StrokePEERNCT07463014
Peer Enriched Environment for Recovery (PEER)
A study testing Peer-Enriched Environment for Recovery (PEER) in people with Stroke, run by Nanyang Technological University at 1 site in Singapore.
Trial summary
The goal of this interventional study is to assess whether a peer coaching intervention (PEER) can improve the well-being in individuals who experienced a stroke. The main questions it aims to answer are 1. Read more about this study
- Who is it for?
- Ages 21 to 99 years
- Conditions the study is for
- Stroke
- What is being tested?
- Peer-Enriched Environment for Recovery (PEER)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteSingapore
- Study dates
- 1 Jan 2025to Aug 2026
- 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 21 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 21 years and above
- Diagnosed with stroke within the past 5 years and discharged from the hospital
- Aged 21 years and above
- Diagnosed with stroke within the past 1 year and discharged from the hospital
Who cannot join
- Unable to communicate in English
- Unable to provide informed consent
- Diagnosed with one or multiple conditions which affect cognitive and/or mental health severely
- Diagnosed with severe or potentially terminal co-morbidities
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Singapore1 site, 1 recruiting
- Recruiting
Nanyang Technological University
Singapore, 639798
Farrah Dewanti, BSc, +65 8355 6789, farrah.dewanti@ntu.edu.sg
About this study
Official title: Peer Enriched Environment for Recovery (PEER): An Integrated Health Coaching Intervention Post-Stroke
The goal of this interventional study is to assess whether a peer coaching intervention (PEER) can improve the well-being in individuals who experienced a stroke. The main questions it aims to answer are
- Is the PEER intervention feasible and acceptable for the intervention recipients who receive the intervention?
- Is the PEER intervention feasible and acceptable for the peer coaches who deliver the intervention?
- Do intervention recipients show a higher level of quality of life at immediate, 4-week, and 8-week post-intervention?
- Do intervention recipients display increases in measures of psycho-social-spiritual well-being at immediate, 4-week, and 8-week post-intervention? Peer coach participants will a) take training sessions, b) deliver 5 coaching sessions to an intervention recipient participant, c) complete surveys before training, after training, and after intervention delivery, and d) participate in a personal interview Intervention recipient participants will a) attend 5 coaching sessions delivered by a peer coach participant, b) complete surveys before intervention, immediately post intervention, 4-week post intervention, and 8 week post-intervention, and c) participate in a personal interview.
Read the detailed description
For intervention recipient recruitment, stroke survivors who have been diagnosed with stroke in the past 12 months and have been discharged from hospitals will be recruited from the collaborating community services and open recruitment. Recruited intervention recipients will proceed to take a baseline survey which collects their demographic characteristics, stroke-related information, wellbeing measures, and quality of life measure (T1). For peer coach recruitment, experienced stroke survivors who have been diagnosed with stroke in the past 5 years will be invited to participate in the study as peer coaches.
Recruited peer coaches will be asked to complete a preliminary survey. The preliminary survey collects peer coaches' demographic characteristics and stroke-related information, which will be sued for the matching between peer coaches and intervention recipients. The preliminary survey will also assess their well-being outcomes, QoL, self-determination level, coaching skills, and cognitive ability. Peer coaches with limited cognitive ability to perform peer-coaching will not proceed to peer coach training. Following the preliminary survey, peer coaches will undergo peer coach training sessions and the post-training assessment before performing peer-coaching in the intervention. The post-training assessment will include measurement of well-being outcomes, QoL, self-determination level, coaching skills, and cognitive ability. Peer coaches with limited cognitive ability to perform peer-coaching will not proceed to the intervention delivery.
