IMAGINE Study Protocol (IMAGINE)
Patients (>=60 Years Old) Suffering From Mild-moderate Stroke (Ischemic or Hemorrhagic, Stroke Severity Assessed by NIHSS <16 Points)
About this trial
This is an interventional prevention trial for Patients (>=60 Years Old) Suffering From Mild-moderate Stroke (Ischemic or Hemorrhagic, Stroke Severity Assessed by NIHSS <16 Points) focused on measuring Stroke, Geriatric, Rehabilitation, Functional recovery, Physical activity, Motivational interviewing, Adherence, Clinical trial
Eligibility Criteria
Inclusion criteria:
- Older adults (>=60 years old).
- Admitted to the geriatric rehabilitation hospital after a mild-moderate stroke (ischemic or hemorrhagic); stroke severity assessed by National Institute of Health Stroke Severity (NIHSS) scale <16 points.
- Able to provide informed consent.
Exclusion Criteria:
- Previous diagnosis of dementia (ascertained from medical records).
- Moderate-severe post-stroke cognitive impairment (Pfeiffer SMPQ>7 errors) or persistent delirium after 7 days from admission.
- Previous severe disability in the activities of daily living (pre-stroke Barthel index <20/100 points).
- Severe stroke which might limit recovery (NIHSS>=16).
- Aphasia or other problems which limit communication and 6) advanced and terminal condition (prognosis not exceeding 6 months).
Sites / Locations
- Fundació Salut i Envelliment Universitat Autònoma de Barcelona
- Consorci Sanitari Integral - Hospital General de L'Hospitalet & Hospital de St Joan DespíRecruiting
- Parc Sanitari Pere VirgiliRecruiting
- Hospital Universitari Vall d'Hebron - Fundació Institut de Recerca Vall d'Hebron
- Hospital Universitari Santa MariaRecruiting
- University of Lund
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
MI Intervention
Standard rehabilitation
Standard geriatric rehabilitation combined with 4 MI sessions (within 72 hours from admission, within 6 days, at 1 week from the second session and pre-discharge, respectively). MI will be delivered by nurses trained through a certified MI course and additional group coaching sessions will be offered them throughout the study. Quality control of the MI sessions will be carried out using Motivational Interviewing Treatment Integrity (MITI) Code 3.1.1 through random video recording.
Routine geriatric rehabilitation will include a multidisciplinary and individualized treatment plan based on comprehensive geriatric and specific rehabilitation assessments. As a specific control intervention, within 72 hours from admission a nurse without training in MI will handle the patient written information about generic benefits of exercising.