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Cerebral InfarctionLASTNCT01467206

Life After STroke - the LAST Study

A study testing Long term follow up by a coordinating physiotherapist in people with Cerebral Infarction and Cerebral Hemorrhage, run by Norwegian University of Science and Technology at 2 sites in Norway.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The LAST study is a Norwegian multi site randomised controlled trial that intends to assess the effect of a long term follow up program after stroke. The program consists of a coordinating physiotherapist who will encourage and motivate included patients to perform at least 60 minutes of intensive motor training every… Read more about this study

Who is it for?
Ages 18 to 95 years
Conditions the study is for
Cerebral Infarction, Cerebral Hemorrhage
What is being tested?
Long term follow up by a coordinating physiotherapist
Could I receive a placebo?
No, everyone receives an active treatment
How many people
380 participants
Where
2 sitesNorway
Study dates
Nov 2011to Dec 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 95 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of stroke according to WHO's definition of stroke
  • Living in the city of Trondheim or the municipalities of Asker or Bærum
  • Included 2.5 - 4 months after stroke
  • Modified Rankin Scale 0 - 4
  • Living at home
  • Mini Mental State Examination > 20 or > 16 if aphasia
  • Provide informed consent

Who cannot join

  • Are already included in the study
  • Are included in other experimental studies
  • Unstable coronary function
  • Uncompensated heartfailure
  • Other diseases that make it difficult to complete the intervention

Trial locations and contacts

2 sites in 1 country.

Norway2 sites
  • Bærum Hospital

    Sandvika

  • St. Olavs Hospital

    Trondheim

Other trials in Norway

About this study

Official title: Life After STroke - the LAST Study. A Norwegian Multi Centre Randomized Controlled Trial

The LAST study is a Norwegian multi site randomised controlled trial that intends to assess the effect of a long term follow up program after stroke. The program consists of a coordinating physiotherapist who will encourage and motivate included patients to perform at least 60 minutes of intensive motor training every week and 30 minutes of physical activity every day for 18 months after inclusion. The primary hypothesis is that patients receiving a long term follow up program after stroke will have better motor function at end of follow up than patients receiving standard care. A total of 390 home dwelling stroke patients living in the municipality of Trondheim, Asker and Bærum will be included at the out-patient clinic at St. Olavs Hospital or Bærum Hospital three months after their stroke. Included patients will be randomised to an intervention group receiving the long term follow up program or to a control group receiving standard care. Motor function, mental health and physical functioning in daily life will be assessed at inclusion and 18 months later. The LAST study is funded by the Norwegian Research Council, the Norwegian University of Science and Technology and the Central Norway Regional Health Authority and will conclude at the end of 2015.

Read the detailed description

Supplement to the Life After Stroke - the LAST study ClinicalTrials.gov ID: NCT01467206

Changes in the planned statistical analysis, November 9, 2015 The original plan for statistical analysis was published in; Askim T, Langhammer B, Ihle-Hansen H, Magnussen J, Engstad T, Indredavik B. A Long-Term Follow-Up Programme for Maintenance of Motor Function after Stroke: Protocol of the life after Stroke-The LAST Study. Stroke Res Treat. 2012;2012:392101. doi: 10.1155/2012/392101. Epub 2012 Nov 22.

Original plan for statistical analysis Reporting will follow the CONSORT statement for parallel group randomized trials [40]. Descriptive statistics will be performed in order to present the population and the characteristic of the two groups. All analyses will be analysed as intention-to-treat analysis according to the CONSORT instructions. Analysis of covariance (ANCOVA) will be used to study differences between groups according to the primary endpoint, motor assessment scale at 18 months after inclusion. The ANCOVA model will include stroke severity, age, pre stroke disability, treatment group, and motor function at baseline as covariates. Mann-Whitney U test will be used for secondary data not being normal distributed. In all analyses we will control for potential confounding factors, investigate effect modifications, and present both unadjusted and adjusted effects with 95% confidence intervals.

