A Trial of Nature-based Post-stroke Fatigue Rehabilitation (NASTRU)

Region Skane101 enrolled

Overview

The aim of NASTRU was to examine whether ten weeks of nature-based rehabilitation, as add-on to standard management, could influence post-stroke fatigue (primary outcome), depression, work ability or functional outcome (secondary outcomes), compared to controls.

Patients randomized to the intervention undergo a rehabilitation program in groups up to 8 patients in an especially designed garden at the Swedish University of Agricultural Sciences, Alnarp. The intervention is grounded in environmental psychology and occupational therapy, supported by a multimodal rehabilitation team that utilizes the garden/nature for sensory stimulation, body awareness, meaningful occupations and nature experiences. The enrollment of 101 patients (51 intervention; 50 control) was completed on August 2014. Follow-up is on-going, with assessments by examiner blinded to treatment group, at end of intervention period, 8 months, and 14 months after randomization. A parallel study with qualitative in-depth interviews in a subset of patients, who were randomized to the intervention group, as well as the staff, is also ongoing.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

101

Conditions

Stroke

Interventions

Nature based rehabilitationOTHER

ten weeks of nature-based rehabilitation, as add-on to standard management. A rehabilitation program in groups up to 8 patients in an especially designed garden at the Swedish University of Agricultural Sciences, Alnarp. The intervention was grounded in environmental psychology and occupational therapy, supported by a multimodal rehabilitation team that utilized the garden/nature for sensory stimulation, body awareness, meaningful occupations and nature experiences.

standard management after strokeOTHER

standard management after stroke is individualised.

Eligibility

Sex: ALLMin age: 55 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Ischemic or haemorrhagic stroke * First ever or recurrence, about 3 months (group 1) or more than one year prior to screening (group 2) * Age: 55-80 years Exclusion criteria: * Dementia * Severe communication disorder that made it difficult to participate and/or serious illnesses besides stroke (for example, serious cancer disease)

Locations (1)

Skåne university hospital

Malmo, Sweden

Outcomes

Primary Outcomes

Post stroke fatigue

Mental Fatigue Scale (MFS) pre-post design by blinded assessor.

Time frame: 8 months after inclusion

Occupational value of everyday occupation

Occupational Value (OVal-pd) pre-post design by blinded assessor

Time frame: 8 months after inclusion

Data from ClinicalTrials.gov

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