The purpose of this study is to determine whether Physical Activation on Prescription can help patients with TIA to become more physically active. One group will receives Physical Activation on Prescription (PaP)and the other group will receives usual care. And to identify if persons with TIA presents with cognitive impairments.
Transient ischemic attack (TIA) is a transient episode of neurologic dysfunction caused by ischemia, i.e. loss of blood flow. The symptoms of a TIA typically resolve within 24 hours. Attacks lasting more than 30 minutes are unusual. TIAs and strokes present with the same symptoms such as sudden weakness, numbness, sudden dimming or loss of vision, aphasia, slurred speech, facial palsy and mental impairments. Subtle problems with cognitive functions and fatigue may not always be addressed before discharge. However, even subtle mental impairments are important to identify, given the problems they might pose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
The advice on physical activity is patient oriented and based on FYSS (FYSS is a information bank that summarizes the up-to-date scientific knowledge on how to prevent and treat various diseases and conditions using physical activity). An individual prescription on physical activity is issued. The prescription form reminds of an ordinary drug prescription and provides specified types of physical activities including intensity, frequency and duration of the respective activities. The prescribed physical activity could be either self-monitored or organized by public physical activity organizations.
Tiohundra
Norrtälje, Stockholms Läns Landsting, Sweden
Change in Physical activity over time
Physical activity measured with accelerometer (Time frame: Baseline, 3, 6, and 12 month).
Time frame: at discharge from hospital, 3, 6 and 12 month after the event
Change in Cognition and Mental Fatigue
Change in mental conditions over time measured with self report of mental fatigue and related symptoms. This is a scale with 7 different steps for graduate mental fatigue. Less points indicate less mental fatigue.
Time frame: All measures at baseline 3, 6 and 12 month after the event
Change in 6 MWT
Change in Walking endurance measured in 3, 6, 12 month measured with 6 MWT (six minutes Walking Test).
Time frame: 3, 6 and 12 months
Change in self reported stages of change
A self reported questionnaire that measures willingness to changes in physical activity over time. The scale has different levels of willingness for changes in physical activity.
Time frame: 3, 6, 12 months
Change from baseline in systolic blood pressure at 12 months
Time frame: 3, 6, 12 months
BMI
Body Mass Index is measured at the start and at the end of the study
Time frame: 12 months
Change in mental capacity over a period of time
Change in mental capacity measured with a assessment called Cognistat that indicates four different levels of mental capacity.
Time frame: 3, 6,12 months
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Change in mental capacity over a period of time
Change in mental capacity measured with a assessment called Cognistat that indicates four different levels of mental capacity.
Time frame: 3, 6, 12 months