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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Therapy sessions conducted outdoors
Joint Authority for Päijät-Häme Social and Health Care
Lahti, Finland
RECRUITINGFunctional ability
Evaluation of functional ability in intervention and control groups by Patient-Reported Outcomes Measurement Information (PROMIS) questionnaire
Time frame: 0-30 days
Quality of life by WHO Disability Assessment Schedule (WHODAS)
Evaluation of quality of life in intervention and control groups, measured by WHODAS questionnaire.
Time frame: 0-30 days
Assessment of the intervention impacts on rehabilitation
Evaluation of the impact of intervention into achieving the predetermined goals of rehabilitation. Measured by Goal Attainment Scale (GAS) in intervention and control group.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 0-30 days
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