Following the post-training survey, each peer coach will be matched with an intervention recipient based to their demographic characteristics and stroke experience. Following the matching process, peer coaches and intervention recipients will proceed into the intervention process. During the intervention, intervention recipients will be asked to attend peer-coaching sessions led by the matched peer coaches. The time of peer-coaching sessions will be decided based on participants' schedules. In the peer-coaching sessions, intervention recipients and peer coaches will meet in-person, and peer coaches will guide them to carry out arranged activities collaboratively. After the last peer coaching session is completed, intervention recipients will proceed to a post-intervention survey, which measures their satisfaction with the intervention as recipients, and a personal interviews, in which they will be asked about their perceptions and opinions on the PEER program. Intervention recipient will also be asked to take the follow-up survey at 3 time points - immediately after the intervention (T2), 4 weeks after the intervention (T3), and 8 weeks after the intervention (T4). The follow-up survey measures intervention recipients' wellbeing and quality of life. After the delivery of all peer coaching sessions, peer coaches will undergo the post-intervention survey, which assesses their well-being outcomes, QoL, self-determination level, cognitive ability, coaching skills, and satisfaction with the intervention as peer coaches; peer coaches will also be asked to attend a personal interview, in which they will be asked about their perceptions and opinions on the PEER program.
The interviews for peer coaches and intervention recipients will be audio-recorded with participants' consent. The recordings will be transcribed verbatim and proceed to thematic analyses. The analysis results of collected quantitative and qualitative data will be synthesized to evaluate the feasibility and the effectiveness of the peer-coaching intervention and the feasibility of the evaluation procedures. Elements of the PEER programme and the evaluation procedure will be improved based on the analysis results for future research and implementation.
- Conditions
- Stroke
- Being tested
- Peer-Enriched Environment for Recovery (PEER)
- Keywords
- peer coaching, peer support, post-stroke care, rehabilitation
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Peer-Enriched Environment for Recovery (PEER)Behavioural
The PEER intervention is a post-stroke peer coaching intervention. Participants who undergo this intervention will have 5 coaching sessions, which are delivered by trained peer coaches in-person. In each session, peer coaches will practice psychoeducation, experience sharing, and interactive activity, to provide intervention recipients with psychosocial support. Each coaching session will focus on a specific topic related to post-stroke recovery.
| Study group | Role | What they receive |
|---|---|---|
| Treatment | Experimental | Intervention recipient participants in this arm will undergo the peer coaching intervention to receive support from peer coaches Receives: Behavioral: Peer-Enriched Environment for Recovery (PEER) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mental well-being of intervention recipients
This outcome will be assessed by the Short Warwick Edinburgh Mental Well-being Scale (SWEMBS), a validated 7-item questionnaire designed to measure positive mental wellbeing with a 5-point Likert scale. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being.
Measured: From enrollment to 8-week post intervention
Psychological distress of intervention recipients
This outcome will be assessed by the Hospital Anxiety and Depression Scale (HADS), a widely used 14-item questionnaire designed to detect anxiety and depression. Scores of this scale range from 0 to 21, where higher scores indicate higher levels of anxiety and depression.
Measured: From enrollment to 8-week post intervention
Hope of intervention recipients
This outcome will be assessed by the Herth Hope Index (HHI), a 12-item questionnaire developed to measure the level of hope. Scores of this scale range from 12 to 84, where higher scores indicate greater levels of hope.
Measured: From enrollment to 8-week post intervention
Resilience of intervention recipients
This outcome will be assessed by the Brief Resilience Scale (BRS), a 6-item measure designed to assess an individual's ability to bounce back or recover from stress, adversity, and challenging life circumstances. Scores of this scale range from 6 to 30, where higher scores indicate more resilience and a better ability to bounce back from stress and adversity.
Measured: From enrollment to 8-week post intervention
Stroke self-efficacy of intervention recipients
This outcome will be assessed by the Stroke Self-Efficacy Questionnaire (SSEQ), a 13-item tool used to measure a stroke survivor's confidence in performing functional activities and managing their condition. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being. Scores of this scale range from 0 to 39, where higher scores indicate better self-efficacy.
Measured: From enrollment to 8-week post intervention
Reintegration of intervention recipients
This outcome will be assessed by the Modified Reintegration to Normal Living Index (mRNLI), a validated 11-item assessment tool used to measure the degree to which individuals with chronic illnesses, disabilities, or traumatic injuries resume their normal social roles and activities. Scores of this scale range from 0 to 110, where higher scores indicate higher, more satisfying levels of reintegration.
