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Development and evaluation of strategies to reduce sedentary behaviour in stroke survivors and improve outcomes: the RECREATE research programme including pilot cRCT · Additional information

Additional information

CC BY 4.0 · National Institute for Health and Care Research · approximately 17 min read

CRediT contribution statement

Anne Forster (https://orcid.org/0000-0001-7466-4414): Conceptualisation, Data curation, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Seline Ozer (https://orcid.org/0000-0002-5791-5469): Data curation, Investigation, Methodology, Project administration, Resources, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Jessica Faye Johansson (https://orcid.org/0000-0003-3622-9598): Conceptualisation, Formal analysis, Investigation, Methodology, Project administration, Supervision, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Lauren Moreau (https://orcid.org/0000-0002-0280-6345): Data curation, Methodology, Project administration, Resources, Validation, Writing – reviewing and editing.

Jennifer Airlie (https://orcid.org/0000-0002-7505-3049): Data curation, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualisation, Writing – reviewing and editing.

Anita Patel (https://orcid.org/0000-0003-0769-1732): Conceptualisation, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Gillian Mead (https://orcid.org/0000-0001-7494-2023): Conceptualisation, Funding acquisition, Methodology, Project administration, Supervision, Validation, Writing – original draft, Writing – reviewing and editing.

Claire F Fitzsimons (https://orcid.org/0000-0001-6192-1397): Conceptualisation, Formal analysis, Funding acquisition, Investigation, Methodology, Resources, Writing – reviewing and editing.

Bethan Copsey (https://orcid.org/0000-0001-9783-6549): Data curation, Formal analysis, Methodology, Software, Supervision, Writing – original draft, Writing – reviewing and editing.

Nahel Yaziji (https://orcid.org/0000-0002-2273-7957): Data curation, Formal analysis, Methodology, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Rosie Shannon (https://orcid.org/0000-0003-0346-7282): Data curation, Formal analysis, Investigation, Methodology, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Jennifer Hall (https://orcid.org/0000-0001-8379-5555): Conceptualisation, Formal analysis, Investigation, Methodology, Project administration, Writing – original draft.

David J Clarke (https://orcid.org/0000-0001-6279-1192): Conceptualisation, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Alexandra Welsh (https://orcid.org/0000-0001-5813-5918): Data curation, Formal analysis, Software, Visualisation.

Sarah Morton (https://orcid.org/0000-0001-9328-6228): Data curation, Formal analysis, Investigation, Methodology, Project administration, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Barbara Barrett (https://orcid.org/0000-0002-0270-6256): Data curation, Formal analysis, Project administration, Software, Supervision, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Gill Carter: Conceptualisation, Funding acquisition.

Sarah Gibson (https://orcid.org/0000-0003-1633-4534): Data curation, Formal analysis.

Coralie English (https://orcid.org/0000-0001-5910-7927): Conceptualisation, Funding acquisition, Methodology, Writing – reviewing and editing.

Thomas F Crocker (https://orcid.org/0000-0001-7450-3143): Supervision, Writing – reviewing and editing.

Louisa-Jane Burton (https://orcid.org/0000-0003-3617-1410): Conceptualisation, Project administration, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Judith Horrocks (https://orcid.org/0009-0007-1699-0255): Data curation, Supervision.

Rahena Mossabir (https://orcid.org/0000-0001-6964-4742): Data curation, Formal analysis, Investigation, Methodology, Project administration, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Suzanne Hartley (https://orcid.org/0000-0003-2346-9461): Data curation, Project administration, Resources.

Rebecca Lawton (https://orcid.org/0000-0002-5832-402X): Conceptualisation, Funding acquisition, Investigation, Methodology, Writing – reviewing and editing.

Renee Romeo (https://orcid.org/0000-0003-3871-9697): Data curation, Formal analysis, Investigation, Methodology.

Natalie Lam (https://orcid.org/0000-0001-8591-444X): Formal analysis, Writing – reviewing and editing.

Ivana Holloway (https://orcid.org/0000-0002-9542-883X): Conceptualisation, Data curation, Methodology, Software, Validation, Visualisation.

Karen Birch (https://orcid.org/0000-0001-7796-8640): Conceptualisation, Funding acquisition, Methodology, Writing – reviewing and editing.

Florence Day (https://orcid.org/0000-0003-0306-5558): Data curation, Project administration, Resources.

