Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study

Heron, Neil; Kee, Frank; Mant, Jonathan; Reilly, P M; Cupples, Margaret; Tully, Mark A.; Donnelly, Michael

doi:10.1186/s12872-017-0717-9

Cited by 25 publications

(51 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In particular, further studies should be carried out to determine the value of initiating comprehensive secondary prevention, including non-pharmacological management, in the acute period following a TIA/minor stroke. One such emerging study is SPRITE,43 which aims to examine the effectiveness of a home-based rehabilitation programme, promoting the role of primary care in managing cardiovascular risk factors in the acute period following a TIA/minor stroke, particularly via non-pharmacological methods, for example, smoking cessation advice and physical activity promotion.…”

Section: Discussionmentioning

confidence: 99%

Secondary prevention lifestyle interventions initiated within 90 days after TIA or ‘minor’ stroke: a systematic review and meta-analysis of rehabilitation programmes

Heron¹,

Kee²,

Cardwell³

et al. 2016

Br J Gen Pract

Self Cite

View full text Add to dashboard Cite

BackgroundStrokes are often preceded by a transient ischaemic attack (TIA) or ‘minor’ stroke. The immediate period after a TIA/minor stroke is a crucial time to initiate secondary prevention. However, the optimal approach to prevention, including non-pharmacological measures, after TIA is not clear.AimTo systematically review evidence about the effectiveness of delivering secondary prevention, with lifestyle interventions, in comprehensive rehabilitation programmes, initiated within 90 days of a TIA/minor stroke. Also, to categorise the specific behaviour change techniques used.Design and settingThe review identified randomised controlled trials by searching the Cochrane Library, Ovid MEDLINE, Ovid EMBASE, Web of Science, EBSCO CINAHL and Ovid PsycINFO.MethodTwo review authors independently screened titles and abstracts for eligibility (programmes initiated within 90 days of event; outcomes reported for TIA/minor stroke) and extracted relevant data from appraised studies; a meta-analysis was used to synthesise the results.ResultsA total of 31 potentially eligible papers were identified and four studies, comprising 774 patients post-TIA or minor stroke, met the inclusion criteria; two had poor methodological quality. Individual studies reported increased aerobic capacity but meta-analysis found no significant change in resting and peak systolic blood pressure, resting heart rate, aerobic capacity, falls, or mortality. The main behaviour change techniques were goal setting and instructions about how to perform given behaviours.ConclusionThere is limited evidence of the effectiveness of early post-TIA rehabilitation programmes with preventive lifestyle interventions. Further robust randomised controlled trials of comprehensive rehabilitation programmes that promote secondary prevention and lifestyle modification immediately after a TIA are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Secondary prevention lifestyle interventions initiated within 90 days after TIA or ‘minor’ stroke: a systematic review and meta-analysis of rehabilitation programmes

Heron¹,

Kee²,

Cardwell³

et al. 2016

Br J Gen Pract

Self Cite

View full text Add to dashboard Cite

show abstract

“…Heron and colleagues 2017, reported positive findings from their feasibility study conducted in Ireland which involved a novel adapted home-based cardiac rehabilitation program, administered at 4-weeks post first TIA or minor stroke. The study included three groups, a standard care group, a group that received a home-based cardiac rehabilitation program, and a group that received a home-based cardiac rehabilitation program and pedometer or Fitbit (Heron et al, 2017).…”

Section: Scoping Review Update -May 2019mentioning

confidence: 99%

“…The cardiac rehabilitation program included a manual and introductory session to explain how to use the manual, provision of medical and social information about TIAs/'minor' strokes and goalsetting education (Heron et al, 2017). Sessions also focussed on topics relevant to cardiovascular risk, community resources, diet and secondary prevention medication (Heron et al, 2017). Standard care was administered as per UK guidelines (Heron et al, 2017).…”

Section: Scoping Review Update -May 2019mentioning

confidence: 99%

“…Sessions also focussed on topics relevant to cardiovascular risk, community resources, diet and secondary prevention medication (Heron et al, 2017). Standard care was administered as per UK guidelines (Heron et al, 2017). Telephone follow-up was provided by a general practitioner at week one and four of the study for all groups (Heron et al, 2017).…”