Subanalysis will be performed according to the stratification variables (stroke severity, age above 80 and recruitment site) to explore trends within subgroups of patients.

Revised plan for statistical analysis Reporting will follow the CONSORT statement for parallel group randomized trials [40]. Descriptive statistics will be performed in order to present the population and the characteristic of the two groups. All analyses will be analysed as intention-to-treat analysis according to the CONSORT instructions. Analysis of covariance (ANCOVA) will be used to study differences between groups according to the primary endpoint, motor assessment scale at 18 months after inclusion. The ANCOVA model will include stroke severity, age, pre stroke disability, treatment group, and motor function at baseline as covariates. Similar ANCOVA analyses will be used for the relevant secondary endpoints. Mann-Whitney U test will be used for secondary data not being normal distributed.

Subanalysis will be performed according to the stratification variables (stroke severity, age above 80 and recruitment site), gender, and cognitive status (Mini Mental State below 25), to explore trends within subgroups of patients.

Missing values will be handled using single imputation (typically for items on instrument scales), or by multiple imputation, as appropriate.

Being tested
Long term follow up by a coordinating physiotherapist, Standard care
Keywords
Stroke, Physiotherapy, Motor training, Rehabilitation
Medical subject headings
Cerebral Infarction, Cerebral Hemorrhage, Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Long term follow up by a coordinating physiotherapistBehavioural

    Monthly meetings with an coordinating physiotherapist who motivate and encourage the patient to do 60 minutes of weekly exercise and 30 minutes of daily physical activity

  • Standard careBehavioural

    Standard care as it is given to all stoke patients after stroke

Study groups in NCT01467206
Study groupRoleWhat they receive
Long term follow up programExperimentalNot described
Receives: Behavioral: Long term follow up by a coordinating physiotherapist
Standard careActive comparatorNot described
Receives: Behavioral: Standard care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Motor Assessment Scale

    A measure of over all motor function

    Measured: 18 months after inclusion

Secondary outcomes (28)
  1. Barthel Index

    A measure of activities of daily living

    Measured: 18 months follow up

  2. Modified Rankin Scale

    A measure of dependency/independency

    Measured: 18 months follow up

  3. Berg Balance Scale

    A measure of balance related to basic movement tasks

    Measured: 18 months follow up

  4. Timed Up and Go

    A measure of balance related to transfer and walking

    Measured: 18 months follow up

  5. Sit to stand test

    A measure of dynamic muscle strength according to a sit to stand task

    Measured: 18 months follow up

  6. Six minute walk test

    A measure of endurance

    Measured: 18 months follow up

  7. Stroke Impact Scale

    A measure of health related quality of life after stroke

    Measured: 18 months follow up

  8. EuroQol 5D

    A simple measure of health related quality of life for the general population

    Measured: 18 months follow up

  9. Fatigue Severity Scale

    A measure of the presence of fatigue

    Measured: 18 months follow up

  10. One simple question on fatigue from the HUNT3 questionnaire

    A simple question used to assess tiredness in teh general Norwegian population

    Measured: 18 months follow up

  11. Hospital Anxiety and Depression Scale

    A measure of anxiety and depression

    Measured: 18 months follow up

  12. Mini Mental State Examination

    A measure of cognitive function

    Measured: 18 months follow up

  13. Montreal Cognitive Assessment

    A measure of cognitive function related to vascular dementia

    Measured: 18 months follow up

  14. falls

    Serious falls will be recorded from the patients hospital records

    Measured: 6, 12 and 18 months

  15. Readmission to hospital

    Number of readmissions to hospital will be recorded from the patients medical records

    Measured: 6, 12 and 18 months

  16. Death

    Information about death will be collected from the Norwegain Death Registry

    Measured: 6, 12 and 18 months

  17. Fractures

    Information about fractures during follow up will be collected from the patients medical records

    Measured: 6, 12 and 18 months

  18. Cardiovascular events

    Information about any cardiovascular events will be collected from the patients medical record