Amanda J Farrin (https://orcid.org/0000-0002-2876-0584): Conceptualisation, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualisation, Writing – original draft, Writing – reviewing and editing.

Acknowledgements

The work reported here was a huge team effort, involving survivors of stroke, their carers, researchers, clinicians and multiple research and development departments across England and Scotland, massive thanks are due to them all. The number of people who have engaged with this programme both pre- and post-COVID-19 is incalculable (a number of services had progressed to set up the trial prior to the pandemic who were then unable to continue post COVID-19). Thank you all.

Particular thanks go to all the clinical teams who participated, it is hugely appreciated that they took on this additional research-related work at a time when they were also addressing the multiple challenges of the COVID-19 pandemic. They supported the research team in adapting the research, for example facilitating online training rather than in-person. We would like to acknowledge those stroke services that have supported not only this programme of work but also our previous research over many years.

Thank you to all the survivors of stroke and their families who participated in this research and those who contributed through engagement in discussions at local groups and ad hoc conversations over the years, their input was invaluable.

Thank you to our sponsor Bradford Teaching Hospitals NHS Foundation Trust (BTHFT) and specifically Jane Dennison, whose unfailing good humour and efficiency guided and supported us through the COVID-19-related challenges.

We are extremely grateful to the members of the Programme Steering Committee (PSC) who have supported the research team throughout implementation of this programme. Their input has been invaluable. The PSC were: Dawn Skelton (Chair), Jacqui Morris, Jonathan Mant, Mark Kelson, Saima Siddiqui (NIHR representative) and Amanda North (stroke survivor).

We would like to thank colleagues in the Academic Unit of Ageing and Stroke Research (BTHFT and University of Leeds) and the Clinical Trials Research Unit (University of Leeds) who have provided support and advice over the last few years.

Patient data statement

This work uses data provided by patients and collected by the NHS as part of their care and support. Using patient data is vital to improve health and care for everyone. There is huge potential to make better use of information from people’s patient records, to understand more about disease, develop new treatments, monitor safety and plan NHS services. Patient data should be kept safe and secure, to protect everyone’s privacy, and it is important that there are safeguards to make sure that they are stored and used responsibly. Everyone should be able to find out about how patient data are used. #datasaveslives You can find out more about the background to this citation here: https://understandingpatientdata.org.uk/data-citation

Data-sharing statement

Workstreams within this programme grant involved qualitative methodologies and therefore the data generated is not suitable for sharing beyond that contained within the report. Further information can be obtained from the corresponding author.

As WS5 was a feasibility trial to inform a definitive trial, sharing of the trial data set is not anticipated; however, any data requests should be sent to the corresponding author and would be subject to review by a sub-group of the trial team which will include the data guarantor, Professor Farrin. All data-sharing activities would require a data-sharing agreement.

Ethics statement

Ethical approvals were received for all WSs, detailed below. Ethical approval for WS2 qualitative study was received from the Health Research Authority, Yorkshire and the Humber – Bradford Leeds Research Ethics Committee (17/YH/0236) and the Scotland A Research Ethics Committee (17/SS/0099), both on 7 September 2017. Ethical approval for the WS3 coproduction work was received from the Yorkshire and The Humber – Leeds East Research Ethics committee (18/YH/0211) on 26 June 2018 and the Scotland A Research Ethics Committee (18/SC/0276) in 2018.

Ethical approval for the WS4 feasibility study was granted by the Yorkshire and The Humber – Leeds East Research Ethics committee (19/YH/0080) on 8 May 2019 and the Scotland A Research Ethics Committee (19/SS/0037) on 4 April 2019.

Ethical approval for the WS5 external pilot cRCT was granted by the Yorkshire and The Humber – Bradford-Leeds Research Ethics Committee (19/YH/0403) on 30 December 2019.

Information governance statement

Bradford Teaching Hospitals NHS Foundation Trust is committed to handling all personal information in line with the UK Data Protection Act (2018) and the General Data Protection Regulation (EU GDPR) 2016/679. Under the Data Protection legislation, Bradford Teaching Hospitals NHS Foundation Trust (BTHFT) and the Clinical Trials Research Unit, University of Leeds are joint Data Controller. More information about how BTHFT handles personal data, including how to exercise your individual rights and the contact details for our Data Protection Officer here: www.bradfordhospitals.nhs.uk/privacy-statement/. Information relating to the University of Leeds is available here: https://ris.leeds.ac.uk/privacy-notice/.

