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Fatigue After Stroke Educational Recovery Program: A Prospective, Phase III, Randomized Controlled Trial.

Kelly Jones¹, Rita Krishnamurthi¹, Suzanne Barker-Collo²

¹National Institute for Stroke and Applied Neurosciences, School of Clinical Sciences Auckland University of Technology Auckland New Zealand.

Journal of the American Heart Association

|December 24, 2024

Summary

A group-based educational intervention did not significantly reduce poststroke fatigue compared to general stroke education. Further research is needed to refine interventions for managing fatigue after stroke.

Keywords:

education fatigue intervention stroke

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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation

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Published on: March 8, 2018

Area of Science:

Neurology
Rehabilitation Medicine
Psychology

Background:

Poststroke fatigue impacts approximately 50% of stroke survivors, leading to substantial personal, societal, and economic burdens.
The Fatigue After Stroke Educational Recovery (FASTER) study investigated a group-based educational intervention for poststroke fatigue.

Purpose of the Study:

To assess the effectiveness of a fatigue management group (FMG) intervention compared to general stroke education for reducing poststroke fatigue.
To evaluate outcomes at 6 weeks and 3 months post-intervention.

Main Methods:

Two hundred patients with significant poststroke fatigue were randomized into either a control (general stroke education) or intervention (FMG) group.
The FMG intervention consisted of weekly psychoeducation sessions over 6 weeks.
Coprimary outcomes included the Fatigue Severity Scale (FSS) and Multidimensional Fatigue Inventory-20 (MFI-20) total scores.

Main Results:

No significant differences were found between the FMG and control groups in FSS or MFI-20 scores at 6 weeks or 3 months.
Adjusted mean FSS scores at 6 weeks were nearly identical (mean difference -0.13, P=0.92).
Secondary outcomes, including sleep, pain, mood, and quality of life, were also similar between groups.

Conclusions:

The fatigue management group intervention did not demonstrate significant group-level benefits over general stroke education.
Further refinement and investigation of educational group-based interventions for poststroke fatigue are warranted, considering individual-level impacts.