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StrokeNCT06847074

Rise & Shine: Promoting Sleep Quality in Chronic Stroke With Exercise

A study testing Multimodal Exercise and Cognitve and Social Activities in people with Stroke and Poor Quality Sleep, run by University of British Columbia at 1 site in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

health problems, such as heart disease, diabetes, cognitive impairment, and dementia. After a person suffers a stroke, they often experience difficulties in getting a good night's sleep. Approximately half of stroke survivors have insomnia, or have trouble falling and/or staying asleep. Read more about this study

Who is it for?
Ages 55 years and older
Conditions the study is for
Stroke, Poor Quality Sleep
What is being tested?
Multimodal Exercise and Cognitve and Social Activities
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
1 siteCanada
Study dates
15 May 2025to 30 Jun 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 55 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • We will include community-dwelling adults who had an ischemic or hemorrhagic stroke at least one year prior to study enrolment and have poor sleep quality - defined as a sleep efficiency of < or = 85%, with allowance for minor upward deviations on individual nights consistent with known night-to-night variability and instrument accuracy limits, and a PSQI global score of > 5. Individuals must also meet these inclusion criteria: 1) aged 55 years and older; 2) a baseline MMSE score of = or > 22/30 and a MoCA score of = or > 19/30; 3) community-dwelling; 4) able to comply with scheduled assessments, classes, and other trial procedures; 5) read, write, and speak English with acceptable visual and auditory acuity; 6) not to start or stable (i.e., = or > 6 months) on a fixed dose of medication that impacts sleep (i.e., anti-arrhythmics, beta blockers, selective serotonin reuptake inhibitor, etc.) during the 26-week intervention period; 7) able to walk for a minimum of six metres with rest intervals with or without assistive devices; 8) based on interview, have an activity tolerance of 60 minutes with rest intervals; 9) not participating in any regular therapy or progressive exercise (e.g., treadmill or weight-lifting); and 10) able to safely engage in exercise as indicated by the PAR-Q+63 and written confirmation by family or study physicians.

Who cannot join

  • We will exclude individuals who: 1) are diagnosed with OSA and are not using CPAP or defined as potentially having undiagnosed OSA (AHI > 20) as a result of study screening; 2) have restless leg syndrome; 3) are diagnosed with dementia of any type; 4) are diagnosed with another type of neurodegenerative or neurological condition (e.g., Parkinson's disease); 5) are planning to participate, or already enrolled in, a clinical drug trial or exercise trial concurrent to this study; 6) are at high risk for cardiac complications during exercise and/or unable to self-regulate activity or to understand recommended activity level; 7) have clinically significant peripheral neuropathy or severe musculoskeletal or joint disease that impairs mobility, as determined by his/her physician; or 8) have aphasia as judged by an inability to communicate by phone.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Teresa Liu-Ambrose, PhD contact

604-617-8047

teresa.ambrose@ubc.ca

Ryan Stein, MSc contact

exsleep.strokestudy@ubc.ca

Canada1 site, 1 recruiting
  • Vancouver Coastal Health Research Institute Research Pavilion

    Vancouver, British Columbia, V5Z 1L8

    Nathan Wei, B.SC, 604-875-4111 ext. 69056, cogmob.research@hiphealth.ca

    Teresa Liu-Ambrose, Ph.D

    Recruiting

Other trials in Canada

About this study

health problems, such as heart disease, diabetes, cognitive impairment, and dementia.

After a person suffers a stroke, they often experience difficulties in getting a good night's sleep. Approximately half of stroke survivors have insomnia, or have trouble falling and/or staying asleep. Poor sleep quality among stroke survivors increases the risk of recurrent stroke by 3-fold and the risk of early death by 76%. Hence, stroke survivors need strategies to promote better sleep.

Read more

Fortunately, evidence shows that sleep quality can be improved with exercise, even among those who struggle with insomnia. Whether exercise training can improve sleep quality in adults with chronic stroke (i.e., at least 12 months has passed since their stroke) and poor sleep quality is not known. In addition, it is unknown if improved sleep is associated with improved outcomes in those with chronic stroke.