Disclosure of interests

Full disclosure of interests: Completed ICMJE forms for all authors, including all related interests, are available in the toolkit on the NIHR Journals Library report publication page at https://doi.org/10.3310/GJAF0918.

Primary conflicts of interest: Jennifer Airlie, Barbara Barrett, Karen Birch, Gill Carter, Sarah Gibson, Jennifer Hall, Ivana Holloway, Judith Horrocks, Jessica F Johansson, Suzanne Hartley, Natalie Lam, Rebecca Lawton, Lauren Moreau, Rahena Mossabir, Seline Ozer, Anita Patel, Sarah Morton, Rosie Shannon, Nahel Yaziji declare no conflicts of interest. David J Clarke, Florence Day, Coralie English and Alexandra Welsh declare income from this programme. Louisa-Jane Burton declares grant income from Leeds Hospitals Charity, Research England and the MRC. Bethan Copsey declares income from this programme and a related grant from the NIHR Undergraduate Internship Programme (Round 1, reference NIHR304463) using data from this programme. Thomas F Crocker declares grant income from the NIHR, Leeds Hospitals Charity, Research England and the MRC. Amanda J Farrin declares income from this programme; membership of three Trial Steering Committees as an independent statistician; and status as a NIHR Senior Investigator. Claire F Fitzsimons declares income from this programme and seven grants relating to sedentary behaviour/physical activity research from the MRC, University of Edinburgh, Irish Health Board, and the Wellcome Trust. Anne Forster declares income from this programme; income from NIHR grants; status as NIHR Senior Investigator; chairpersonship of two Programme Steering Committees and an Advisory Committee for NIHR-funded research; and chairpersonship of the Professional Awards Panel for the Chartered Society of Physiotherapy. Gillian Mead declares income from this programme and royalties from a book about exercise after stroke.

Copyright and credit statement

Every effort has been made to obtain the necessary permissions for reproduction, to credit original sources appropriately and to respect copyright requirements. However, despite our diligence, we acknowledge the possibility of unintentional omissions or errors and we welcome notifications of any concerns regarding copyright or permissions.

Publications

Corepal R, Hall JF, English C, Farrin A, Fitzsimons CF, Forster A, et al. A protocol for a systematic review of process evaluations of interventions investigating sedentary behaviour in adults. BMJ Open 2019;9:e031291. https://doi.org/10.1136/bmjopen-2019-031291

Cornwall NJ. Sedentary Behaviour in Stroke Survivors with Severe Mobility Disability Living at Home: An Exploratory Study. PhD thesis, University of Leeds; 2019. URL: http://etheses.whiterose.ac.uk/id/eprint/25340

Mackie P, Weerasekara I, Crowfoot G, Janssen H, Holliday E, Dunstan D, English C. What is the effect of interrupting prolonged sitting with frequent bouts of physical activity or standing on first or recurrent stroke risk factors? A scoping review. PLOS ONE 2019;14:e0217981. https://doi.org/10.1371/journal.pone.0217981

Morton S, Fitzsimons C, Hall J, Clarke D, Forster A, English C, et al. Sedentary behavior after stroke: a new target for therapeutic intervention. Int J Stroke 2019;14:9–11. https://doi.org/10.1177/1747493018784505

Rawlings GH, Williams RK, Clarke DJ, English C, Fitzsimons C, Holloway I, et al. Exploring adults’ experiences of sedentary behaviour and participation in non-workplace interventions designed to reduce sedentary behaviour: a thematic synthesis of qualitative studies. BMC Public Health 2019;19:1–16. https://doi.org/10.1186/s12889-019-7365-1

Hall J, Morton S, Fitzsimons CF, Hall JF, Corepal R, English C, et al. Factors influencing sedentary behaviours after stroke: findings from qualitative observations and interviews with stroke survivors and their caregivers. BMC Public Health 2020;20:1–15. https://doi.org/10.1186/s12889-020-09113-6

Hall J, Morton S, Hall J, Clarke DJ, Fitzsimons CF, English C, et al. A coproduction approach guided by the behaviour change wheel to develop an intervention for reducing sedentary behaviour after stroke. Pilot Feasibility Stud 2020;6:1–13. https://doi.org/10.1186/s40814-020-00667-1

Hall JF, Corepal R, Crocker TF, Lam N, Burton LJ, Birch K, et al. A systematic review and meta-analysis of non-workplace interventions to reduce time spent sedentary in adults. medRxiv 2021;2021-05. https://doi.org/10.1101/2021.05.27.21256673

