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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Heart and Stroke Foundation of Canada | OTHER |
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The purpose of this study is to examine the efficacy of a lifestyle modification telehealth program on health-related behaviours in community-dwelling individuals living with stroke.
Participants recruited in this study will be randomly assigned to either the Healthy Lifestyle Training Program, or Attention Control Memory Training Program.
Individuals in the Healthy Lifestyle Training Program will each receive 7 lifestyle coaching telephone-sessions (30-60 minutes) with a trained lifestyle coach over a 6 month period. Individuals in the Memory Training Program will each receive 7 memory coaching telephone sessions (30-60 minutes) with a trained memory training coach over a 6 month period. 100 evaluable subjects will be recruited (124 to accommodate for 20% dropout).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Memory Training Program | No Intervention | Participants will participate in 7 memory training coaching sessions (two in the first month) over a 6 month period. The coaching sessions will be administered by phone. | |
| Healthy Lifestyle Training Program | Experimental | Participants will participate in 7 lifestyle coaching sessions (two in the first month) over a 6 month period. The coaching sessions will be administered by phone. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Healthy Lifestyle Training Program | Behavioral | Study participants in the Healthy Lifestyle Training Program will each receive 7 lifestyle coaching telephone-sessions (30-60 minutes) with a trained lifestyle coach over a 6 month period. The lifestyle coaches will work on a 1:1 basis with each participant to encourage healthy lifestyles. |
| Measure | Description | Time Frame |
|---|---|---|
| Global measure of lifestyle behavior (Health Promoting Lifestyle Profile II) | The 52-item Health Promoting Lifestyle Profile II provides a composite score of lifestyle, in the areas of: health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. | End of program (6 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Daily walking physical activity | Study participants will wear the activity monitor over the 7 days following each assessment period (baseline, 6 months, 12 months) | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Dietary behavior (26 items SmartDiet Questionnaire) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janice Eng, PhD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Columbian Hospital | New Westminster | British Columbia | V3L 3W7 | Canada | ||
| University Hospital of Northern BC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33949270 | Derived | Sakakibara BM, Lear SA, Barr SI, Goldsmith CH, Schneeberg A, Silverberg ND, Yao J, Eng JJ. Telehealth coaching to improve self-management for secondary prevention after stroke: A randomized controlled trial of Stroke Coach. Int J Stroke. 2022 Apr;17(4):455-464. doi: 10.1177/17474930211017699. Epub 2021 May 27. | |
| 28869405 | Derived |
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|
The SmartDiet Canadian Version Questionnaire was developed to assess fiber and fat intake. This questionnaire has 26 questions about diet and lifestyle. Most questions list foods in 3 or 4 categories according to fat or fiber content. |
| End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Medication adherence (8-item Morisky Medication Adherence Scale) | The Morisky Medication Adherence Scale assesses habits in taking medication and barriers that may hinder medication adherence. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Depressive symptoms (20-item Centre for Epidemiological Studies-Depression [CES-D] Scale) | This scale assess the frequency with which participants experience depression symptoms, such as restless sleep, poor appetite, and feeling lonely, during the past week. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Cognition (Montreal Cognitive Assessment [MoCA]) | The MoCA is a screening instrument to assess for cognitive impairment. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Cardiovascular risk factors (resting blood pressure, lipid, and glucose profiles, C-Reactive Protein, Homocysteine). | These risk factors will be assessed using hospital lab services. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Body composition (Body Mass Index, waist circumference) | The Body Mass Index is a measure of body fat based on weight and height. Waist circumference will be measured using a tape measure around the waist at the height of the umbilicus. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Health-related quality of life (SF-36) | The SF-36 is a generic health status measure that was designed to be applied to all health conditions and assess health concepts, which represent basic human values and are relevant to a person's functional status and well-being. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Health and Social Services Utilization (Health and Social Service Utilization Inventory) | The Health and Social Services Utilization inventory collects data regarding health services used, medications, and out of pocket health costs. | End of program (6 months), and 6 months after the program ends (12 months from baseline) |
| Global measure of lifestyle behavior (Health Promoting Lifestyle Profile II) | The 52-item Health Promoting Lifestyle Profile II provides a composite score of lifestyle, in the areas of: health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. | 6 months after the program ends (12 months from baseline) |
| Prince George |
| British Columbia |
| V2M 1S2 |
| Canada |
| Surrey Memorial Hospital | Surrey | British Columbia | V3V 1Z2 | Canada |
| Holy Family Hospital | Vancouver | British Columbia | V5P 3L6 | Canada |
| Vancouver General Hospital | Vancouver | British Columbia | V5Z 1M9 | Canada |
| GF Strong Rehabilitation Centre | Vancouver | British Columbia | V5Z 2G9 | Canada |
| St. Paul's Hospital | Vancouver | British Columbia | V6Z 1Y6 | Canada |
| Sakakibara BM, Lear SA, Barr SI, Benavente O, Goldsmith CH, Silverberg ND, Yao J, Eng JJ. A telehealth intervention to promote healthy lifestyles after stroke: The Stroke Coach protocol. Int J Stroke. 2018 Feb;13(2):217-222. doi: 10.1177/1747493017729266. Epub 2017 Sep 4. |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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