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]
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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 | ||||||
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Title: | The nature stroke study; NASTRU: A randomized controlled trial of nature-based post-stroke fatigue rehabilitation | ||||||
Series Name/Journal: | Journal of Rehabilitation Medicine | ||||||
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: |
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ID Code: | 16847 | ||||||
Faculty: | LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap | ||||||
Department: | (LTJ, LTV) > Department of Work Science, Business Economics, and Environmental Psychology (until 2020) | ||||||
Deposited By: | SLUpub Connector | ||||||
Deposited On: | 15 Apr 2020 14:40 | ||||||
Metadata Last Modified: | 15 Jan 2021 19:44 |
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