    Measured: 6, 12 and 18 months

  19. Cerebrovascular events

    Information about any cerebrovascular events during follow up will be collected from teh patient's medical records

    Measured: 6, 12 and 18 months

  20. International Physical Activity Questionnaire

    A measure of physical activity over the last week

    Measured: 6, 12 and 18 months

  21. Physical activity assessed by ActivPAL sensor system

    A sensor system to assess the amount of physical activity during a 4-7 day period

    Measured: 6, 12 and 18 months

  22. Three simple questions on physical activity from the HUNT questionnaire

    A simple measure of physical activity

    Measured: 18 months

  23. Health costs

    Information about the use of health services will be collected by reviewing the patients' hospital records and records in primary health care system.

    Measured: 6, 12 and 18 months

  24. National Institutes of Health Stroke Scale

    A measure of stroke severity

    Measured: 18 months follow up

  25. Modified Ashworth Scale

    A measure to rate the degree of spasticity after stroke

    Measured: 18 months follow up

  26. Gait speed

    A simple measure of maximum gait speed across a 10 metres distance

    Measured: 18 months follow up

  27. Trailmaking test A and B

    A simple measure of executive cognitive function

    Measured: 18 months follow up

  28. DS-14

    A standard assessment of negative affectivity, social inhibition, and type D personality, which might be related to poor cardiovascular prognosis.

    Measured: 18 months follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2011 (estimated)
  2. Study startNov 2011
  3. Primary completionDec 2015
  4. Study completionDec 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
380 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01467206
Sponsor's protocol ID
205309/H10
Acronym
LAST
Status last verified
Apr 2020
First submitted
31 Oct 2011
Last updated
13 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Askim T, Langhammer B, Ihle-Hansen H, Magnussen J, Engstad T, Indredavik B. A Long-Term Follow-Up Programme for Maintenance of Motor Function after Stroke: Protocol of the life after Stroke-The LAST Study. Stroke Res Treat. 2012;2012:392101. doi: 10.1155/2012/392101. Epub 2012 Nov 22.

    PubMed 23227428
  • Askim T, Langhammer B, Ihle-Hansen H, Gunnes M, Lydersen S, Indredavik B; LAST Collaboration Group. Efficacy and Safety of Individualized Coaching After Stroke: the LAST Study (Life After Stroke): A Pragmatic Randomized Controlled Trial. Stroke. 2018 Feb;49(2):426-432. doi: 10.1161/STROKEAHA.117.018827. Epub 2017 Dec 28.

    PubMed 29284737
  • Dohl O, Halsteinli V, Askim T, Gunnes M, Ihle-Hansen H, Indredavik B, Langhammer B, Phan A, Magnussen J. Factors contributing to post-stroke health care utilization and costs, secondary results from the life after stroke (LAST) study. BMC Health Serv Res. 2020 Apr 6;20(1):288. doi: 10.1186/s12913-020-05158-w.

    PubMed 32252739
  • Saunders DH, Mead GE, Fitzsimons C, Kelly P, van Wijck F, Verschuren O, Backx K, English C. Interventions for reducing sedentary behaviour in people with stroke. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD012996. doi: 10.1002/14651858.CD012996.pub2.

    PubMed 34184251
  • Gunnes M, Indredavik B, Langhammer B, Lydersen S, Ihle-Hansen H, Dahl AE, Askim T; LAST Collaboration group. Associations Between Adherence to the Physical Activity and Exercise Program Applied in the LAST Study and Functional Recovery After Stroke. Arch Phys Med Rehabil. 2019 Dec;100(12):2251-2259. doi: 10.1016/j.apmr.2019.04.023. Epub 2019 Jul 30.

    PubMed 31374191

Questions about this trial

What is this clinical trial studying?

A study testing Long term follow up by a coordinating physiotherapist in people with Cerebral Infarction and Cerebral Hemorrhage, run by Norwegian University of Science and Technology at 2 sites in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Motor Assessment Scale (time frame: 18 months after inclusion). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01467206, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2020.

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