Ahmed S, Airlie J, Clegg A, Copsey B, Cundill B, Forster A, et al. A new opportunity for enhancing trial efficiency: can we investigate intervention implementation processes within trials using SWAT (study within a trial) methodology? Res Method Med Health Sci 2022;3:66–73. https://doi.org/10.1177/26320843221080734

Johansson JF, Lam N, Ozer S, Hall J, Morton S, English C, et al. Systematic review of process evaluations of interventions in trials investigating sedentary behaviour in adults. BMJ Open 2022;12:e053945. https://doi.org/10.1136/bmjopen-2021-053945

Morton S, Hall J, Fitzsimons C, Hall J, English C, Forster A, et al. A qualitative study of sedentary behaviours in stroke survivors: non-participant observations and interviews with stroke service staff in stroke units and community services. Disabil Rehabil 2022;44:5964–73. https://doi.org/10.1080/09638288.2021.1955307

Airlie J, Burton LJ, Copsey B, English C, Farrin A, Fitzsimons CF, et al. RECREATE: a study protocol for a multicentre pilot cluster randomised controlled trial (cRCT) in UK stroke services evaluating an intervention to reduce sedentary behaviour in stroke survivors (Get Set Go) with embedded process and economic evaluations. BMJ Open 2023;13:e074607. https://doi.org/10.1136/bmjopen-2023-074607

Johansson JF, Shannon R, Mossabir R, Airlie J, Ozer S, Moreau LA, et al. Intervention to reduce sedentary behaviour and improve outcomes after stroke (Get Set Go): a study protocol for the process evaluation of a pilot cluster randomised controlled trial (RECREATE). BMJ Open 2023;13:e075363. https://doi.org/10.1136/bmjopen-2023-075363

Patel A, Yaziji N, Barrett B, Romeo R, Copsey B, Moreau L, et al. Reducing sedentary behaviour in patients after stroke (RECREATE): exploratory economic evaluation from an external pilot cluster randomised trial of the Get Set Go intervention. medRxiv 2025. https://doi.org/10.1101/2025.10.18.25338286

Conference presentations

UK Stroke Forum, 2017 (Liverpool, UK)

Forster A, Birch KM, Carter G, Clarke DJ, English C, Farrin A, et al. Poster: The REduCing sedentaRy bEhaviour After sTrokE Study (RECREATE): Development and Evaluation of an Intervention to Improve Outcomes.

Yorkshire and Humber Physical Activity Knowledge Exchange Enabling Active Communities: Play Your Part, 2018 (Sheffield, UK)

Forster A, Birch KM, Carter G, Clarke DJ, English C, Farrin A, et al. Poster: The REduCing sedentaRy bEhaviour After sTrokE Study (RECREATE): Development and Evaluation of an Intervention to Improve Outcomes.

International Society for Physical Activity and Health, 2018 (London, UK)

Platform Presentation: RECREATE: Intervention Development to Support Stroke Survivors to Reduce and Break Up Sedentary Behaviours.

World Stroke Congress, 2018 (Montreal, Canada)

Forster A, Birch KM, Carter G, Clarke DJ, English C, Farrin A, et al. Poster: The REduCing sedentaRy bEhaviour After sTrokE Study (RECREATE): Development and Evaluation of an Intervention to Improve Outcomes.

Platform Presentation: Development and Evaluation of Strategies to Reduce Sedentary Behaviour in Patients after Stroke and Improve Outcomes.

Scottish Physical Activity Research Connections, 2018 (Edinburgh, UK)

Hall J, Morton S, Fitzsimons C, Mead G, Hall JF, Corepal R, et al. Poster: Sedentary Behaviour in Stroke Survivors: A Qualitative Study Involving Stroke Survivors, Caregivers and Staff in Two Stroke Services.

Morton S, Fitzsimons C, Hall J, Lawton R, English C, Clarke DJ, et al. Poster: Development of an Intervention to Reduce Sedentary Behaviour after Stroke: A Coproduction Approach.

UK Stroke Forum, 2018 (Telford, UK)

Clarke DJ, Williams R, Rawlings GH, Forster A, Birch KM, Carter G, et al. Poster Presentation: Exploring Adults’ Perceptions, Views and Lived Experiences of Sedentary Behaviour: A Systematic Review of Qualitative Studies.