This study will specifically evaluate the effect of twice-weekly targeted exercise training on sleep quality over a 6-month period in persons with chronic stroke and poor sleep quality. This study will also evaluate the effect of exercise on the following outcomes: 1) sleep structure; 2) fatigue; 3) daytime sleepiness; 4) mood; 5) physical function and capacity; 6) thinking abilities; 7) heart health; and 8) quality of life. Finally, this study will examine how changes in sleep quality may be related to changes in these outcomes. Our proposed research is timely as the importance of sleep to recovery, health, and wellbeing post-stroke is increasingly recognized.

Read the detailed description

Approximately half of stroke survivors have insomnia. Poor sleep quality among stroke survivors increases the risk of recurrent stroke by 3-fold and the risk of early death by 76%. Hence, stroke survivors are a target population in need of intervention strategies to promote sleep quality.

Current research and stroke rehabilitation do not address the sleep consequences of stroke - especially for those in the chronic phase (i.e., = or > 12 months since an index stroke). Adults with chronic stroke have lower sleep efficiency compared with sex- and age-matched controls. Poor sleep quality in chronic stroke is associated with depression, impaired physical function, and reduced cognitive function.

How to effectively treat insomnia in adults with chronic stroke is not well established. Intervention studies show exercise improves sleep quality and structure. Whether exercise can improve sleep quality in adults with chronic stroke and poor sleep quality is not established.

Primary Question: In adults with chronic stroke and poor sleep quality, can a 26-week multimodal exercise training program of moderate intensity (EX) improve sleep efficiency, as objectively measured by the actigraphy, compared with a 26-week cognitive and social activities program (CON; active control group)?

Secondary Question: What are additional benefits of EX vs. CON? Compared with CON, we will evaluate the effect of EX on: 1) actigraphy-measured sleep parameters of latency, duration, and wake after sleep onset; 2) sleep architecture by frontal electroencephalography; 3) subjective sleep quality; 4) fatigue; 5) daytime sleepiness; 6) mood; 7) functional capacity; 8) cognitive function; 9) cardiometabolic risk factors; and 10) quality of life.

Tertiary Question: Are changes in sleep quality associated with changes in: 1) fatigue; 2) daytime sleepiness; 3) mood; 4) cognitive function; 5) cardiometabolic risk factors; and 6) quality of life?

Pilot Data: Using actigraphy, the investigators acquired sleep data from 21 of 120 (i.e., subset) participants with chronic stroke enrolled in a RCT with cognitive function as the primary outcome. These 21 participants (mean age=69) were randomized to 26 weeks of: 1) multimodal exercise of moderate intensity (EX; n=12); or 2) cognitive and social activities (i.e., no exercise; CON; n=9). Of these 21 participants, 48% had a baseline actigraphy-measured sleep efficiency < 85%. Compared with CON, EX significantly improved actigraphy-measured sleep efficiency values (in %) at 13 weeks and 26 weeks.

Methods: A 26-week, assessor-blinded, single-site RCT of 62 community-dwelling adults with chronic stroke, WatchPAT measured sleep efficiency < 85%, Pittsburgh Sleep Quality Index global score > 5, and aged 55 years and older. Individuals will be randomized to one of two experimental groups: 1) twice-weekly EX (n=31); or 2) twice-weekly CON (n=31). Randomization will be stratified by sex and age. Measurement will occur at baseline, 13 weeks, and 26 weeks, unless otherwise stated.

Being tested
Multimodal Exercise, Cognitve and Social Activities
Keywords
Exercise
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.

  • Multimodal ExerciseBehavioural

    Each 60-minute class will include a 10-minute warm-up (i.e., stretches for the major muscles and walking on the spot), 40 minutes of training, and a 10-minute cool down (i.e., stretches and relaxation techniques).Instructors will use heart rate monitors to continuously track intensity during and across all sessions.

  • Cognitve and Social ActivitiesBehavioural

    Each 60-minute class will include 30 minutes of cognitive enrichment activities and 30 minutes of activities that promote social interactions.

Study groups in NCT06847074
Study groupRoleWhat they receive
Multimodal Exercise TrainingExperimentalThe program will consist of moderate intensity, multimodal exercise training; 2x/week; in-person, group-based.
Receives: Behavioral: Multimodal Exercise
Cognitive and Social Activities (No Exercise)Active comparatorThe program will consist of cognitive and social activites; 2x/week; in-person, group-based
Receives: Behavioral: Cognitve and Social Activities

What is being measured

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

  1. Sleep Efficiency

    Sleep efficiency as measured by actigraphy over days of wear.

