Living with Stroke" education session one time per week and an independent exercise session in the fitness centre one time per week.
    ARM 2: Kind: Experimental
    Label: Regular YMCA membership
    Description: The control group will have access to YMCA facilities to use at their discretion but will not attend the Community Based Exercise Program for stroke survivors or the "Living with Stroke" education program. YMCA staff working with the control group will not receive specialized training in exercise and education for stroke survivors but will be trained on important safety precautions and contraindications to exercise after stroke.

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Health Services Research
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Six minute Walk Test (6MWT) baseline, 12 weeks and 24 weeks No
Primary Hand Grip Strength baseline, 12 weeks, 24 weeks No
Primary Rapid Assessment of Physical Activity (RAPA) baseline, 12 weeks, 24 weeks No
Secondary Patient Activation Measure (PAM) baseline, 12 weeks, 24 weeks No

Sponsors