Measured: From enrollment to 8-week post intervention
Social support of intervention recipients
This outcome will be assessed by the Inventory of Social Support, a 5-item questionnaire developed to assess the level of social support. Scores of this scale range from 5 to 25, where higher scores indicate higher levels of social support.
Measured: From enrollment to 8-week post intervention
Spiritual well-being of intervention recipients
This outcome will be assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Scale (FACIT-Sp-12), a widely used 12-item measure of spiritual wellbeing. Scores of this scale range from 0 to 48, where higher scores indicate greater spiritual well-being.
Measured: From enrollment to 8-week post intervention
Stroke specific quality of life of intervention recipients
This outcome will be assessed by the Stroke Specific Quality of Life Scale (SS-QOL), a 12-item questionnaire to assess health-related quality of life specifically for stroke survivors. Scores of this scale range from 12 to 60, where higher scores indicate better function and greater quality of life.
Measured: From enrollment to 8-week post intervention
Secondary outcomes (5)
Quality of life of peer coach
This secondary outcome will be assessed by the Single-Item Assessment of Quality of Life, an 1-item questionnaire to assess quality of life with a 10-point Likert scale. Scores of this scale range from 0 to 10, where higher scores indicate greater quality of life.
Measured: Baseline, pre-intervention, immediately post-intervention
Life satisfaction of peer coach
This secondary outcome will be assessed by the Single-Item Life Satisfaction Measure, an 1-item questionnaire designed to assess life satisfaction, with a 4-point Likert scale. Scores of this scale range from 1 to 4, where higher scores indicate lower levels of life satisfaction.
Measured: Baseline, pre-intervention, immediately post-intervention
Spiritual well-being of peer coach
This outcome will be assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Scale (FACIT-Sp-12), a widely used 12-item measure of spiritual wellbeing. Scores of this scale range from 0 to 48, where higher scores indicate greater spiritual well-being.
Measured: Baseline, pre-intervention, immediately post-intervention
Resilience of peer coach
This outcome will be assessed by the Brief Resilience Scale (BRS), a 6-item measure designed to assess an individual's ability to bounce back or recover from stress, adversity, and challenging life circumstances. Scores of this scale range from 6 to 30, where higher scores indicate more resilience and a better ability to bounce back from stress and adversity.
Measured: Baseline, pre-intervention, immediately post-intervention
Self determination of peer coach
This secondary outcome will be assessed by the Self Determination Scale, a 10-item scale designed to assess individual differences in the extent to which people tend to function in a self-determined way. Scores of this scale range from 10 to 50, where higher scores indicate higher levels of self determination.
Measured: Baseline, pre-intervention, immediately post-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2026
- Study start1 Jan 2025
- Primary completionJun 2026 (estimated)
- Study completionAug 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nanyang Technological University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Andy Hau Yan Ho, PhD, EdD, Nanyang Technological University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07463014
- Sponsor's protocol ID
- IRB-2024-279
- Acronym
- PEER
- Status last verified
- Mar 2026
- First submitted
- 20 Feb 2026
- Last updated
- 10 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Peer Enriched Environment for Recovery (PEER): An Integrated Health Coaching Intervention Post-Stroke
- ClinicalTrials.gov ID
- NCT07463014
- Acronym / sponsor ID
- PEER / IRB-2024-279
- Conditions
- Stroke
- Keywords
- peer coaching, peer support, post-stroke care, rehabilitation
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Nanyang Technological UniversityUniversity, hospital or other
- Study start
- 1 Jan 2025 (actual)
- Primary completion
- Jun 2026 (estimated)
- Study completion
- Aug 2026 (estimated)
- First posted
- 10 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this interventional study is to assess whether a peer coaching intervention (PEER) can improve the well-being in individuals who experienced a stroke. The main questions it aims to answer are
- Is the PEER intervention feasible and acceptable for the intervention recipients who receive the intervention?
