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| Name | Class |
|---|---|
| National Institute for Health Research, United Kingdom | OTHER_GOV |
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The Regaining Confidence after Stroke Course (RCAS) is a group therapy intervention to evaluate the feasibility of conducting a definitive trial, aimed to facilitate adjustment for people with stroke discharged from rehabilitation, compared with usual care. The study also aimed to evaluate the feasibility of improving mood and coping in carers of the course participants.
The Regaining Confidence after Stroke Course (RCAS) is an is an eleven week group intervention that is designed to help stroke survivors when they have finished rehabilitation to improve confidence in daily life. This feasibility study aimed to evaluate the acceptability of the course in improving confidence, mood, adjustment and increasing activity levels in stroke survivors as well as improving mood and coping in their carers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A group psycho-social course | Experimental | The intervention group received a group psycho-social course, a 2 hour, weekly, eleven week intervention delivered by a health professional working in stroke and usual care. |
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| Control Group | No Intervention | Participants in the usual care control group will continue to receive all other services routinely available to them as is usual practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A group psychosocial course | Behavioral | A 2 hour, weekly group psychosocial therapy RCAS course that aims to improve confidence and help adjustment after a stroke. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants recruited to the trial | Number of participants recruited to the trial | One year recruitment period |
| Number of participants who completed the trial | Number of participants who completed the trial | End of Study |
| Measure | Description | Time Frame |
|---|---|---|
| Mood | GHQ-30. Mood is measured using 30 questions, each with four response scores (0=better than usual) (1= about the same) (2 =Less well than usual) (3=Much less well than usual) maximum score is 90. | Baseline, 3 and 6 months follow up |
| Activity |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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A parallel group two arm feasiblity randomised controlled trial with 1:1 allocation in a single centre, comparing eleven week RCAS Course in addition to usual care, to usual care alone.
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The outcome assessor was masked to the intervention until the outcomes were complete.
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Nottingham Extended Activity of Daily Living Scale. A ranked self-assessment of important activities after following a stroke. Scale is ranked from 0-22.
| Baseline, 3 and 6 months follow up |
| Level of Confidence | A Confidence after Stroke (53 item) measure. This measure uses a Likert type format with four 'Likert type' responses, from zero to three depending on a positive or negative worded item. The highest achievable score of 159 indicating a high level of confidence. | Baseline, 3 and 6 months follow up |
| Coping | The COPE inventory (Coping Orientation for Problem Orientated Experiences) a 60 question measure which asks how participants deal with stress and what they do in stressful events. The inventory has 15 domains and a maximum score of 16 is achievable. A high score indicates more frequent use of the described coping strategy | Baseline, 3 and 6 months follow up |
| Carers strain | Carer Strain Index. The measure consists of 13 questions with yes or no answers. Highest score of 13 is achievable, where a high score indicates increased carer strain | Baseline, 3 and 6 months |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |