Evidence map›Paper›PMID 32549995›Full record

ArticlePilot and feasibility studies2020

Study protocol for POSITIF, a randomised multicentre feasibility trial of a brief cognitive-behavioural intervention plus information versus information alone for the treatment of post-stroke fatigue.

David C Gillespie, Mark Barber, Marian C Brady, Alan Carson, Trudie Chalder, Yvonne Chun, Vera Cvoro, Martin Dennis, Maree Hackett, Euan Haig and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03551327 (POst Stroke Intervention Trial in Fatigue), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
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.

NCT03551327 nacompletednot on this map

POst Stroke Intervention Trial in Fatigue: A Randomised Controlled Trial of a Brief Intervention for Post-stroke Fatigue

TypeinterventionalSponsorUniversity of EdinburghRan2018 to 2021Enrolled76ConditionsPost-stroke FatigueArmsExperimental: Intervention plus information, Active Comparator: Information only
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

16 authors at 8 institutions in 3 countries.

David C GillespieDepartment of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID 0000-0003-1325-9727
Mark BarberNHS Lanarkshire, Monklands Hospital, Coatbridge, UK.
Marian C BradyNursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK.
Alan CarsonDepartment of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.
Trudie ChalderDepartment of Psychological Medicine, King's College London, London, UK.
Yvonne ChunCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Vera CvoroCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Martin DennisCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Maree HackettThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Euan HaigIndependent Consultant, Edinburgh, UK.
Allan HouseFaculty of Medicine and Health, University of Leeds, Leeds, UK.
Steff LewisEdinburgh Clinical Trials Unit (ECTU), University of Edinburgh, Edinburgh, UK.
Richard ParkerEdinburgh Clinical Trials Unit (ECTU), University of Edinburgh, Edinburgh, UK.
Fiona WeeEdinburgh Clinical Trials Unit (ECTU), University of Edinburgh, Edinburgh, UK.
Simiao WuDepartment of Neurology, West China Hospital, Chengdu, China.
Gillian MeadCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
University of Edinburgh · GBEdinburgh Royal Infirmary · GBGlasgow Caledonian University · GBKing's College London · GBNHS Lanarkshire · GBSichuan University · CNUniversity of Leeds · GBUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately, half of stroke survivors experience fatigue. Fatigue may persist for many months and interferes with participation in everyday activities and has a negative impact on social and family relationships, return to work, and quality of life. Fatigue is among the top 10 priorities for 'Life after Stroke' research for stroke survivors, carers, and clinicians. We previously developed and tested in a small uncontrolled pilot study a manualised, clinical psychologist-delivered, face-to-face intervention, informed by cognitive behavioural therapy (CBT). We then adapted it for delivery by trained therapists via telephone. We now aim to test the feasibility of this approach in a parallel group, randomised controlled feasibility trial ( METHODS/

designPOSITIF aims to recruit 75 stroke survivors between 3 months and 2 years post-stroke who would like treatment for their fatigue. Eligible consenting stroke survivors will be randomised to either a 7-session manualised telephone-delivered intervention based on CBT principles plus information about fatigue, or information only. The aims of the intervention are to (i) provide an explanation for post-stroke fatigue, in particular that it is potentially reversible (an educational approach), (ii) encourage participants to overcome the fear of taking physical activity and challenge negative thinking (a cognitive approach) and (iii) promote a balance between daily activities, rest and sleep and then gradually increase levels of physical activity (a behavioural approach). Fatigue, mood, quality of life, return to work and putative mediators will be assessed at baseline (just before randomisation), at the end of treatment and 6 months after randomisation. POSITIF will determine the feasibility of recruitment, adherence to the intervention and the resources required to deliver the intervention in a larger trial. DISCUSSION: The POSITIF feasibility trial will recruit until 31 January 2020. Data will inform the utility and design of a future adequately powered randomised controlled trial.

trial registrationClinicalTrials.gov, NCT03551327. Registered on 11 June 2018.

Indexed as

Clinical trialCognitive behavioural approachFatiguePhysical activityPsychologicalRehabilitationStrokeTelephone

Identifiers

PMID32549995
PMCPMC7296769
OpenAlexW3034648766

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.