Home About Browse Search
Svenska


The nature stroke study; NASTRU: A randomized controlled trial of nature-based post-stroke fatigue rehabilitation

Palsdottir, Anna Maria and Stigmar, Kjerstin and Norrving, Bo and Petersson, Ingemar F. and Astrom, Mikael and Pessah-Rasmussen, Helene (2020). The nature stroke study; NASTRU: A randomized controlled trial of nature-based post-stroke fatigue rehabilitation. Journal of Rehabilitation Medicine. 52 , 1-7
[Journal article]

[img] PDF - Published Version
Available under License Creative Commons Attribution Non-commercial.

405kB

Abstract

Objective: To determine whether nature-based rehabilitation, as an add-on to standard care, has a long-term influence on post-stroke fatigue, perceived value of everyday occupations, disability, health-related quality of life, anxiety, and depression at follow-up 8 and 14 months after randomization.
Design: Single-blinded, 2-armed, randomized controlled trial.
Methods: Stroke survivors, identified through routine 3-month follow-up visit (sub-acute) or medical records (chronic stroke >1 year previously), were randomized to standard care + nature-based rehabilitation (intervention group) or standard care alone (control group). Blinded evaluations were conducted at follow-up 8 and 14 months after randomization, for the following outcomes: post-stroke fatigue (Mental Fatigue Scale; MFS), perceived value of everyday occupations (Occupational value instrument with predefined items), disability (modified Rankin Scale; mRS), health-related quality of life (Euro-QoL-5 Demension Questionnaire), anxiety (Hospital Anxiety and Depression Scale; HAD) and depression (HAD).
Results: Approximately one-quarter of the screened patients were eligible for inclusion in the study; of these, half agreed to participate; a final total of 101 patients were randomized (mean age 67 years, 60% female). The patients with sub-acute stroke were highly compliant with the intervention. The participants in both the intervention and control groups improved, However, no statistically significant differences in improvement were found between the intervention and control groups for any of the outcome measures. Fatigue decreased to a value below the suggested cut-off for mental fatigue (<10.5) in the intervention group, but not in the control group.
Conclusion: Nature-based rehabilitation is feasible and well tolerated. A larger randomized controlled trial is warranted.

Authors/Creators:Palsdottir, Anna Maria and Stigmar, Kjerstin and Norrving, Bo and Petersson, Ingemar F. and Astrom, Mikael and Pessah-Rasmussen, Helene
Title:The nature stroke study; NASTRU: A randomized controlled trial of nature-based post-stroke fatigue rehabilitation
Year of publishing :2020
Volume:52
Page range:1-7
Number of Pages:7
Publisher:Foundation of Rehabilitation Information
ISSN:1650-1977
Language:English
Publication Type:Journal article
Article category:Scientific peer reviewed
Version:Published version
Copyright:Creative Commons: Attribution-Noncommercial 4.0
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Occupational Therapy
Keywords:horticultural therapy, everyday occupation, quality of life
URN:NBN:urn:nbn:se:slu:epsilon-p-105130
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-p-105130
Additional ID:
Type of IDID
DOI10.2340/16501977-2652
Web of Science (WoS)000520918200010
ID Code:16847
Faculty:LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap
Department:(LTJ, LTV) > Department of Work Science, Business Economics, and Environmental Psychology
Deposited By: SLUpub Connector
Deposited On:15 Apr 2020 14:40
Metadata Last Modified:15 Apr 2020 14:40

Repository Staff Only: item control page

Downloads

Downloads per year (since September 2012)

View more statistics

Downloads
Hits