This feasibility study evaluates whether it is possible to run a larger scale study to investigate the use of a self-management programme with adults who have recently had a stroke. Half of the participants will receive support with self-management from stroke therapists, while the other half will receive it from rehabilitation assistants.
Supporting self-management post-stroke is a key priority in healthcare policy, but not yet embedded into the provision of stroke rehabilitation. Barriers to implementation include time and resource. The feasibility of using the Bridges Stroke Self-Management Programme within an Early Supported Discharge Service and delivery by Rehabilitation Assistants is unknown.
The aim of this study was to evaluate key trial parameters to inform the protocol of a future definitive trial into the effectiveness of Bridges delivered by rehabilitation assistants within an Early Supported Discharge Service.
- Bridges self-management programme Behavioral
Intervention Desc: The Bridges self-management programme is based on self-efficacy principles. It includes a Bridges stroke workbook consisting of stroke survivors' experiences and strategies, with space to record and reflect on personal goals and achievements, which the practitioner will work through with the participant. The practitioner will also used strategies based on key principles of self-management during interactions with patients. ARM 1: Kind: Experimental Label: Rehabilitation Assistant Description: Bridges stroke self-management programme. Delivered by rehabilitation assistants. Participants will receive a minimum of 4 sessions over a 4-6 week period. ARM 2: Kind: Experimental Label: Therapist Description: Bridges stroke self-management programme. Delivered by registered stroke therapists (Occupational therapists or physiotherapists). Participants will receive a minimum of 4 sessions over a 4-6 week period.
- Allocation: Randomized
- Masking: Single Blind (Outcomes Assessor)
- Purpose: Supportive Care
- Intervention: Parallel Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Change from baseline Stroke Self-Efficacy Scale at 6 weeks||6 weeks||No|
|Secondary||Change from baseline Modified Rivermead Mobility Index at 6 weeks||6 weeks||No|
|Secondary||Change from baseline SIPSO at 6 weeks||6 weeks||No|
|Secondary||Change from baseline EQ5D at 6 weeks||6 weeks||No|
|Secondary||Change from baseline PHQ-9 at 6 weeks||6 weeks||No|
- Jenny Freeman Lead