Section: Scoping Review Update -May 2019mentioning

confidence: 99%

“…Standard care was administered as per UK guidelines (Heron et al, 2017). Telephone follow-up was provided by a general practitioner at week one and four of the study for all groups (Heron et al, 2017). Data was collected at baseline and 6-week follow-up (Heron et al, 2017).…”

Section: Scoping Review Update -May 2019mentioning

confidence: 99%

See 2 more Smart Citations

Investigating the transition to home experience for people with mild stroke: the mild stroke transitional experience in Australia

Hodson¹

View full text Add to dashboard Cite

Background Mild stroke was once considered a benign version of stroke, with minimal ongoing consequences for the person, or society at large. This perception has recently been challenged, with researchers identifying that people experience life changes as a direct consequence of a mild stroke event. Whilst research into the implications of mild stroke has started to grow, research into health services targeted to this population remains scarce. The transition period for people with mild stroke is particularly important to understand as it is a time in which they return to the community and engage in complex activities, and consequently when they start to identify changes that result from the stroke. By identifying this population's experience of the transitional period after stroke, healthcare services can be developed to meet their needs. Research Aims The purpose of this research was to determine the essence of the transition experience to home after acute hospital discharge for people with mild stroke and their key support people, under two different service models; an allied health-led, stroke specific self-management model of care that used telehealth, or 'standard care'. Two research questions were used to achieve this, with the first being 'How do people with mild stroke experience their transition home from acute hospital care?' and the second 'How do people experience the MiSTrEnGTH (Mild Stroke Enhancing and Guiding Transition Home) program in comparison to standard care?' Methodology A qualitative methodology was used in order to understand the 'essence' of the mild stroke experience. Interpretative phenomenological analysis (IPA), was guided by the tiered IPA methodology outlined by Smith, Flowers, and Larkin (2009) for the completion of PhD projects. The first study consisted of a longitudinal exploration of a spousal dyad across the first 9-months after mild stroke. The second and third studies involved five participants with mild stroke along the first 6-months after hospital discharge. The fourth study involved four key support persons who were interviewed at 9-months after hospital discharge. All participants were consecutively recruited and semi-structured interviews were recorded, transcribed verbatim and analysed by two research team members. Findings Findings from the first study revealed the transitional experience from the perspective of a spousal dyad. It highlighted that even in theoretically the best of contextual situations, people with mild stroke and their key support persons can experience changes to their lives following stroke. This finding was based on two themes: 'the unexpected, undesirable and short-lived' and 'the new normal'. The first of these indicated that there is a short period of time following the stroke where it impacts on daily life. The second theme reflects the period following this where life returns to as it was before, but with subtle changes and lingering questions. The second study extended the findings of the first and explored the experience of five people w...

show abstract

Information provision for stroke survivors and their carers

Crocker

Brown

Lam

et al. 2021

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year.Methods For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15-95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15-39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0-0) and 0•603 (0•400-1•00) standard drinks per day, and the NDE varied between 0•002 (0-0) and 1•75 (0•698-4•30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0•114 (0-0•403) to 1•87 (0•500-3•30) standard drinks per day and an NDE that ranged between 0•193 (0-0•900) and 6•94 (3•40-8•30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59•1% (54•3-65•4) were aged 15-39 years and 76•9% (73•0-81•3) were male. Interpretation There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Funding Bill & Melinda Gates Foundation.

show abstract

Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE) - a randomised feasibility study

Cited by 25 publications

References 66 publications

Secondary prevention lifestyle interventions initiated within 90 days after TIA or ‘minor’ stroke: a systematic review and meta-analysis of rehabilitation programmes

Secondary prevention lifestyle interventions initiated within 90 days after TIA or ‘minor’ stroke: a systematic review and meta-analysis of rehabilitation programmes

Investigating the transition to home experience for people with mild stroke: the mild stroke transitional experience in Australia

Information provision for stroke survivors and their carers

Contact Info

Product

Resources

About