Community-Empowerment and Environmental Enrichment-based Co-management (CEEEC) Model and Mechanisms for Improving Health of Older Stroke Patients With Multimorbidity
Exercise Intervention: Participants will receive twice-weekly aerobic and balance training sessions, with medication compliance education.
Cognitive Intervention: Participants will participate in twice-weekly structured cognitive training sessions, with medication compliance education.
Study summary
This study is a cluster randomized controlled trial with a 2×2 factorial design conducted in community health centers in Kunshan, Harbin, Wuhan, Beijing and Shanghai. It aims to evaluate the independent and combined effects of exercise and cognitive interventions on intrinsic capacity and related health outcomes among stroke survivors aged 60 years and older with hypertension or type 2 diabetes mellitus. Participants will receive either exercise training, cognitive training, combined training, or usual care over 12 months, followed by a 12-month follow-up. Findings will inform integrated health management strategies for older adults with multimorbidity.
Eligibility
Sex
ALL
Min age
60 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Aged ≥60 years
* The doctor diagnosed it as a stroke and it is in a stable stage (the diagnosis time is not limited)
* Patients with concurrent hypertension and/or diabetes may also have other diseases at the same time
* Be able to participate in a community intervention lasting for six months
* Be informed and agree to participate in the research
Exclusion Criteria:
* With the aid of a walking aid (not a wheelchair), it is also impossible to walk independently to the community service center.
* Lack basic communication skills and do not recognize Arabic numerals
* Suffering from life-threatening diseases, with a survival expectation of less than 6 months, etc.
Primary outcome measure(s)
Intrinsic Capacity (World Health Organization Integrated Care for Older People) — 24 months Assessment of intrinsic capacity using the World Health Organization Integrated Care for Older People (WHO ICOPE) framework.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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