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Patient Engagement Program for Stroke - Pilot Study

NCT ID: NCT01112488

Last Updated: 2010-04-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2010-12-31

Brief Summary

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Currently there is a lot of literatures on stroke rehabilitation and post-discharge therapy. However, there are few evidence based guidelines on patient engagement after stroke in the post-rehabilitation community phase. There is evidence from stroke studies that stroke patients with mild to moderate disability, discharged early from an acute hospital unit can be rehabilitated in the community by an interdisciplinary stroke rehabilitation team and attain similar functional outcomes when compared to patients receiving in-patient rehabilitation. There is strong evidence that additional hospital based outpatient therapy improves short term functional outcomes compared to routine care over short term. Although meta-analyses have examined the efficacy of self management education programs, the interpretation of such reviews is limited by heterogeneity in populations and interventions and the limited range of outcomes measured. Few randomized controlled trials have found a reduction in health service utilization, such as incidences of hospitalization (in patients with chronic lung disease, heart disease, stroke and arthritis) as a direct outcome of attending an education program. For self-management support to be effective and sustainable in the community, it is postulated that initiatives simultaneously focus on supporting patients to engage in self management and equipping health care professionals with the necessary resources to assist them.

Detailed Description

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This is a randomized controlled pilot study of a post discharge community based patient engagement program for stroke patients discharged with a new carer after a period of in-hospital rehabilitation. Potential cases are identified within 2 weeks after admission into rehabilitation wards and randomized into either intervention group or usual care (control) group. Patients undergo the usual pre-discharge planning while in ward with predischarge assessment carried out by an independent (blinded) assessor. The control group are referred to receive the usual post-discharge community and rehabilitation backup. The intervention group has access to a special telephone hotline, home visits by team member within 1 week after discharge, patient diary to record home monitoring and back up of a specialist lead patient engagement clinic located in Kowloon Hospital. After 12 weeks, another home visit will be arranged for a repeat assessment by an independent (blinded) assessor. The outcomes to be measured include service parameters such as unplanned medical readmissions, AED attendances, length of stay at acute and rehabilitation units. Patient related parameters such as mortality, institutionalization, functional outcomes, mood, quality of life and complications will be measured as well as a carer strain and satisfaction survey.

Conditions

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Stroke Rehabilitation

Keywords

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stroke patient engagement programme community rehabilitation new carer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control

usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

multidisciplinary intervention

Patient engagement Programme

Group Type EXPERIMENTAL

Patient Engagement Programme

Intervention Type OTHER

Patient's Diary, Ad Hoc medical support and Ad Hoc Clinical admission, Early post discharge Home visit

Interventions

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Patient Engagement Programme

Patient's Diary, Ad Hoc medical support and Ad Hoc Clinical admission, Early post discharge Home visit

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A stroke patient being discharged from a rehabilitation unit planned to be discharged to community with new carer

Exclusion Criteria

* plan to enter institution within 3 months of discharge
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kowloon Hospital, Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Department of Rehabilitation, Kowloon Hospital

Principal Investigators

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Mandy PM Fung, FHKCP

Role: PRINCIPAL_INVESTIGATOR

Department of Rehabilitaiton, Kowloon Hospital

Locations

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Department of Rehabilitation, Kowloon Hospital

Hong Kong, , China

Site Status

Countries

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China

Facility Contacts

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Mandy PM Fung, FHKCP

Role: primary

Other Identifiers

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PEPS

Identifier Type: -

Identifier Source: org_study_id