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Programme Overview

RECREATE is a research programme which aims to enhance the health and disability outcomes for stroke survivors through the development and evaluation of strategies to reduce overall time spent sedentary (sitting) and break up long bouts of sedentary (sitting) time.

This research programme is funded by the National Institute for Health Research (NIHR PGfAR Number: RP-PG-0615-20019).

The RECREATE programme started in October 2017 and is comprised of five workstreams, the first four of which have been completed.

Understand - Workstream 1 and 2, Systematic Reviews and Qualitative Study - Complete
Co-Design intervention - Workstream 3 - Complete
Feasibility test - Workstream 4 - Complete
Evaluate cRCT - Workstream 5

Workstream 1 – Complete

Systematic reviews were undertaken to inform intervention development, including a review of qualitative studies to explore views of sedentary behaviour and reviews of quantitative studies to explore the effectiveness of interventions and effective behaviour change techniques for reducing sedentary behaviour.

Workstream 2 – Complete

A qualitative study was undertaken involving observations in two stroke services and interviews with patients, carers and staff, to explore sedentary behaviours and participants’ capability, opportunity and motivation to address them.

Workstream 3 – Complete

Informed by the previous workstreams and behaviour change approaches, an intervention aimed at reducing sedentary behaviour was developed using co-production principles in two stroke services.

Workstream 4 – Complete

A mixed methods feasibility study was undertaken in three stroke services to assess the feasibility and acceptability of the developed intervention using a case study and action research approach. Trial procedures related to patient eligibility criteria, recruitment processes and data collection were also clarified.

Workstream 5 – Ongoing

Building on the intervention developed through a co-production process in Workstream 3 and tested for feasibility in Workstream 4, the fifth Workstream is a pragmatic multicentre pilot cluster randomised controlled trial evaluating an intervention aiming to reduce sedentary behaviour after stroke, incorporating embedded process and economic evaluations.


The official website for the RECREATE programme can be found here:

Bradford Teaching Hospitals
University of Edinburgh
University of Leeds

King's College London
University of Newcastle, Australia
CTRU Leeds