Evidence map›Paper›PMID 29449290›Full record

Trial reportBMJ open2018

Community-based rehabilitation training after stroke: results of a pilot randomised controlled trial (ReTrain) investigating acceptability and feasibility.

Sarah G Dean, Leon Poltawski, Anne Forster, Rod S Taylor, Anne Spencer, Martin James, Rhoda Allison, Shirley Stevens, Meriel Norris, Anthony I Shepherd and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02429180 (Community-based Rehabilitation Training After Stroke), which is not on this map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02429180 phase1completednot on this map

Community-based Rehabilitation Training After Stroke: a Pilot Randomised Controlled Trial

TypeinterventionalSponsorUniversity of ExeterRan2015 to 2016Enrolled48ConditionsStrokeArmsRehabilitation
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Combined cardiorespiratory and resistance training for people with stroke.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Occupational therapy for cognitive impairment in stroke patients.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Interventions for reducing sedentary behaviour in people with stroke.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Physical fitness training for stroke patients.The Cochrane database of systematic reviews · 2020
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Sarah G DeanUniversity of Exeter Medical School, Exeter, UK.ORCID 0000-0002-3682-5149
Leon PoltawskiUniversity of Exeter Medical School, Exeter, UK.
Anne ForsterAcademic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford, UK.
Rod S TaylorUniversity of Exeter Medical School, Exeter, UK.
Anne SpencerUniversity of Exeter Medical School, Exeter, UK.
Martin JamesUniversity of Exeter Medical School, Exeter, UK.
Rhoda AllisonTorbay and Southern Devon NHS Foundation Trust, Torquay, UK.
Shirley StevensUniversity of Exeter Medical School, Exeter, UK.
Meriel NorrisDepartment of Clinical Sciences, Brunel University London, London, UK.
Anthony I ShepherdDepartment of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK.
Paolo LandaUniversity of Exeter Medical School, Exeter, UK.
Richard M PulsfordSports and Health Science, University of Exeter, Exeter, UK.
Laura HollandsUniversity of Exeter Medical School, Exeter, UK.
Raff CalitriUniversity of Exeter Medical School, Exeter, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess acceptability and feasibility of trial processes and the Rehabilitation Training (ReTrain) intervention including an assessment of intervention fidelity.

designA two-group, assessor-blinded, randomised controlled trial with parallel mixed methods process and economic evaluations.

settingCommunity settings across two sites in Devon.

participantsEligible participants were: 18 years old or over, with a diagnosis of stroke and with self-reported mobility issues, no contraindications to physical activity, discharged from National Health Service or any other formal rehabilitation programme at least 1 month before, willing to be randomised to either control or ReTrain and attend the training venue, possessing cognitive capacity and communication ability sufficient to participate. Participants were individually randomised (1:1) via a computer-generated randomisation sequence minimised for time since stroke and level of functional disability. Only outcome assessors independent of the research team were blinded to group allocation.

interventionsReTrain comprised (1) an introductory one-to-one session; (2) ten, twice-weekly group classes with up to two trainers and eight clients; (3) a closing one-to-one session, followed by three drop-in sessions over the subsequent 3 months. Participants received a bespoke home-based training programme. All participants received treatment as usual. The control group received an exercise after stroke advice booklet. OUTCOME MEASURES: Candidate primary outcomes included functional mobility and physical activity.

resultsForty-five participants were randomised (ReTrain=23; Control=22); data were available from 40 participants at 6 months of follow-up (ReTrain=21; Control=19) and 41 at 9 months of follow-up (ReTrain=21; Control=20). We demonstrated ability to recruit and retain participants. Participants were not burdened by the requirements of the study. We were able to calculate sample estimates for candidate primary outcomes and test procedures for process and health economic evaluations.

conclusionsAll objectives were fulfilled and indicated that a definitive trial of ReTrain is feasible and acceptable. TRIAL REGISTRATION NUMBER: NCT02429180; Results.

Indexed as

Activities of Daily LivingExerciseProgram EvaluationQuality of LifeAdultAgedAged, 80 and overCommunity Health ServicesCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePatient Acceptance of Health Careclinical trialsrehabilitation medicinestroke medicine

Identifiers

PMID29449290
PMCPMC5829775

What OpenQuestion holds

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LicenceCC BY
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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.