"Stroke - 65 plus. Continued active life."  A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke

Hanne Pallesen; Sedsel Kristine Stage Pedersen; Susanne Lillelund Sørensen; Erhard Trillingsgaard Næss-Schmidt; Iris Brunner; Jørgen Feldbæk Nielsen; Simon Svanborg Kjeldsen

doi:10.1080/09638288.2024.2338190

"Stroke - 65 plus. Continued active life." A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke

Hanne Pallesen, Sedsel Kristine Stage Pedersen, Susanne Lillelund Sørensen, Erhard Trillingsgaard Næss-Schmidt, Iris Brunner, Jørgen Feldbæk Nielsen, Simon Svanborg Kjeldsen

Department of Clinical Medicine - Hammel Neurocenter, Universitetsklinik for Neurorehabilitering

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

PURPOSE: Post-stroke sequelae among elderly often lead to a more inactive life while carrying a risk of overburdening close relatives. The objective of the present study was to determine if a novel self-management neuro-rehabilitation intervention added to usual treatment for people with stroke over the age of 65 years improved their self-efficacy.

METHODS: This randomised controlled trial included participants two weeks before discharge from subacute rehabilitation. All participants received usual treatment. The intervention entailed an add-on of six to eight self-management sessions lasting 45-60 min within a period of nine months after discharge. This novel neuro-rehabilitation intervention focused on promoting growth, development and self-efficacy by facilitating the participants' self-management strategies regarding their activities and social network. All participants were assessed at baseline, three months and nine months after discharge. The primary outcome was self-efficacy measured by the Stroke Self-Efficacy Questionnaire.

RESULTS: Sixty-nine individuals with stroke aged > 65 years were randomised. Their mean(SD) age was 76(6) years; 32 (46%) were female. No significant difference was found between the groups at baseline. Improvement recorded in the intervention group did not significantly differ from that of the control group with regard to primary outcome or secondary outcomes.

CONCLUSIONS: This novel self-management intervention had no significant effect measured by the primary outcome self-efficacy or quality of life. Furthermore, no impact was observed on participation and autonomy compared with usual treatment.Clinical trial registration-URL: ClinicalTrials.gov, NCT03183960. Registered on 12 June 2017.

Original language	English
Journal	Disability and Rehabilitation
Volume	47
Issue	1
Pages (from-to)	104-113
Number of pages	10
ISSN	0963-8288
DOIs	https://doi.org/10.1080/09638288.2024.2338190
Publication status	Published - 2025

Keywords

caregiver burden
elderly people
quality of life
self-efficacy
Self-management
stroke
support

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10.1080/09638288.2024.2338190

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Pallesen, H., Pedersen, S. K. S., Sørensen, S. L., Næss-Schmidt, E. T., Brunner, I., Nielsen, J. F., & Kjeldsen, S. S. (2025). "Stroke - 65 plus. Continued active life." A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke. Disability and Rehabilitation, 47(1), 104-113. https://doi.org/10.1080/09638288.2024.2338190

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title = "{"}Stroke - 65 plus. Continued active life.{"} A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke",

abstract = "PURPOSE: Post-stroke sequelae among elderly often lead to a more inactive life while carrying a risk of overburdening close relatives. The objective of the present study was to determine if a novel self-management neuro-rehabilitation intervention added to usual treatment for people with stroke over the age of 65 years improved their self-efficacy.METHODS: This randomised controlled trial included participants two weeks before discharge from subacute rehabilitation. All participants received usual treatment. The intervention entailed an add-on of six to eight self-management sessions lasting 45-60 min within a period of nine months after discharge. This novel neuro-rehabilitation intervention focused on promoting growth, development and self-efficacy by facilitating the participants' self-management strategies regarding their activities and social network. All participants were assessed at baseline, three months and nine months after discharge. The primary outcome was self-efficacy measured by the Stroke Self-Efficacy Questionnaire.RESULTS: Sixty-nine individuals with stroke aged > 65 years were randomised. Their mean(SD) age was 76(6) years; 32 (46%) were female. No significant difference was found between the groups at baseline. Improvement recorded in the intervention group did not significantly differ from that of the control group with regard to primary outcome or secondary outcomes.CONCLUSIONS: This novel self-management intervention had no significant effect measured by the primary outcome self-efficacy or quality of life. Furthermore, no impact was observed on participation and autonomy compared with usual treatment.Clinical trial registration-URL: ClinicalTrials.gov, NCT03183960. Registered on 12 June 2017.",

keywords = "caregiver burden, elderly people, quality of life, self-efficacy, Self-management, stroke, support",

author = "Hanne Pallesen and Pedersen, {Sedsel Kristine Stage} and S{\o}rensen, {Susanne Lillelund} and N{\ae}ss-Schmidt, {Erhard Trillingsgaard} and Iris Brunner and Nielsen, {J{\o}rgen Feldb{\ae}k} and Kjeldsen, {Simon Svanborg}",

year = "2025",

doi = "10.1080/09638288.2024.2338190",

language = "English",

volume = "47",

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Pallesen, H, Pedersen, SKS , Sørensen, SL , Næss-Schmidt, ET , Brunner, I , Nielsen, JF & Kjeldsen, SS 2025, '"Stroke - 65 plus. Continued active life." A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke', Disability and Rehabilitation, vol. 47, no. 1, pp. 104-113. https://doi.org/10.1080/09638288.2024.2338190

