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

A large, multicentre, cluster randomised trial (cRCT) evaluation of the developed intervention to determine clinical and cost-effectiveness in reducing sedentary behaviour and improving outcomes in the first year after stroke. The trial will incorporate an internal pilot phase and embedded health economic and process evaluations.


From 25/01/21, we are recruiting stroke survivors and their carers from participating stroke services.
Further information for researchers, stroke survivors and carers can be found by clicking on the relevant tabs at the top of the page.

Further information about the programme can be found here:

Bradford Teaching Hospitals
University of Edinburgh
University of Leeds

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