Stroke Clinical Trial
Official title:
A Mixed-methods Evaluation of an Adapted Acceptance and Commitment Therapy (ACT) Group for Stroke Survivors and Their Carers: ACTivate Your Life After Stroke
Verified date | September 2017 |
Source | Cardiff University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Stroke is one of the main causes of acquired adult disability in the UK. Many psychological
problems can also occur post-stroke; this has a marked impact on health service usage. As
such, there is an outstanding need to increase and improve psychological resources within
stroke services.
The investigators proposed to adapt and evaluate the effectiveness of an acceptance and
commitment therapy (ACT) group intervention for adult stroke survivors and their carers. The
group will endeavour to promote positive adjustment and reduce levels of depression and
anxiety.
This study will have two parts.
Status | Completed |
Enrollment | 53 |
Est. completion date | December 29, 2016 |
Est. primary completion date | December 29, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - All participants must be >18 years - Clinical diagnosis of stroke (or carers of someone who has experienced a stroke) - Must be able to understand English and communicate responses. - The target volunteer has been referred to this stroke-adapted ACT course by a clinician. Exclusion Criteria: - Patients with any other acquired brain injury e.g. traumatic brain injury, encephalitis, tumours etc. - Patients diagnosed with a degenerative condition e.g. dementias. - Significant cognitive/language impairment that would prevent them from engaging with the group. - Those experiencing severe psychotic symptoms - Those who are receiving other therapies, as part of a multicomponent intervention which would prevent any changes specific to group psychotherapy to be estimated (with the exception of drugs for anxiety and depression). |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Bristol Area Stroke Foundation | Bristol | England |
United Kingdom | Cardiff & Vale NHS Trust | Cardiff | Wales |
United Kingdom | Cwm Taf NHS Trust | Merthyr Tydfil | Wales |
United Kingdom | Aneurin Bevan NHS Trust | Newport | Wales |
Lead Sponsor | Collaborator |
---|---|
Cardiff University | Aneurin Bevan University Health Board, BASF, Cardiff and Vale University Health Board, Cwm Taf University Health Board (NHS), North Bristol NHS Trust, University Hospitals Bristol NHS Foundation Trust |
United Kingdom,
Campbell Burton CA, Murray J, Holmes J, Astin F, Greenwood D, Knapp P. Frequency of anxiety after stroke: a systematic review and meta-analysis of observational studies. Int J Stroke. 2013 Oct;8(7):545-59. doi: 10.1111/j.1747-4949.2012.00906.x. Epub 2012 Sep 27. Review. — View Citation
Constructing Grounded Theory: A practical guide through qualitative analysis Kathy Charmaz Constructing Grounded Theory: A practical guide through qualitative analysis Sage 224 £19.99 0761973532 0761973532 [Formula: see text]. Nurse Res. 2006 Jul 1;13(4):84. — View Citation
Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology. 2013 Feb;22(2):459-64. doi: 10.1002/pon.2083. Epub 2011 Oct 6. — View Citation
Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006 Jan;44(1):1-25. — View Citation
Kangas M, McDonald S. Is it time to act? The potential of acceptance and commitment therapy for psychological problems following acquired brain injury. Neuropsychol Rehabil. 2011 Apr;21(2):250-76. doi: 10.1080/09602011.2010.540920. Epub 2011 Jan 17. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Measuring a change in PHQ9 scores | measure of depression | baseline, 4 weeks and two month follow-up | |
Secondary | Measuring a change in GAD7 scores | measure of anxiety | baseline, 4 weeks and two month follow-up | |
Secondary | Measuring a change in Warwick and Edinburgh Mental Wellbeing Scale (WEMWBS) scores | measure of mental wellbeing | baseline, 4 weeks and two month follow-up | |
Secondary | Measuring a change in Adult Hope Scale (AHS) scores | measure of hopefulness | baseline, 4 weeks and two month follow-up | |
Secondary | Measuring a change in EQ-5D-5L scores | measure of quality of life | baseline, 4 weeks and two month follow-up |
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