"Stroke - 65 plus. Continued active life." A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke. / Pallesen, Hanne; Pedersen, Sedsel Kristine Stage ; Sørensen, Susanne Lillelund et al.
In: Disability and Rehabilitation, Vol. 47, No. 1, 2025, p. 104-113.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - "Stroke - 65 plus. Continued active life." A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke

AU - Pallesen, Hanne

AU - Pedersen, Sedsel Kristine Stage

AU - Sørensen, Susanne Lillelund

AU - Næss-Schmidt, Erhard Trillingsgaard

AU - Brunner, Iris

AU - Nielsen, Jørgen Feldbæk

AU - Kjeldsen, Simon Svanborg

PY - 2025

Y1 - 2025

N2 - PURPOSE: Post-stroke sequelae among elderly often lead to a more inactive life while carrying a risk of overburdening close relatives. The objective of the present study was to determine if a novel self-management neuro-rehabilitation intervention added to usual treatment for people with stroke over the age of 65 years improved their self-efficacy.METHODS: This randomised controlled trial included participants two weeks before discharge from subacute rehabilitation. All participants received usual treatment. The intervention entailed an add-on of six to eight self-management sessions lasting 45-60 min within a period of nine months after discharge. This novel neuro-rehabilitation intervention focused on promoting growth, development and self-efficacy by facilitating the participants' self-management strategies regarding their activities and social network. All participants were assessed at baseline, three months and nine months after discharge. The primary outcome was self-efficacy measured by the Stroke Self-Efficacy Questionnaire.RESULTS: Sixty-nine individuals with stroke aged > 65 years were randomised. Their mean(SD) age was 76(6) years; 32 (46%) were female. No significant difference was found between the groups at baseline. Improvement recorded in the intervention group did not significantly differ from that of the control group with regard to primary outcome or secondary outcomes.CONCLUSIONS: This novel self-management intervention had no significant effect measured by the primary outcome self-efficacy or quality of life. Furthermore, no impact was observed on participation and autonomy compared with usual treatment.Clinical trial registration-URL: ClinicalTrials.gov, NCT03183960. Registered on 12 June 2017.

AB - PURPOSE: Post-stroke sequelae among elderly often lead to a more inactive life while carrying a risk of overburdening close relatives. The objective of the present study was to determine if a novel self-management neuro-rehabilitation intervention added to usual treatment for people with stroke over the age of 65 years improved their self-efficacy.METHODS: This randomised controlled trial included participants two weeks before discharge from subacute rehabilitation. All participants received usual treatment. The intervention entailed an add-on of six to eight self-management sessions lasting 45-60 min within a period of nine months after discharge. This novel neuro-rehabilitation intervention focused on promoting growth, development and self-efficacy by facilitating the participants' self-management strategies regarding their activities and social network. All participants were assessed at baseline, three months and nine months after discharge. The primary outcome was self-efficacy measured by the Stroke Self-Efficacy Questionnaire.RESULTS: Sixty-nine individuals with stroke aged > 65 years were randomised. Their mean(SD) age was 76(6) years; 32 (46%) were female. No significant difference was found between the groups at baseline. Improvement recorded in the intervention group did not significantly differ from that of the control group with regard to primary outcome or secondary outcomes.CONCLUSIONS: This novel self-management intervention had no significant effect measured by the primary outcome self-efficacy or quality of life. Furthermore, no impact was observed on participation and autonomy compared with usual treatment.Clinical trial registration-URL: ClinicalTrials.gov, NCT03183960. Registered on 12 June 2017.

KW - caregiver burden

KW - elderly people

KW - quality of life

KW - self-efficacy

KW - Self-management

KW - stroke

KW - support

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U2 - 10.1080/09638288.2024.2338190

DO - 10.1080/09638288.2024.2338190

M3 - Journal article

C2 - 38587056

SN - 0963-8288

VL - 47

SP - 104

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JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 1

ER -

"Stroke - 65 plus. Continued active life." A randomized controlled trial of a self-management neurorehabilitation intervention for elderly people after stroke

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