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Active, Not Recruiting

NCT Number: NCT07512388

Acceptance and Commitment Therapy for Post-Stroke Adjustment Via Telerehabilitation

A stroke can affect someone physically and emotionally. There are more than 1.3 million stroke survivors in the UK, so it is important the right support is available.

Acceptance and commitment therapy is a psychological therapy that helps people adjust to new circumstances. Studies have found that it is helpful for people with long-term health conditions such as brain injury, chronic pain, and multiple sclerosis. Therefore, we want to assess if this therapy can help people adjust to life after a stroke.

To assess this, we are looking for adults over 18 who have:

* Had a stroke over three months ago. * No other neurological illness. * No severe cognitive or communication difficulties. * Been discharged from all rehabilitation programmes. * No severe psychological disorder. * Not been diagnosed with a major health condition in the last 12 months. * Access to a device with a camera, an internet connection and private space for video calls.

Participants will:

1. Complete a weekly questionnaire for up to seven weeks on acceptance and action. 2. Complete a second questionnaire at week 7 on mood, what is important to participants and how the stroke has affected their life. 3. Attend an eight-week online group of acceptance and commitment therapy. Sessions are weekly for 90 minutes, including breaks. Participants will repeat the questionnaire. 4. Give feedback after therapy ends and repeat the questionnaires. 5. Repeat the questionnaires after three and six months. Participants will be reminded to complete the online questionnaires and can take breaks as needed.

At the end of the study, participants will have a debrief call to discuss details of the study.

Participants will get a £10 Amazon gift card to thank them for taking part.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Conditions

Stroke Acceptance and Commitment Therapy Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Psychological Flexibility Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of East Anglia

Norwich, United Kingdom

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Suffered a stroke over three months ago.
  • No other neurological illness.
  • Not currently receiving any psychological intervention.
  • No severe communication difficulties.
  • No severe cognitive impairments.
  • No current or historical suicidal ideation/self-harming behaviours.
  • Not been diagnosed with major long-term health conditions in the last 12 months (except for stroke or trans-ischaemic attack; TIA)
  • Access to a device with a camera, stable internet connection and private space

Exclusion criteria

  • Had a TIA without the presence of a stroke.
  • No current distress around adjusting to the consequences of stroke.
  • Distress of a severity that it cannot be managed safely in a group therapy setting.

Treatment and study plan

Acceptance and Commitment Therapy

Other

8 weeks of Acceptance and Commitment Therapy delivered as a group intervention via telerehabilitation (online, video call).

Other names: ACT

Primary outcomes

  1. Psychological flexibility (CompACT-10)

    Time frame: From baseline to end of intervention (13-15 weeks dependent on baseline length allocated).

    Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected weekly during baseline phase (up to 7 weeks) and intervention phase (8 weeks).

  2. Psychological Flexibility (CompACT-10)

    Time frame: 6 months post-intervention.

    Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected 6 months after intervention ends.

Secondary outcomes

  1. Psychological Flexibility (CompACT-10)

    Time frame: 3 months post-intervention.

    Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected 3 months after intervention ends.

  2. Psychological Distress (CORE-10)

    Time frame: Start of intervention and 8 weeks later (after intervention ends)

    Data collected using self-report measure (CORE-10). Questionnaire completed online, via a link. Data collected immediately before and after intervention.

  3. Psychological Distress (CORE-10)

    Time frame: 3 months post-intervention

    Data collected using self-report measure (CORE-10). Questionnaire completed online, via a link. Data collected 3 months after intervention ends.

  4. Psychological Distress (CORE-10)

    Time frame: 6 months post-intervention

    Data collected using self-report measure (CORE-10). Questionnaire completed online, via a link. Data collected 6 months after intervention ends.

  5. Stroke Specific Quality of Life (SSQoL-12)

    Time frame: Start of intervention and post 8-week intervention.

    Data collected using self-report measure (SSQoL-12). Questionnaire completed online, via a link. Data collected immediately before and after 8 week intervention.

  6. Stroke Specific Quality of Life (SSQoL-12)

    Time frame: 3 months post-intervention

    Data collected using self-report measure (SSQoL-12). Questionnaire completed online, via a link. Data collected 3 months post-intervention.

  7. Stroke Specific Quality of Life (SSQoL-12)

    Time frame: 6 months post-intervention

    Data collected using self-report measure (SSQoL-12). Questionnaire completed online, via a link. Data collected 6 months post-intervention.

  8. Independence/Participation (CIQ-15)

    Time frame: 3 months post-intervention

    Data collected using self-report measure (CIQ-15). Questionnaire completed online, via a link. Data collected 3 months post-intervention.

  9. Independence/Participation (CIQ-15)

    Time frame: 6 months post-intervention

    Data collected using self-report measure (CIQ-15). Questionnaire completed online, via a link. Data collected 6 months post-intervention.

  10. Independence/Participation (CIQ-15)

    Time frame: 8 weeks (before and after intervention).

    Data collected using self-report measure (CIQ-15). Questionnaire completed online, via a link. Data collected immediately before and after 8 week intervention.

  11. Wellbeing (SWEMWBS)

    Time frame: 3 months post-intervention

    Data collected using self-report measure (SWEMWBS). Questionnaire completed online, via a link. Data collected 3 months post-intervention.

  12. Wellbeing (SWEMWBS)

    Time frame: 6 months post-intervention

    Data collected using self-report measure (SWEMWBS). Questionnaire completed online, via a link. Data collected 6 months post-intervention.

  13. Wellbeing (SWEMWBS)

    Time frame: 8 weeks (before and after intervention)

    Data collected using self-report measure (SWEMWBS). Questionnaire completed online, via a link. Data collected immediately before and after 8 week intervention.

Sponsors and collaborators

Lead sponsor

University of East Anglia

Other

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Apr 6, 2026
Registry last updated
Apr 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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