ArticleArchives of rehabilitation research and clinical translation2026
Feasibility of Behavioral Intervention and Guided Stepping Training Early Post-Stroke (BIG STEPS): A Pilot Randomized Trial.
Article in Archives of rehabilitation research and clinical translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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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
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To evaluate the feasibility and preliminary effects of a behavioral intervention with guided stepping training early poststroke (BIG STEPS). Design: Pilot waitlist-controlled randomized trial. Setting: Community. Participants: Twenty-eight individuals with ischemic or hemorrhagic stroke (13 women [46%]; mean age: 67.8±13.3y). Interventions: A 12-week BIG STEPS intervention to reduce sedentary time and increase daily steps was delivered to the early BIG STEPS group (n=14) and, after a 12-week waitlist period, to the delayed BIG STEPS group (n=14). Both groups received usual care. Main Measures: Feasibility, adherence, and safety. Exploratory outcomes included accelerometer-derived movement behaviors, timed walking tests, and patient-reported outcomes. Results: Recruitment averaged 2.3 participants per month. Retention exceeded a priori threshold of 80% at weeks 12 and 24 (86%-93%). No intervention-related serious adverse events occurred. At week 12, the early BIG STEPS group accumulated a mean of 6534±2773 steps/day compared with 4031±2072 steps/day in the delayed BIG STEPS group. Sedentary time decreased by ∼1.4 h/d in the early group and 0.7 h/d in the delayed group. Between-group effects favored the early group for daily steps (Hedges' Conclusion: A behavioral intervention combined with guided stepping training early after stroke was feasible and safe, with promising preliminary effects.
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