Improving Coordination and Transitions of Care in Stroke Patients

NCT ID: NCT02642744

Last Updated: 2024-02-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 670 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-10-31
• Study Completion Date: 2023-12-31

Brief Summary

This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health literacy, and reduce early readmissions to ultimately yield improved patient quality of life. Our primary objective is to determine whether the attending nurse model of care improves stroke patients' health at 7 days, 30 days, and 90 days after hospital discharge as assessed through questionnaires.

Conditions

Stroke; Transient Ischemic Attack

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Attending nurse model

The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds.

Group Type: OTHER

Nursing care model

Intervention Type: OTHER

Subjects will be randomized into either the attending nursing model of care vs the standard nursing model

Conventional inpatient nursing care

Standard of care nursing care patients receive while inpatient

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Nursing care model

Subjects will be randomized into either the attending nursing model of care vs the standard nursing model

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• > 18 years of age
• Admission to the Hospital of the University of Pennsylvania Vascular Neurology service
• Incident or recurrent:
• Ischemic stroke: focal neurological deficit of likely ischemic vascular origin
• Intracerebral hemorrhage: blood seen on initial head CT
• Transient Ischemic attack: focal neurological deficit of likely ischemic vascular origin that has clinically resolved

Exclusion Criteria

• Pregnancy
• Comfort or hospice care
• Severe dementia prior to stroke
• Non-communicative and have no family/social support

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Pennsylvania

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Scott E Kasner, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Countries

United States

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

823366

Identifier Type: -

Identifier Source: org_study_id