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Cerebrovascular AccidentNCT02703805

Fit For Function: A Community Wellness Program for Persons With Stroke

A study testing Fit For Function Program and Standard YMCA membership in people with Cerebrovascular Accident, run by McMaster University at 3 sites in Canada.

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

Building on an earlier pilot study, this randomized controlled trial will compare the effectiveness of a 12 week community YMCA-based wellness program specifically designed for people with stroke (Fit for Function) to a standard YMCA membership. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cerebrovascular Accident
What is being tested?
Fit For Function Program and Standard YMCA membership
Could I receive a placebo?
No, everyone receives an active treatment
How many people
218 participants
Where
3 sitesCanada
Study dates
May 2014to Nov 2018
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • diagnosed with stroke
  • 18 years of age or older
  • community dwelling
  • able to walk 10m independently, with or without an assistive device
  • medically approved by a physician to participate
  • able to tolerate 60 minutes of activity with rest intervals
  • able to independently follow instructions

Who cannot join

  • involved in an active rehabilitation program

Trial locations and contacts

3 sites in 1 country.

Canada3 sites
  • The Brantford Family YMCA

    Brantford, Ontario

  • Downtown Hamilton YMCA

    Hamilton, Ontario, L8P 2Z1

  • The Walker Family YMCA

    St. Catharines, Ontario, L2N 7P9

Other trials in Canada

About this study

Building on an earlier pilot study, this randomized controlled trial will compare the effectiveness of a 12 week community YMCA-based wellness program specifically designed for people with stroke (Fit for Function) to a standard YMCA membership.

Read the detailed description

The program will be delivered through a partnership between McMaster University, the YMCA and Hamilton Health Sciences/ the Brant Community Healthcare System/ the Niagara Health System. Participants will exercise three times a week and receive weekly education about how to take care of themselves after a stroke. The YMCA staff who deliver the program will have specialized training about how to help people with a stroke exercise safely and effectively. The hospital within each region will provide specialized on-site physiotherapy consultative support. The comparator standard YMCA membership will include typical sessions with a wellness coach who has basic safety training regarding stroke and exercise.

Being tested
Fit For Function Program, Standard YMCA membership
Keywords
Community program, Wellness, Exercise, Physical Activity, Education, Stroke, Self-management
Medical subject headings
Stroke, Motor Activity

What participants receive

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

  • Fit For Function ProgramOther

    A 12-week YMCA-based wellness program for persons with stroke, consisting of 2 group exercise sessions, one gym exercise session and one education session per week with trained instructors

  • Standard YMCA membershipOther

    A 12 week standard YMCA membership.

Study groups in NCT02703805
Study groupRoleWhat they receive
Fit For Function ProgramExperimentalA 12-week YMCA-based wellness program for persons with stroke, consisting of 2 group exercise sessions, one gym exercise session and one education session per week with trained instructors.
Receives: Other: Fit For Function Program
Standard YMCA membershipActive comparatorA 12 week standard YMCA membership.
Receives: Other: Standard YMCA membership

What is being measured

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

  1. Change in the Reintegration to Normal Living Index (RNL) from baseline

    This measure assesses the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities.

    Measured: baseline, 12 weeks, 24 weeks

Secondary outcomes (11)
  1. Change in The Rapid Assessment of Physical Activity (RAPA) score from baseline

    This is a 9-item measure that assesses frequency and intensity of aerobic physical activity and frequency of strengthening and flexibility exercises.

    Measured: baseline, 12 weeks, 24 weeks

  2. Change in The Short Portable Performance Tests (SPPT) score from baseline

    This test is used to quantify lower extremity function by evaluating the time to walk 8 feet, standing balance and repeated chair stands.

    Measured: baseline, 12 weeks, 24 weeks

  3. Change in The Six Minute Walk Test (6MWT) from baseline

    This test is an indicator of exercise capacity and measures the distance walked in 6 minutes.

    Measured: baseline, 12 weeks, 24 weeks

  4. Change in Strength: Grip and Knee extension from baseline

    Hand-held dynamometry will measure the average strength of three trials.

    Measured: baseline, 12 weeks, 24 weeks

  5. Change in The EQ-5D score from baseline

    This is a generic utility-based health related quality of life questionnaire.

    Measured: baseline, 12 weeks, 24 weeks

  6. Change in The Patient Activation Measure (PAM) score from baseline

    This is a 13-item measure of the patient's level of knowledge, skill and confidence for self-management.

    Measured: baseline, 12 weeks, 24 weeks

  7. Change in The Body Mass Index (BMI) score from baseline

    The BMI will be calculated from measurements of body mass and height as an indicator of cardiovascular health.

    Measured: baseline, 12 weeks, 24 weeks

  8. Change in Blood lipid levels from baseline

    12 hour fasting levels of lipids will be used as an indicator of cardiovascular health.

    Measured: baseline, 12 weeks, 24 weeks

  9. Change in blood glucose levels from baseline

    12 hour fasting levels of glucose in blood will be used as an indicator of cardiovascular health.

    Measured: baseline, 12 weeks, 24 weeks

  10. Change in blood inflammatory markers from baseline

    12 hour fasting levels of inflammatory markers in blood will be used as an indicator of cardiovascular health.

    Measured: baseline, 12 weeks, 24 weeks

  11. Healthcare Utilization Questionnaire

    An indicator of healthcare resource utilization (hospitalizations, medical appointments and investigations, medication use) for economic analysis.

    Measured: 0- 24 weeks

Timeline

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

  1. First posted9 Mar 2016 (estimated)
  2. Study startMay 2014
  3. Primary completionNov 2018
  4. Study completionNov 2018

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
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
218 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02703805
Sponsor's protocol ID
FFF133486
Status last verified
Jun 2019
First submitted
14 Oct 2014
Last updated
26 Jun 2019
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Results will be communicated to the Central South Regional Stroke Network and the Ontario Stroke System. Results will also be disseminated through professional organizations, the Ontario Ministry of Health and Long Term Care, peer reviewed conferences, provincial and national stroke forums, journal articles and special interest groups like the Stroke Recovery Group.

Publications

  • Richardson J, Tang A, Guyatt G, Thabane L, Xie F, Sahlas D, Hart R, Fleck R, Hladysh G, Macrae L. FIT for FUNCTION: study protocol for a randomized controlled trial. Trials. 2018 Jan 15;19(1):39. doi: 10.1186/s13063-017-2416-3.

    PubMed 29335013

Questions about this trial

What is this clinical trial studying?

A study testing Fit For Function Program and Standard YMCA membership in people with Cerebrovascular Accident, run by McMaster University at 3 sites in Canada.

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 1 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 26 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada. 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?

Change in the Reintegration to Normal Living Index (RNL) from baseline (time frame: baseline, 12 weeks, 24 weeks). 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 NCT02703805, which also lists 1 linked publication.

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 26 Jun 2019; AzTrials last refreshed its copy on 28 Oct 2026.

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