Enhanced Post-discharge Home-based Care Program (EHP) for Stroke Survivors in Harbin China
NCT ID: NCT03884621
Last Updated: 2020-12-19
Study Results
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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COMPLETED
NA
144 participants
INTERVENTIONAL
2018-09-25
2020-11-27
Brief Summary
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Detailed Description
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Eligible participants will be recruited from the neurology units of a large general hospital in Harbin, China. Consented participants will be randomly assigned to receive either usual care or usual care plus EHP intervention. The EHP has two key components: pre-discharge coaching and post-discharge home follow-up which involves five intervention protocols for assessment, treatment and procedures, teaching, guidance and counselling, case management and surveillance, addressing on home-based rehabilitation training and self-care. The 12-week EHP will be provided by a trained nurse case manager with the support of a clinical team. All participants will be follow-up for 12 months with three assessments on study outcomes, including quality of life, self-efficacy, activities of daily living, anxiety and depression, adherence, satisfaction and healthcare utilization after baseline data collection. The incremental cost-effectiveness ratio and cost will also be calculated and compared between the two groups. In addition, focus group interviews will be conducted to gain an in-depth understanding of stakeholders' experience on post-stroke care.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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EHP Group
The Enhanced post-discharge home-based care program (EHP) offers one coaching session upon hospital discharge and 12-week home follow-up (including 6 home visits, 6 telephone calls and 24-hour hotline) post hospital discharge to participants by an especially trained nurse case manager with the support of a clinical team. The five intervention protocols integrate with an individualized home-based rehabilitation training and self-care plan.
EHP Group
The Enhanced post-discharge home-based care program (EHP) plus usual care
Control Group
Usual discharge care and post-discharge care provided to all stroke patients discharged home.
No interventions assigned to this group
Interventions
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EHP Group
The Enhanced post-discharge home-based care program (EHP) plus usual care
Eligibility Criteria
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Inclusion Criteria
* Acute ischemic stroke diagnosed by a neurologist
* National Institutes of Health Stroke Scale score ≥ 4 or \<16
* Modified Rankin Scale score 2 - 4
* Discharged to their own home
* Premorbid independence
* being able to provide informed consent to participate in the study
Exclusion Criteria
* Montreal Cognitive Assessment (MoCA-Beijing) score ≤ 22
* Discharged to rehabilitation settings
* At critical stage of illness or palliative treatment approach being provided
* Conditions likely to interfere with rehabilitation
18 Years
ALL
No
Sponsors
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The Hong Kong Polytechnic University
OTHER
Responsible Party
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Principal Investigators
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Frances Wong, PhD
Role: PRINCIPAL_INVESTIGATOR
School of Nursing, The Hong Kong Polytechnic University
Locations
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The First Hospital of Harbin
Harbin, Heilongjiang, China
Countries
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Other Identifiers
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5-ZH2Q
Identifier Type: -
Identifier Source: org_study_id