Hall J, Morton S, Fitzsimons C, Mead G, Hall JF, Corepal R, et al. Poster Presentation: Sedentary Behaviour in Stroke Survivors: A Qualitative (Observation and Interview) Study Involving Stroke Survivors, Caregivers and Staff.

Morton S, Fitzsimons C, Hall J, Lawton R, English C, Clarke DJ, et al. Poster: Development of an Intervention to Reduce Sedentary Behaviour after Stroke: A Co Production Approach.

Society for Research in Rehabilitation, 2019 (Nottingham, UK)

Morton S, Hall J, Fitzsimons C, Mead G, Hall JF, Corepal R, et al. Poster Presentation: Sedentary Behaviour in Stroke Survivors: A Qualitative (Observation and Interview) Study Involving Stroke Survivors, Caregivers and Staff.

Morton S, Fitzsimons C, Hall J, Lawton R, English C, Clarke DJ, et al. Poster: Development of an Intervention to Reduce Sedentary Behaviour after Stroke: A Co Production Approach.

Intervention Development Conference, 2019

Hall J. Oral Presentation: Combining Coproduction with a Theory and Evidence Driven Approach to Intervention Development.

CBC: Behaviour Change for Health: Digital and Other Innovative Methods, 2019 (London, UK)

Morton S, Hall J, Fitzsimons C, English C, Clarke DJ, Birch KM, et al. Poster Presentation: Development of an Intervention to Reduce Sedentary Behaviour after Stroke: A Coproduction. Approach.

European Stroke Organisation Conference, 2019 (Milan, Italy)

Corepal R, Hall J, Crocker T, Burton L, Birch K, Carter G, et al. E-poster: A systematic Review and Meta-analysis of Interventions to Reduce Time Spent Sedentary or Break Up Prolonged Sedentary Events in Adults.

Clarke DJ, Hall J, Morton S, Fitzsimons C, Mead G, Hall JF, et al. Understanding Factors Influencing Sedentary Behaviours after Stroke: Different Priorities in Different Settings.

Morton S, Clarke DJ, Hall J, Fitzsimons C, Mead G, Hall JF, et al. Coproducing a Complex Intervention to Reduce Sedentary Behaviour after Stroke: Challenges and Solutions.

International Society of Behavioural Nutrition and Physical Activity, 2019 (Prague, Czech Republic)

Hall J, Corepal R, Crocker T, Burton L, Birch K, Carter G, et al. Oral Presentation: A Systematic Review and Meta-analysis of Interventions to Reduce Time Spent Sedentary or Break Up Prolonged Sedentary Events in Adults.

UK Stroke Forum, 2019 (Telford, UK)

Hall J, Jones F. Training Workshop: How Can Patients’ Ideas and Experiences Help to Shape the Design and Delivery of Our Stroke Services?

RECREATE open meeting for potential sites. Chaired by Anne Forster.

UK Stroke Forum, 2020 (virtual)

Johansson J, Shannon R, Mossabir R, Hall J, Morton S, Kime N, et al. E-poster Presentation: Understanding Staff Perspectives of Implementing an Intervention within Stroke Services to Reduce Sedentary Behaviour after Stroke.

World Stroke Congress, 2021 (virtual)

Johansson J, Shannon R, Mossabir R, Hall J, Kime N, Morton S, et al. E-poster: Understanding Staff Perspectives of Implementing an Intervention (‘Get Set Go’) to Reduce Sedentary Behaviour after Stroke.

UK Stroke Forum, 2021 (virtual)

Copsey B, Holloway I, Horrocks J, Moreau L, Johanssen J, Airlie J, et al. Poster: Benefits and Challenges of Embedding a Study Within a Trial, ‘SWAT’, into the RECREATE Trial.

Johansson J, Shannon R, Mossabir R, Hall J, Morton S, Kime N, et al. Poster: Understanding Staff Perspectives of Implementing an Intervention (‘Get Set Go’) to Reduce Sedentary Behaviour after Stroke.

UK Stroke Forum, 2022 (Liverpool, UK)

Johansson J, Mossabir R, Hall J, Shannon R, Ozer S, Airlie J, Forster A. Poster: A Comprehensive Framework for Assessing Intervention Fidelity in Trials of Complex Interventions, Developed and Applied within the RECREATE Programme (Reducing Sedentary Behaviour after Stroke).

