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| Name | Class |
|---|---|
| Helsinki University Central Hospital | OTHER |
| University of Jyvaskyla | OTHER |
| Tampere University | OTHER |
| University of Eastern Finland |
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Stroke rehabilitation patients are subjected to additional nature-based therapies during a rehabilitation ward period.
Inward stroke rehabilitation patients are selected randomly into two groups: intervention and control groups in proportions 1-2:1. Blood samples and microbiome samples of saliva, skin and feces are taken from all patients prior to interventions. These are controlled after 4 weeks from the beginning of the study and 3 months after signing-off the ward. Questionnaires eg on moods, life quality and function deficits are conducted in the beginning of the study, after 4 weeks from the start and 3 months after signing-off. Physiological measurements will be done to observe autonomic nerve status. The interventions consisting of therapy sessions in the hospital nearby nature will be conducted thrice a week one of them being an individual nature-visit with the research worker, one in group and one with family-member or volunteer. The moods and quality of life of the family-member participating in the study will also be followed up. The control group is advised to do simple, more conventional rehabilitative tasks indoors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nature-based therapy intervention group | Experimental | Patients getting additional therapies outdoors |
|
| Control group | No Intervention | Patients getting additional rehabilitation tasks indoors |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nature-based therapy | Procedure | Therapy sessions conducted outdoors |
|
| Measure | Description | Time Frame |
|---|---|---|
| Functional ability | Evaluation of functional ability in intervention and control groups by Patient-Reported Outcomes Measurement Information (PROMIS) questionnaire | 0-30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life by WHO Disability Assessment Schedule (WHODAS) | Evaluation of quality of life in intervention and control groups, measured by WHODAS questionnaire. | 0-30 days |
| Assessment of the intervention impacts on rehabilitation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hanna Haveri, MD PhD | Contact | +358444828225 | hanna.haveri@paijatha.fi | |
| Marja Mikkelsson, Prof | Contact | marja.mikkelsson@paijatha.fi |
| Name | Affiliation | Role |
|---|---|---|
| Hanna Haveri, MD PhD | Päijät-Hämeen Hyvinvointialue | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Joint Authority for Päijät-Häme Social and Health Care | Recruiting | Lahti | 15850 | Finland |
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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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| OTHER |
| Natural Resources Institute Finland | OTHER_GOV |
| University of Helsinki | OTHER |
Randomised controlled study, intervention and control groups
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Evaluation of the impact of intervention into achieving the predetermined goals of rehabilitation. Measured by Goal Attainment Scale (GAS) in intervention and control group.
| 0-120 days |
| Psychological or psychotherapeutic effects | Evaluation of the effect of interventions to psychological well-being or psychotherapeutic effect in comparison to control groups. Measurement by Core-10-survey. | 0-30 days |
| Intervention effects on microbiome | Measurement of the effect of intervention on participant microbiome compared to participant microbiome in the control group. Microbial analyses of stool, saliva and flakes of skin. | 0-120 days |
| Intervention effect on the activity of autonomic nerve system | The activity of autonomic nerve system is measured with a portable device recording eg heart rate and activity. The activity of autonomic nerve system is measured both in intervention and control group. | 0-30 days |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |