ClinicalTrials.gg
Not yet recruitingNCT07799987Updated Sep 2, 2026

Self-Managed Exercise in Chronic Stroke

An interventional study of Exercise and Behavioral Management Program in Stroke, sponsored by University of Florida. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by University of Florida · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
18 Years to 89 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 23 studies in Stroke by University of Florida — 2 open to participants now, 5 under way, 1 of them phase 3. Stroke · University of Florida.

Planned enrollment
8th of 19
23 · median 14
Started
2026
with 1 other
No phase
10 of 23
2 open now
Registered
23rd of 23
by date

Among the 23 studies in Stroke by University of Florida, this one is the 8th largest by planned enrollment of the 19 interventional ones, is one of 2 that started in 2026, is one of 10 with no phase, and was the 23rd registered.

By phase

23 studies; the count open now beside each. This study's row is marked.

No phasethis study10 · 2 open
Observational4 · 0 open
Phase 24 · 0 open
Phase 1/23 · 0 open
Phase 2/31 · 0 open
Phase 31 · 0 open

By the year they started

First in 2006; this study’s year is marked. 2 started in 2026.

Size and results

Median enrollment 14 across the 19 interventional studies, 65 across the 4 observational. Of the 14 that completed or were terminated, 5 (36%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 23 studies in Stroke by University of Florida, or all of them as a file.
02

Study summary

This pilot study will assess the feasibility of a novel intervention to promote long-term self-managed exercise for post-stroke community-dwelling individuals. We will test a multi-disciplinary intervention that includes Behavioral Management as an adjuvant to exercise on the ability of post-stroke community-dwelling individuals to self-manage sustained Physical Activity. In Phase I, participants will engage in a clinician-led 18-session in-home intervention of respiratory, strengthening and cardiovascular exercise and a weekly 1-hour virtual Behavioral Management Program of motivational interviewing and goal setting related to participants' Phase I exercise program. A waist-worn sensor will provide minutes/day in activity and sedentary behavior. Phase II will begin following the 18-session guided program. Participants will be followed for two-months with weekly check-ins of behavioral management program and for exercise progression. Participants will continue to wear the activity monitor with the goal to independently attain 150 minutes of Moderate to Vigorous Physical Activity/week. This proposed Behavioral Management Program (BMP) + Exercise Program (EP) package has the potential to decrease cardiovascular risk and secondary stroke in those living with chronic stroke. The expected outcome of this proposal will provide an evidence-based intervention to sustain the health of those living with post-stroke disability. The impact of this proposal may have far-reaching effects; this multi-disciplinary program could readily be adapted for others living with a chronic illness to ensure optimal health and quality of life in the presence of physical disability.

03

Conditions studied

  • Stroke

Keywords

  • Stroke
  • exercise
  • Behavior Management
04

Who can participate

Ages eligible
18 Years to 89 Years
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

  1. -diagnosis of stroke > six months \< 10 years since stroke onset,
  2. > 18 years; \<90 of age,
  3. - BLIND score > 19,
  4. able to stand from chair and remain standing independently,
  5. able to walk 20 feet without physical assistance,
  6. no other neurological diagnosis,
  7. no history of intermittent claudication,
  8. no angina at rest or with minimal exertion,
  9. no history of ,
  10. not currently receiving physical rehabilitation services,
  11. ability to express pain, fatigue or the need for assistance,
  12. ability to follow a three-step command or mimic exercises
  13. approval from primary care physician to participate

Exclusion criteria

Exclusion Criteria:

  1. a neurologic condition other than stroke, i.e. Parkinson's Disease, multiple sclerosis,
  2. severe, functional limiting arthritis,
  3. orthopedic condition that limits mobility,
  4. severe weight-bearing pain,
  5. current participation in other physical rehabilitation services or exercise programs,
  6. Serious cardiac conditions (hospitalization for myocardial infarction or heart surgery within the past year, history of congestive heart failure, documented serious and unstable cardiac arrhythmias, hypertrophic cardiomyopathy, severe aortic stenosis, angina or dyspnea at rest or during activities of daily living). Anyone meeting criteria for Class 3 or Class 4 heart disease will be excluded,
  7. Severe hypertension: with systolic > 200 mmHg and diastolic > 110 mmHg at rest, that cannot be medically controlled into the resting range of 180/100 mmHg,
  8. use of supplemental oxygen at baseline,
  9. severe obstructive pulmonary disease (Classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) 3 or higher, indicating \<50% predicted),
  10. treatment for pneumonia or lower respiratory infection within the past month,
  11. able to run one-quarter mile without stopping;
  12. women who are pregnant
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
23 participants (estimated)

Study arms

  • Experimental
    Exercise

    Phase I Exercise Program: All study participants will engage in an in-home 18-session, 1-hour intervention of respiratory, strengthening and cardiovascular exercise. The Exercise Program will be personalized to each participant's ability level. Phase I Behavioral Management Program (BMP): Conducted virtually, separate from the Exercise Program each 1-hour session will consist of motivational interviewing and goal setting related to participants' Phase I exercise program. Motivational interviewing will center around categories of motivation, environmental support, problem solving and current and past activity level. Phase II: Self-managed Physical Activity: Phase II will begin following Assessment B (Phase I post-test) and continue for 2 months. In Phase II, the goal is for participants to attain 150 minutes of MVPA/week. Participants were instructed in and provided exercise options to attain that level of activity during Phase I.

    Behavioral: Exercise · Behavioral: Behavioral Management Program

Interventions

  • BehavioralExercise

    1. Respiratory Muscle Training (RMT): Participants will complete inspiratory and expiratory muscle training with a respiratory training device containing an adjustable-tension spring for resistance. Five sets of 5 maximal volume and speed breaths for both inspiration and expiration will be completed each session, starting each at approximately 25% of the maximal pressure recorded at baseline Assessment A. 2. Strengthening Exercise: The upper and lower extremity exercises will use body weight as resistance or resistance bands and will be based on our previous successful implementation of a home-based strengthening program.41 For each exercise, participants will begin such that they are able to perform the movement with appropriate kinematics, without substitution. 3. Cardiovascular Exercise: Example exercises include alternating hip flexion, sit to stand, marching in place, step-ups, seated cycling with Exercycle, and gait.

  • BehavioralBehavioral Management Program

    Conducted virtually, separate from the Exercise Program each 1-hour session will consist of motivational interviewing and goal setting related to participants' Phase I exercise program. Motivational interviewing will center around categories of motivation, environmental support, problem solving and current and past activity level. The research team will use motivational interviewing to document barriers to weekly goal achievement using the psychosocial, health, sociodemographic and environmental domains. Structured interview questions will cover barriers to achieving weekly exercise goals. Goal-setting will utilize the Likert-based Goal Attainment Scale, a person-centered approach to setting objective, measurable goals. In GAS, tasks are individually identified to suit the participant, and the levels are individually set around their current and expected levels of performance. Participants will rate their degree of attainment on their self-determined goal for the week.

06

What researchers measure

Primary outcomes

  1. Minutes/week in Moderate to Vigorous Physical Activity

    Minutes/week in Moderate to Vigorous Physical Activity will be obtained from the Actigraph Activity Monitor.

    Time frame: At the end of 2-months of self-managed exercise

Secondary outcomes

  1. Steps/day

    Steps/day recorded and stored on the Actigraph Activity Monitor

    Time frame: At the end of 2-months of self-managed exercise

  2. Five Times Sit to Stand

    Subjects stand up and sit down from a 16" solid seat as quickly as possible 5 times, with their arms folded across their chest.

    Time frame: At the end of 2-months of self-managed exercise

  3. 400 meter walk test

    Participants walk at their usual walking pace for 400 meters and the time to complete is recorded. Participants are allowed to stop and stand to rest and may use an assistive device. This test evaluates cardiorespiratory fitness and mobility, and predicts health outcomes like disability or mortality in older adults.

    Time frame: At the end of 2-months of self-managed exercise

  4. Maximum Inspiratory Pressure

    Subjects will perform a seated MIP maneuver (using a Respiratory Pressure Manometer) from residual volume, in accordance with American Thoracic Society testing guidelines for respiratory muscle testing. Trials will be repeated every 1-2 minutes until \<10% variability is achieved between three trials (typically achieved within 4-6 trials).

    Time frame: At the end of 2-months of self-managed exercise

  5. Maximum Expiratory Pressure

    Subjects will complete a seated MEP maneuver from total lung capacity as per American Thoracic Society guidelines. Trials will be repeated every 1-2 minutes until 3 measurements with \<10% variability are achieved.

    Time frame: At the end of 2-months of self-managed exercise

  6. Waist circumference

    Assessed with a tape measure at the level of the umbilicus, above the hip bones at the end of an exhalation

    Time frame: 1. Baseline/pre-intervention, 2. following 6-weeks of therapist-guided exercise, 3. at the end of 2-months of self-managed exercise

  7. Height

    Measured from the ground to the horizontal plane of the head

    Time frame: Baseline/pre-intervention

  8. Blood Pressure

    Assessed with a sphygmomanometer according to standard ambulatory protocols.

    Time frame: 1. Baseline/pre-intervention, 2. following 6-weeks of therapist-guided exercise, 3. at the end of 2-months of self-managed exercise

07

Study locations

1 site
  • Malcom Randall VAMC
    Gainesville, Florida 32608, United States
    • Dorian Rose, PT, MS, PhD · Contactdkrose@phhp.ufl.edu · 352-273-8307
    • Jeff Fox, BS, PTA · Contactjdfox@ufl.edu · (352) 376-1611
    • Dorian Rose, PT, MS, PhD · Principal investigator
08

References and documents

Publications

  • Grant M, Ponsford J. Goal attainment scaling in brain injury rehabilitation: strengths, limitations and recommendations for future applications. Neuropsychol Rehabil. 2014;24(5):661-77. doi: 10.1080/09602011.2014.901228. Epub 2014 May 1. PubMed 24787703 ↗
  • Waid-Ebbs JK; BCBA-D; Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to goal management training in veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10):1555-66. doi: 10.1682/JRRD.2013.12.0266. PubMed 25860148 ↗
  • Furie KL, Kasner SE, Adams RJ, Albers GW, Bush RL, Fagan SC, Halperin JL, Johnston SC, Katzan I, Kernan WN, Mitchell PH, Ovbiagele B, Palesch YY, Sacco RL, Schwamm LH, Wassertheil-Smoller S, Turan TN, Wentworth D; American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisciplinary Council on Quality of Care and Outcomes Research. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2011 Jan;42(1):227-76. doi: 10.1161/STR.0b013e3181f7d043. Epub 2010 Oct 21. PubMed 20966421 ↗
  • Rose DK, Schafer J, Conroy C. Extending the continuum of care poststroke: creating a partnership to provide a community-based wellness program. J Neurol Phys Ther. 2013 Jun;37(2):78-84. doi: 10.1097/NPT.0b013e3182941c37. PubMed 23703370 ↗
  • Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, Johnson CM, MacKay-Lyons M, Macko RF, Mead GE, Roth EJ, Shaughnessy M, Tang A; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Lifestyle and Cardiometabolic Health; Council on Epidemiology and Prevention; Council on Clinical Cardiology. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014 Aug;45(8):2532-53. doi: 10.1161/STR.0000000000000022. Epub 2014 May 20. PubMed 24846875 ↗
  • Mahmood A, Nayak P, Deshmukh A, English C, N M, Solomon M J, B U. Measurement, determinants, barriers, and interventions for exercise adherence: A scoping review. J Bodyw Mov Ther. 2023 Jan;33:95-105. doi: 10.1016/j.jbmt.2022.09.014. Epub 2022 Sep 26. PubMed 36775533 ↗
  • Fini NA, Bernhardt J, Churilov L, Clark R, Holland AE. A 2-Year Longitudinal Study of Physical Activity and Cardiovascular Risk in Survivors of Stroke. Phys Ther. 2021 Feb 4;101(2):pzaa205. doi: 10.1093/ptj/pzaa205. PubMed 33305804 ↗

Individual participant data

Plan to share: Yes — De-identified outcome data

Supporting information: Study protocol, Informed consent form

Time frame: Start date will be 1 year after study completion: 9/30/28 End date: 9/30/30

Access criteria: Individuals who contact the PI will be given access to the IPD.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Sep 2027, 11 months later.

Of 3,108 non-industry interventional studies with no phase under Stroke, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's planned 11 months is below that.

Counting every sponsor, half of 3,252 studies reached it within 23 months; a quarter within 10 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 24, 2026
First posted
Sep 2, 2026
StartEst.
Sep 25, 2026
Primary completionEst.
Sep 24, 2027
CompletionEst.
May 30, 2029
Last update
Sep 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07799987
Collaborators
North Florida/South Georgia Veterans Health System
Responsible party
Sponsor
First posted
Sep 2, 2026
Start date
Sep 25, 2026 (estimated)
Primary completion
Sep 24, 2027 (estimated)
Completion
May 30, 2029 (estimated)
Last update
Sep 2, 2026

Study contacts

Dorian Rose, PT, MS, PhD
Contact
dkrose@phhp.ufl.edu
(352) 273-8307
Jeff Fox, BS, PTA
Contact
jdfox@ufl.edu
(352) 376-1611 ext. 102033

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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