- Is the PEER intervention feasible and acceptable for the peer coaches who deliver the intervention?
- Do intervention recipients show a higher level of quality of life at immediate, 4-week, and 8-week post-intervention?
- Do intervention recipients display increases in measures of psycho-social-spiritual well-being at immediate, 4-week, and 8-week post-intervention? Peer coach participants will a) take training sessions, b) deliver 5 coaching sessions to an intervention recipient participant, c) complete surveys before training, after training, and after intervention delivery, and d) participate in a personal interview Intervention recipient participants will a) attend 5 coaching sessions delivered by a peer coach participant, b) complete surveys before intervention, immediately post intervention, 4-week post intervention, and 8 week post-intervention, and c) participate in a personal interview.
Detailed description
For intervention recipient recruitment, stroke survivors who have been diagnosed with stroke in the past 12 months and have been discharged from hospitals will be recruited from the collaborating community services and open recruitment. Recruited intervention recipients will proceed to take a baseline survey which collects their demographic characteristics, stroke-related information, wellbeing measures, and quality of life measure (T1). For peer coach recruitment, experienced stroke survivors who have been diagnosed with stroke in the past 5 years will be invited to participate in the study as peer coaches.
Recruited peer coaches will be asked to complete a preliminary survey. The preliminary survey collects peer coaches' demographic characteristics and stroke-related information, which will be sued for the matching between peer coaches and intervention recipients. The preliminary survey will also assess their well-being outcomes, QoL, self-determination level, coaching skills, and cognitive ability. Peer coaches with limited cognitive ability to perform peer-coaching will not proceed to peer coach training. Following the preliminary survey, peer coaches will undergo peer coach training sessions and the post-training assessment before performing peer-coaching in the intervention. The post-training assessment will include measurement of well-being outcomes, QoL, self-determination level, coaching skills, and cognitive ability. Peer coaches with limited cognitive ability to perform peer-coaching will not proceed to the intervention delivery.
Following the post-training survey, each peer coach will be matched with an intervention recipient based to their demographic characteristics and stroke experience. Following the matching process, peer coaches and intervention recipients will proceed into the intervention process. During the intervention, intervention recipients will be asked to attend peer-coaching sessions led by the matched peer coaches. The time of peer-coaching sessions will be decided based on participants' schedules. In the peer-coaching sessions, intervention recipients and peer coaches will meet in-person, and peer coaches will guide them to carry out arranged activities collaboratively. After the last peer coaching session is completed, intervention recipients will proceed to a post-intervention survey, which measures their satisfaction with the intervention as recipients, and a personal interviews, in which they will be asked about their perceptions and opinions on the PEER program. Intervention recipient will also be asked to take the follow-up survey at 3 time points - immediately after the intervention (T2), 4 weeks after the intervention (T3), and 8 weeks after the intervention (T4). The follow-up survey measures intervention recipients' wellbeing and quality of life. After the delivery of all peer coaching sessions, peer coaches will undergo the post-intervention survey, which assesses their well-being outcomes, QoL, self-determination level, cognitive ability, coaching skills, and satisfaction with the intervention as peer coaches; peer coaches will also be asked to attend a personal interview, in which they will be asked about their perceptions and opinions on the PEER program.
