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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| YMCA of Hamilton/Burlington/Brant | UNKNOWN |
| YMCA of Niagara | UNKNOWN |
| Brant Community Healthcare System |
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Building on an earlier pilot study, this randomized controlled trial will compare the effectiveness of a 12 week community YMCA-based wellness program specifically designed for people with stroke (Fit for Function) to a standard YMCA membership.
The program will be delivered through a partnership between McMaster University, the YMCA and Hamilton Health Sciences/ the Brant Community Healthcare System/ the Niagara Health System. Participants will exercise three times a week and receive weekly education about how to take care of themselves after a stroke. The YMCA staff who deliver the program will have specialized training about how to help people with a stroke exercise safely and effectively. The hospital within each region will provide specialized on-site physiotherapy consultative support. The comparator standard YMCA membership will include typical sessions with a wellness coach who has basic safety training regarding stroke and exercise.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fit For Function Program | Experimental | A 12-week YMCA-based wellness program for persons with stroke, consisting of 2 group exercise sessions, one gym exercise session and one education session per week with trained instructors. |
|
| Standard YMCA membership | Active Comparator | A 12 week standard YMCA membership. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fit For Function Program | Other | A 12-week YMCA-based wellness program for persons with stroke, consisting of 2 group exercise sessions, one gym exercise session and one education session per week with trained instructors |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Reintegration to Normal Living Index (RNL) from baseline | This measure assesses the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities. | baseline, 12 weeks, 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in The Rapid Assessment of Physical Activity (RAPA) score from baseline | This is a 9-item measure that assesses frequency and intensity of aerobic physical activity and frequency of strengthening and flexibility exercises. | baseline, 12 weeks, 24 weeks |
| Change in The Short Portable Performance Tests (SPPT) score from baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julie Richardson, PhD | McMaster University | Principal Investigator |
| Ada Tang, PhD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Brantford Family YMCA | Brantford | Ontario | Canada | |||
| Downtown Hamilton YMCA |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29335013 | Derived | Richardson J, Tang A, Guyatt G, Thabane L, Xie F, Sahlas D, Hart R, Fleck R, Hladysh G, Macrae L. FIT for FUNCTION: study protocol for a randomized controlled trial. Trials. 2018 Jan 15;19(1):39. doi: 10.1186/s13063-017-2416-3. |
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Results will be communicated to the Central South Regional Stroke Network and the Ontario Stroke System. Results will also be disseminated through professional organizations, the Ontario Ministry of Health and Long Term Care, peer reviewed conferences, provincial and national stroke forums, journal articles and special interest groups like the Stroke Recovery Group.
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| UNKNOWN |
| Niagara Health System | OTHER |
| Hamilton Health Sciences Corporation | OTHER |
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| Standard YMCA membership | Other | A 12 week standard YMCA membership. |
|
This test is used to quantify lower extremity function by evaluating the time to walk 8 feet, standing balance and repeated chair stands. |
| baseline, 12 weeks, 24 weeks |
| Change in The Six Minute Walk Test (6MWT) from baseline | This test is an indicator of exercise capacity and measures the distance walked in 6 minutes. | baseline, 12 weeks, 24 weeks |
| Change in Strength: Grip and Knee extension from baseline | Hand-held dynamometry will measure the average strength of three trials. | baseline, 12 weeks, 24 weeks |
| Change in The EQ-5D score from baseline | This is a generic utility-based health related quality of life questionnaire. | baseline, 12 weeks, 24 weeks |
| Change in The Patient Activation Measure (PAM) score from baseline | This is a 13-item measure of the patient's level of knowledge, skill and confidence for self-management. | baseline, 12 weeks, 24 weeks |
| Change in The Body Mass Index (BMI) score from baseline | The BMI will be calculated from measurements of body mass and height as an indicator of cardiovascular health. | baseline, 12 weeks, 24 weeks |
| Change in Blood lipid levels from baseline | 12 hour fasting levels of lipids will be used as an indicator of cardiovascular health. | baseline, 12 weeks, 24 weeks |
| Change in blood glucose levels from baseline | 12 hour fasting levels of glucose in blood will be used as an indicator of cardiovascular health. | baseline, 12 weeks, 24 weeks |
| Change in blood inflammatory markers from baseline | 12 hour fasting levels of inflammatory markers in blood will be used as an indicator of cardiovascular health. | baseline, 12 weeks, 24 weeks |
| Healthcare Utilization Questionnaire | An indicator of healthcare resource utilization (hospitalizations, medical appointments and investigations, medication use) for economic analysis. | 0- 24 weeks |
| Hamilton |
| Ontario |
| L8P 2Z1 |
| Canada |
| The Walker Family YMCA | St. Catharines | Ontario | L2N 7P9 | Canada |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001519 | Behavior |