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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
126
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.
Royal Columbian Hospital
New Westminster, British Columbia, Canada
University Hospital of Northern BC
Prince George, British Columbia, Canada
Surrey Memorial Hospital
Surrey, British Columbia, Canada
Holy Family Hospital
Vancouver, British Columbia, Canada
Vancouver General Hospital
Vancouver, British Columbia, Canada
GF Strong Rehabilitation Centre
Vancouver, British Columbia, Canada
St. Paul's Hospital
Vancouver, British Columbia, Canada
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.
Time frame: End of program (6 months)
Daily walking physical activity
Study participants will wear the activity monitor over the 7 days following each assessment period (baseline, 6 months, 12 months)
Time frame: End of program (6 months), and 6 months after the program ends (12 months from baseline)
Dietary behavior (26 items SmartDiet Questionnaire)
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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 6 months after the program ends (12 months from baseline)
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