    Measured: Baseline, 13 weeks, 26 weeks

Secondary outcomes (21)
  1. Sleep latency, duration, and wake after sleep onset

    Sleep latency, duration, and wake after sleep onset by actigraphy over days of wear.

    Measured: Baseline, 13 weeks, 26 weeks

  2. Sleep Architecture (OPTIONAL)

    Sleep architecture as measured by EEG headband

    Measured: Baseline, 13 weeks, 26 weeks

  3. Subjective sleep quality

    Subjective sleep quality measured by Pittsburgh Sleep Quality Index

    Measured: Baseline, 13 weeks, 26 weeks

  4. Fatigue

    Fatigue measured by Fatigue Severity Scale

    Measured: Baseline, 13 weeks, 26 weeks

  5. Sleepiness

    Daytime sleepiness measured by questionnaire

    Measured: Baseline, 13 weeks, 26 weeks

  6. Mood

    Depressive symptoms measured by questionnaire

    Measured: Baseline, 13 weeks, 26 weeks

  7. Functional Capacity

    Functional capacity, or aerobic capacity, measured by the 6-Minute Walk Test

    Measured: Baseline, 13 weeks, 26 weeks

  8. NIH Toolbox Cognitive Battery

    Cognitive function measured by NIH Toolbox Cognitive Battery

    Measured: Baseline, 13 weeks, 26 weeks

  9. ADAS-Cog Plus

    Cognitive function measured by ADAS-Cog Plus

    Measured: Baseline, 13 weeks, 26 weeks

  10. Executive Functions

    The domain of executive functions measured by Trails A and B, Digits Forward and Backward, and Clock Drawing

    Measured: Baseline, 13 weeks, 26 weeks

  11. Verbal Fluency

    Verbal fluency measured by categorical fluency

    Measured: Baseline, 13 weeks, 26 weeks

  12. Memory

    Memory measured by the Rey Auditory Verbal Fluency

    Measured: Baseline, 13 weeks, 26 weeks

  13. Blood Pressure

    Systolic and diastolic blood pressure

    Measured: Baseline, 13 weeks, 26 weeks

  14. Chronotype

    Chronotype measured by questionnaire

    Measured: Baseline, 13 weeks, 26 weeks

  15. Blood Biomarkers (OPTIONAL)

    We will draw blood to assess markers cardiometabolic health and brain health

    Measured: Baseline, 13 weeks, 26 weeks

  16. Quality of life

    Quality of life measured by the EuroQol-5 Domain-5 Level (EQ-5D-5L)

    Measured: Baseline, 13 weeks, 26 weeks

  17. Current Physical Activity (Self-Report)

    Physical activity outside of research study will be assessed by questionnaire

    Measured: Baseline, 13 weeks, 26 weeks

  18. Balance and Mobility

    Balance and mobility measured by the Short Physical Performance Battery

    Measured: Baseline, 13 weeks, 26 weeks

  19. Activities of Daily Living

    Lawton and Brody Instrumental Activities of Daily Living Scale will asssess activites of daily living

    Measured: Baseline, 26 weeks

  20. Arterial Stiffness

    Arterial stiffness will be measured as pulse wave velocity

    Measured: Baseline, 13 weeks, 26 weeks

  21. Sedentary Behaviour

    Time in sedentary behaviour will be measured by actigraphy over days of wear.

    Measured: Baseline, 13 weeks, 26 weeks

Timeline

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

  1. First posted26 Feb 2025
  2. Study start15 May 2025
  3. Primary completion15 May 2028 (estimated)
  4. Study completion30 Jun 2028 (estimated)

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
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
62 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06847074
Sponsor's protocol ID
H23-01163
Status last verified
Jun 2026
First submitted
17 Feb 2025
Last updated
11 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Multimodal Exercise and Cognitve and Social Activities in people with Stroke and Poor Quality Sleep, run by University of British Columbia at 1 site 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 1 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: looking for participants now, as of the sponsor's last update on 11 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Teresa Liu-Ambrose, PhD (604-617-8047, teresa.ambrose@ubc.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sleep Efficiency (time frame: Baseline, 13 weeks, 26 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Jun 2026.

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Clinical Trial NCT06847074 | AzTrials