International Clinical Trials Methodology Conference, 2022 (Harrogate, UK)

Copsey B, Airlie J, Holloway I, Day F, English C, Fergusson A, et al. Challenges of Analysing Activity Monitor Data in Less Active Populations: A Case Study Using ActivPAL Monitors in the RECREATE Trial Aiming to Reduce Sedentary Behaviour in Stroke Survivors.

UK Stroke Forum, 2023 (Birmingham, UK)

Airlie J, Copsey B, Farrin A, Johansson J, Moreau L, Ozer S, Forster A. Poster: Challenges of Conducting a Large, Pragmatic Multicentre Stroke Rehabilitation Cluster Randomised Controlled Trial (cRCT) in NHS Stroke Services: Reflections from the RECREATE Trial.

World Stroke Congress, 2023 (Toronto, Canada)

Johansson J, Shannon R, Airlie J, Moreau L, Ozer S, Clarke D, et al.; on behalf of the RECREATE Programme Management Group. Poster: A Process Evaluation of the Implementation of an Intervention (‘Get Set Go’) to Reduce Post-stroke Sedentary Behaviour in the RECREATE Pilot Cluster Randomised Controlled Trial.

International Clinical Trials Methodology Conference (Edinburgh, UK)

An alternative approach to design and conduct considerations for trials facing early closure.

International Society for Physical Activity and Health, 2024 (Paris, France)

Airlie J, Cicero B, Copsey B, Farrin A, Moreau L, Ozer S, et al.; on behalf of the RECREATE Programme Management Group. Poster Presentation: Feasibility of Measuring Sedentary Behaviour using the ActivPAL Accelerometer in Stroke Survivors.

UK Stroke Forum, 2024 (Liverpool, UK)

Airlie J, Carter A, Cicero B, Copsey B, Farrin A, Moreau L, et al.; on behalf of the RECREATE Programme Management Group. E-poster: RECREATE: Is It Feasible to Use ActivPAL Monitors to Measure Sedentary Behaviour within the Context of a Large Multi-centre Cluster Randomised Control Trial (cRCT)?

E-poster: How Strongly Associated Are Objective Sedentary Behaviour Outcomes and Patient-reported Questionnaire Outcomes in Stroke Survivors?

Johansson J, Shannon R, Gibson S, Forster A; on behalf of the RECREATE Programme Management Group. Poster Presentation: Exploring How Patients and Staff Engaged with an Intervention to Reduce Post-stroke Sedentary Behaviour: A Process Evaluation of ‘Get Set Go’ in the RECREATE Trial.

European Stroke Organisation Conference, 2025 (Helsinki, Finland)

Forster A, Ozer S, Moreau L, Airlie J, Copsey B, Welsh A, et al.; on behalf of the RECREATE Programme Management Group Oral Presentation. RECREATE: A Multicentre Pilot Cluster Randomised Controlled Trial (cRCT) of an Intervention to Reduce Sedentary Behaviour in Stroke Survivors (Get Set Go).

Johansson JF, Shannon R, Gibson S, Forster A. Poster: Exploring How Stroke Patients Engaged with an Intervention (‘Get Set Go’) to Reduce Post-stroke Sedentary Behaviour: Interviews from the Process Evaluation Conducted in the RECREATE Trial.

Johansson JF, Shannon R, Gibson S, Forster A. Poster: Staff Perspectives on Engagement an Intervention (‘Get Set Go’) to Reduce Post-stroke Sedentary Behaviour: Observations and Interviews from the Process Evaluation in the RECREATE Trial.

Johansson JF, Shannon R, Gibson S, Airlie J, Gray-Burrows K, Render G, et al. Poster: The ADAPT Study: Using an ‘Ideal-type’ Analysis to Tailor an Intervention Focused on Reducing Sedentary Behaviour after Stroke.

Disclaimers

This article presents independent research funded by the National Institute for Health and Care Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, CCF, PGfAR or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, the PGfAR programme or the Department of Health and Social Care.

← ReferencesList of supplementary material →

Attribution. Anne Forster; Seline Ozer; Jessica Faye Johansson; Lauren Moreau; Jennifer Airlie; Anita Patel et al. (2026). Development and evaluation of strategies to reduce sedentary behaviour in stroke survivors and improve outcomes: the RECREATE research programme including pilot cRCT. National Institute for Health and Care Research. Copyright © 2026 Forster et al. Licensed under CC BY 4.0. NCBI Bookshelf NBK623876. CC BY 4.0. Original source ↗. Text reproduced from the Bookshelf XML without changing wording; figures, images and supplements are not reproduced.

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