Stroke Clinical Trial
Official title:
Poststroke Fatigue - Developing and Testing a Program to Reduce and Cope With Fatigue
Fatigue is a common complaint after stroke, reported by 39-72% of patients. Poststroke
fatigue is related to poor neurological recovery, low level of activities of daily living,
decreased quality of life and may possibly affect the ability to return to work. Little is
known about strategies addressing post-stroke fatigue and their effectiveness.
Aim: to develop, test and evaluate a health promotion program based on strategies addressing
poststroke fatigue.
Fatigue is a common complaint after stroke, reported by 39-72% of patients. It has been
shown that poststroke fatigue may be related to poor neurological recovery, low level of
activities of daily living and decreased quality of life. However, little is known about
strategies to address poststroke fatigue and the effectiveness of such strategies.
Objective The aim of the study is to develop a program based on strategies to address
poststroke fatigue and to test and evaluate the program.
Material and Methods Intervention Mapping is the overall approach of the study. It describes
a protocol for the development of theory- and evidence-based health promotion programmes.
Step 1) The program is developed based on a needs assessment. Existing knowledge about
physical, psychosocial and environmental factors associated with poststroke fatigue is
mapped in a literature review.
Step 2) The program will be tested in a pilot study (controlled trial). In addition to
conventional treatment, the patients in the intervention group will participate in the
program for a period of 12 weeks. The control group will receive conventional treatment
only.
Step 3) Evaluation of the program: Primary outcome measure will be fatigue, measured on the
Multidimensional Fatigue Inventory-20. Secondary outcome measures will be identified during
the development of the program. Patients will be tested at baseline, after 3 months and
after 6 months. The effect size in the pilot study will be assessed and will be used in
order to estimate the required sample size for a large-scale randomized controlled trial on
formally testing the efficacy of the program.
;
Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention
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