The interviews for peer coaches and intervention recipients will be audio-recorded with participants' consent. The recordings will be transcribed verbatim and proceed to thematic analyses. The analysis results of collected quantitative and qualitative data will be synthesized to evaluate the feasibility and the effectiveness of the peer-coaching intervention and the feasibility of the evaluation procedures. Elements of the PEER programme and the evaluation procedure will be improved based on the analysis results for future research and implementation.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Treatment | Experimental | Behavioral: Peer-Enriched Environment for Recovery (PEER)Intervention recipient participants in this arm will undergo the peer coaching intervention to receive support from peer coaches |
Who may qualify
- Ages
- 21 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Aged 21 years and above
- Diagnosed with stroke within the past 5 years and discharged from the hospital
- Aged 21 years and above
- Diagnosed with stroke within the past 1 year and discharged from the hospital
Key exclusion criteria (4 listed)
- Unable to communicate in English
- Unable to provide informed consent
- Diagnosed with one or multiple conditions which affect cognitive and/or mental health severely
- Diagnosed with severe or potentially terminal co-morbidities
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Peer-Enriched Environment for Recovery (PEER)The PEER intervention is a post-stroke peer coaching intervention. Participants who undergo this intervention will have 5 coaching sessions, which are delivered by trained peer coaches in-person. In each session, peer coaches will practice psychoeducation, experience sharing, and interactive activity, to provide intervention recipients with psychosocial support. Each coaching session will focus on a specific topic related to post-stroke recovery. | Behavioural | Treatment |
Primary outcome
Mental well-being of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Short Warwick Edinburgh Mental Well-being Scale (SWEMBS), a validated 7-item questionnaire designed to measure positive mental wellbeing with a 5-point Likert scale. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being.
Psychological distress of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Hospital Anxiety and Depression Scale (HADS), a widely used 14-item questionnaire designed to detect anxiety and depression. Scores of this scale range from 0 to 21, where higher scores indicate higher levels of anxiety and depression.
Hope of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Herth Hope Index (HHI), a 12-item questionnaire developed to measure the level of hope. Scores of this scale range from 12 to 84, where higher scores indicate greater levels of hope.
Resilience of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Brief Resilience Scale (BRS), a 6-item measure designed to assess an individual's ability to bounce back or recover from stress, adversity, and challenging life circumstances. Scores of this scale range from 6 to 30, where higher scores indicate more resilience and a better ability to bounce back from stress and adversity.
Stroke self-efficacy of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Stroke Self-Efficacy Questionnaire (SSEQ), a 13-item tool used to measure a stroke survivor's confidence in performing functional activities and managing their condition. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being. Scores of this scale range from 0 to 39, where higher scores indicate better self-efficacy.
Reintegration of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Modified Reintegration to Normal Living Index (mRNLI), a validated 11-item assessment tool used to measure the degree to which individuals with chronic illnesses, disabilities, or traumatic injuries resume their normal social roles and activities. Scores of this scale range from 0 to 110, where higher scores indicate higher, more satisfying levels of reintegration.
Social support of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Inventory of Social Support, a 5-item questionnaire developed to assess the level of social support. Scores of this scale range from 5 to 25, where higher scores indicate higher levels of social support.
Spiritual well-being of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Scale (FACIT-Sp-12), a widely used 12-item measure of spiritual wellbeing. Scores of this scale range from 0 to 48, where higher scores indicate greater spiritual well-being.
Stroke specific quality of life of intervention recipients
Time frame: From enrollment to 8-week post intervention
This outcome will be assessed by the Stroke Specific Quality of Life Scale (SS-QOL), a 12-item questionnaire to assess health-related quality of life specifically for stroke survivors. Scores of this scale range from 12 to 60, where higher scores indicate better function and greater quality of life.
5 secondary outcomes
Quality of life of peer coach
Time frame: Baseline, pre-intervention, immediately post-intervention
Life satisfaction of peer coach
Time frame: Baseline, pre-intervention, immediately post-intervention
Spiritual well-being of peer coach
Time frame: Baseline, pre-intervention, immediately post-intervention
Resilience of peer coach
Time frame: Baseline, pre-intervention, immediately post-intervention
Self determination of peer coach
Time frame: Baseline, pre-intervention, immediately post-intervention
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Peer-Enriched Environment for Recovery (PEER) in people with Stroke, run by Nanyang Technological University at 1 site in Singapore.
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 4 inclusion and 4 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 10 Mar 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 Singapore. 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 Andy Hau Yan ho, PhD, EdD (+65 80112011, andyhyho@ntu.edu.sg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mental well-being of intervention recipients (time frame: From enrollment to 8-week post intervention). The study lists 9 primary outcomes in all. 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 10 Mar 2026.