Trial reportBMJ open2016
Feasibility study of an integrated stroke self-management programme: a cluster-randomised controlled trial.
Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 6 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Adaptive Interventions for Enhancing Participation Poststroke: A Systematic Review and Meta-Analysis.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026Pooled it
- Do self-management interventions improve self-efficacy and health-related quality of life after stroke? A systematic review.International journal of stroke : official journal of the International Stroke Society · 2025Pooled it
- Information provision for stroke survivors and their carers.The Cochrane database of systematic reviews · 2021Pooled it
- Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice.The Cochrane database of systematic reviews · 2021Pooled it
- Interventions for reducing sedentary behaviour in people with stroke.The Cochrane database of systematic reviews · 2021Pooled it
- Self management programmes for quality of life in people with stroke.The Cochrane database of systematic reviews · 2016Pooled it
- TRAK MSK: a randomised external feasibility trial and process evaluation of a digital physiotherapy supported self-management programme for people with musculoskeletal pain.BMC musculoskeletal disorders · 2026Trial
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- Trial
- An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT.Health technology assessment (Winchester, England) · 2020Trial
- Feasibility and acceptability of ENhanced Reviews of PsychologIcal Changes (ENRICH) after stroke: protocol.BMJ open · 2026Article
- Patient education for improving the quality of life among community-dwelling survivors of stroke: A scoping review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026Review
- UPBEAT Trial: a randomised feasibility evaluation of a digital system for UPper limB rEhabilitation After sTroke.Pilot and feasibility studies · 2025Article
- Effects of a Self-Management Program on Adults with Stroke: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2025Article
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- Article
- Article
- Using co-design methods to develop new personalised support for people living with Long Covid: The 'LISTEN' intervention.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey.The British journal of occupational therapy · 2024Article
- Building Bridges between People with Stroke, Families, and Health Professionals: Development of a Blended Care Program for Self-Management.Journal of clinical medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 7 institutions in 2 countries.
Funding
Abstract
objectivesTo test the feasibility of conducting a controlled trial into the effectiveness of a self-management programme integrated into stroke rehabilitation.
designA feasibility cluster-randomised design was utilised with stroke rehabilitation teams as units of randomisation.
settingCommunity-based stroke rehabilitation teams in London.
participants78 patients with a diagnosis of stroke requiring community based rehabilitation.
interventionThe intervention consisted of an individualised approach to self-management based on self-efficacy. Clinicians were trained to integrate defined self-management principles into scheduled rehabilitation sessions, supported by a patient-held workbook. MAIN OUTCOMES MEASURES: Patient measures of quality of life, mood, self-efficacy and functional capacity, and health and social care utilisation, were carried out by blinded assessors at baseline, 6 weeks and 12 weeks. Fidelity and acceptability of the delivery were evaluated by observation and interviews.
results4 community stroke rehabilitation teams were recruited, and received a total of 317 stroke referrals over 14 months. Of these, 138 met trial eligibility criteria and 78 participants were finally recruited (56.5%). Demographic and baseline outcome measures were similar between intervention and control arms, with the exception of age. All outcome measures were feasible to use and clinical data at 12 weeks were completed for 66/78 participants (85%; 95% CI 75% to 92%). There was no significant difference in any of the outcomes between the arms of the trial, but measures of functional capacity and self-efficacy showed responsiveness to the intervention. Observation and interview data confirmed acceptability and fidelity of delivery according to predetermined criteria. Costs varied by site.
conclusionsIt was feasible to integrate a stroke self-management programme into community rehabilitation, using key principles. Some data were lost to follow-up, but overall results support the need for conducting further research in this area and provide data to support the design of a definitive trial. TRIAL REGISTRATION NUMBER: ISRCTN42534180.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.