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CompletedNCT05461937Updated May 29, 2024

Feasibility Randomised-Controlled Trial of Online Stroke Interventions

An interventional study of Getting things done after stroke and Stroke psychoeducation in Stroke, sponsored by University of East Anglia. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-29.

Sponsored by University of East Anglia · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Many people have difficulties organising their behaviour and problem-solving (also known as executive function difficulties) after stroke. This can have serious, wide-ranging consequences for wellbeing and ability to regain independence. Currently, access to psychological interventions after stroke varies and there is not enough evidence to recommend a specific intervention for executive function difficulties after stroke. A short intervention was designed to help with executive function difficulties by making it easier to set goals and achieve them after stroke. The intervention is designed for online delivery to make it accessible to as many stroke survivors as possible. The present trial aims to investigate the acceptability and feasibility of a single blinded randomized controlled trial of this online executive function intervention (active intervention) compared to an online stroke psychoeducation intervention (control intervention).

02

Conditions studied

  • Stroke

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Keywords

  • Stroke
  • Executive Functions
  • Goal Management
  • Problem-Solving
  • Psychoeducation
  • Telerehabilitation
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In context

Stroke

7,443 studies on the registry are indexed under Stroke; 2,012 are open to participants now.

This study's enrollment of 22 is below the median of 50 across 5,482 interventional studies indexed under Stroke.

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Lead sponsor

University of East Anglia is the lead sponsor of 79 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of stroke
  • ≥ 18 years of age
  • Capacitous consent to participate
  • Access to a computer / tablet, the internet, and an email address

Exclusion criteria

Exclusion Criteria:

  • Another significant mental or physical health condition
  • Current involvement in another research trial
  • Severe depression (over 20 on PHQ-9)
  • Not able to read or understand English
  • Visual, auditory or motor difficulties of a severity that limit the ability to attend to the content of the interventions, read the Participant Information Sheet or complete the consent form and outcome measures
  • Not registered with a GP or unwilling to provide GP information (for reporting suicidal ideation concerns
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    'Getting things done after stroke' - an online executive function intervention

    Behavioral: Getting things done after stroke

  • Active comparator
    Stroke psychoeducation

    Behavioral: Stroke psychoeducation

Interventions

  • BehavioralGetting things done after stroke

    A two-session, online rehabilitation intervention focussing on cognitive executive functions supplemented with weekly homework tasks.

  • BehavioralStroke psychoeducation

    A two-session, online stroke psycho-education intervention supplemented with weekly homework tasks.

06

What researchers measure

Primary outcomes

  1. Recruitment Rate

    Rate of participants recruited into the trial amongst all participants screened

    Time frame: Through study completion, approximately 15 months.

  2. Exclusion Rate

    Rate of participants excluded from participating amongst all participants screened

    Time frame: Through study completion, an average of 15 months.

  3. Attrition Rate

    Rate of participants and data lost

    Time frame: Through study completion, an average of 15 months.

  4. Follow-up rate

    Rate of participants included at 1-month follow-up

    Time frame: Through study completion, an average of 15 months.

  5. Time required to collect and analyze data

    Time required for data collection per participant and final analysis

    Time frame: Through study completion, an average of 15 months.

  6. Questionnaire reminders

    Number of questionnaire reminders sent and time taken per participant

    Time frame: Through study completion, an average of 15 months.

  7. Support to complete questionnaires

    Number of participants requiring support to complete questionnaires and time taken per participant

    Time frame: Through study completion, an average of 15 months.

Secondary outcomes

  1. The stroke self-efficacy scale (SSES; Jones et al., 2008)

    A 13-item measure of confidence for functional performance and aspects of self-management relevant post-stroke. Respondents are asked to rate their confidence that they can do various tasks that may have been difficult after having a stroke using a 4-point scale (0=not at all confident, 3=very confident).

    Time frame: Baseline, post-intervention and at 1-month follow-up.

  2. The Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS, Tennant et al., 2007)

    A 7-item questionnaire covering subjective wellbeing and psychological functioning. Respondents are asked to rate each of the items on a scale of 1 to 5 on the basis of how often they had experienced a symptom over the last 2 weeks (1=none of the time, 2=rarely, 3=some of the time, 4= often, 5=all of the time).

    Time frame: Baseline, post-intervention and at 1-month follow-up.

  3. Revised Dysexecutive Questionnaire (DEX-R; Simblett, Ring & Bateman, 2016)

    A tool for measuring everyday problems experienced with the dysexecutive syndrome. It consists of 37 items and respondents are asked to rate how often they experience difficulties related to executive functioning (0=never, 1=occasionally, 2=sometimes, 3=fairly often, 4=very often).

    Time frame: Baseline, post-intervention and at 1-month follow-up.

  4. The Patient Health Questionnaire-9 (PHQ-9)

    A self-report measure of depression consisting of nine items matching the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria of major depression. Respondents are asked to rate each of the items on a scale of 0 to 3 on the basis of how much a symptom has bothered them over the last 2 weeks (0=not at all, 1=several days, 2=more than half the days, 3=nearly every day).

    Time frame: Screening

  5. The ICECAP-A (ICEpop CAPability measure for Adults; Al-Janabi, Flynn & Coast, 2012)

    A measure of capability for the general adult (18+) population for use in economic evaluation. It comprises five attributes (attachment, stability, achievement, enjoyment, and autonomy). Each capability item has four levels of responses.

    Time frame: Baseline, post-intervention and at 1-month follow-up.

  6. Feedback survey

    A mixture of open-ended (free text response) and closed (Likert type response) questions to assess trial and intervention acceptability.

    Time frame: Post-intervention.

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Study locations

1 site
  • University of East Anglia
    Norwich, Norfolk NR5 9HB, United Kingdom
08

References and documents

Publications

  • Ene CG, Gracey F, Ford C. A feasibility randomized-controlled trial of an executive functioning telerehabilitation intervention for stroke survivors. Brain Inj. 2025;39(9):772-783. doi: 10.1080/02699052.2025.2483449. Epub 2025 Mar 27. PubMed 40143638 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05461937
Lead sponsor
University of East Anglia
Responsible party
Catherine Ford (Clinical Associate Professor in Clinical Psychology, University of East Anglia) — Principal investigator
First posted
Jul 18, 2022
Start date
Jun 10, 2022
Primary completion
Sep 15, 2023
Completion
Sep 15, 2023
Last update
May 29, 2024

Study contacts

Catherine EL Ford, PhD
study director · University of East Anglia

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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