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Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study

BACKGROUND: The value of cardiac rehabilitation (CR) after a transient ischaemic attack (TIA) or minor stroke is untested despite these conditions sharing similar pathology and risk factors to coronary heart disease. We aimed to evaluate the feasibility of conducting a trial of an adapted home-based...

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Autores principales: Heron, Neil, Kee, Frank, Mant, Jonathan, Reilly, Philip M., Cupples, Margaret, Tully, Mark, Donnelly, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5727948/
https://www.ncbi.nlm.nih.gov/pubmed/29233087
http://dx.doi.org/10.1186/s12872-017-0717-9
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author Heron, Neil
Kee, Frank
Mant, Jonathan
Reilly, Philip M.
Cupples, Margaret
Tully, Mark
Donnelly, Michael
author_facet Heron, Neil
Kee, Frank
Mant, Jonathan
Reilly, Philip M.
Cupples, Margaret
Tully, Mark
Donnelly, Michael
author_sort Heron, Neil
collection PubMed
description BACKGROUND: The value of cardiac rehabilitation (CR) after a transient ischaemic attack (TIA) or minor stroke is untested despite these conditions sharing similar pathology and risk factors to coronary heart disease. We aimed to evaluate the feasibility of conducting a trial of an adapted home-based CR programme, ‘The Healthy Brain Rehabilitation Manual’, for patients following a TIA/minor stroke, participants’ views on the intervention and, to identify the behaviour change techniques (BCTs) used. METHODS: Clinicians were asked to identify patients attending the Ulster Hospital, Belfast within 4 weeks of a first TIA or minor stroke. Those who agreed to participate underwent assessments of physical fitness, cardiovascular risk, quality of life and mental health, before random allocation to: Group (1) standard/usual care; (2) rehabilitation manual or (3) manual plus pedometer. All participants received telephone support at 1 and 4 weeks, reassessment at 6 weeks and an invitation to a focus group exploring views regarding the study. Two trained review authors independently assessed the manual to identify the BCTs used. RESULTS: Twenty-eight patients were invited to participate, with 15 (10 men, 5 women; 9 TIA, 6 minor stroke; mean age 69 years) consenting and completing the study. Mean time to enrolment from the TIA/stroke was 20.5 days. Participants completed all assessment measures except VO(2max) testing, which all declined. The manual and telephone contact were viewed positively, as credible sources of advice. Pedometers were valued highly, particularly for goal-setting. Overall, 36 individual BCTs were used, the commonest being centred around setting goals and planning as well as social support. CONCLUSION: Recruitment and retention rates suggest that a trial to evaluate the effectiveness of a novel home-based CR programme, implemented within 4 weeks of a first TIA/minor stroke is feasible. The commonest BCTs used within the manual revolve around goals, planning and social support, in keeping with UK national guidelines. The findings from this feasibility work have been used to further refine the next stage of the intervention’s development, a pilot study. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02712385. This study was registered prospectively on 18/03/2016. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12872-017-0717-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-57279482017-12-18 Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study Heron, Neil Kee, Frank Mant, Jonathan Reilly, Philip M. Cupples, Margaret Tully, Mark Donnelly, Michael BMC Cardiovasc Disord Research Article BACKGROUND: The value of cardiac rehabilitation (CR) after a transient ischaemic attack (TIA) or minor stroke is untested despite these conditions sharing similar pathology and risk factors to coronary heart disease. We aimed to evaluate the feasibility of conducting a trial of an adapted home-based CR programme, ‘The Healthy Brain Rehabilitation Manual’, for patients following a TIA/minor stroke, participants’ views on the intervention and, to identify the behaviour change techniques (BCTs) used. METHODS: Clinicians were asked to identify patients attending the Ulster Hospital, Belfast within 4 weeks of a first TIA or minor stroke. Those who agreed to participate underwent assessments of physical fitness, cardiovascular risk, quality of life and mental health, before random allocation to: Group (1) standard/usual care; (2) rehabilitation manual or (3) manual plus pedometer. All participants received telephone support at 1 and 4 weeks, reassessment at 6 weeks and an invitation to a focus group exploring views regarding the study. Two trained review authors independently assessed the manual to identify the BCTs used. RESULTS: Twenty-eight patients were invited to participate, with 15 (10 men, 5 women; 9 TIA, 6 minor stroke; mean age 69 years) consenting and completing the study. Mean time to enrolment from the TIA/stroke was 20.5 days. Participants completed all assessment measures except VO(2max) testing, which all declined. The manual and telephone contact were viewed positively, as credible sources of advice. Pedometers were valued highly, particularly for goal-setting. Overall, 36 individual BCTs were used, the commonest being centred around setting goals and planning as well as social support. CONCLUSION: Recruitment and retention rates suggest that a trial to evaluate the effectiveness of a novel home-based CR programme, implemented within 4 weeks of a first TIA/minor stroke is feasible. The commonest BCTs used within the manual revolve around goals, planning and social support, in keeping with UK national guidelines. The findings from this feasibility work have been used to further refine the next stage of the intervention’s development, a pilot study. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02712385. This study was registered prospectively on 18/03/2016. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12872-017-0717-9) contains supplementary material, which is available to authorized users. BioMed Central 2017-12-12 /pmc/articles/PMC5727948/ /pubmed/29233087 http://dx.doi.org/10.1186/s12872-017-0717-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Heron, Neil
Kee, Frank
Mant, Jonathan
Reilly, Philip M.
Cupples, Margaret
Tully, Mark
Donnelly, Michael
Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study
title Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study
title_full Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study
title_fullStr Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study
title_full_unstemmed Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study
title_short Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study
title_sort stroke prevention rehabilitation intervention trial of exercise (sprite) - a randomised feasibility study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5727948/
https://www.ncbi.nlm.nih.gov/pubmed/29233087
http://dx.doi.org/10.1186/s12872-017-0717-9
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