The Tele-Taking Charge After Stroke Randomized Controlled Feasibility Trial

NCT ID: NCT05588947

Last Updated: 2022-10-20

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-10

Study Completion Date

2023-11-10

Brief Summary

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Take Charge is a novel, community-based treatment for stroke developed to harness a person's self-determination. Two prior clinical trials with 572 stroke survivors showed that Take Charge improves quality of life, independence, and social participation up to a year after stroke. Take Charge has also been shown to be overall cost-saving to the health system and is a useful adjunct to standard care after stroke.

Because of the COVID-19 pandemic, a lot of healthcare has moved into a telehealth approach. The simplicity of Take Charge may lend itself to being effective if delivered by telehealth, allowing greater access for people with stroke in rural communities. Improving the care we provide in underserved regions of the country is important to help the health of Canadians.

We are proposing a new study, working closely with the researchers who ran the previous Take Charge studies.

The goal of this feasibility clinical trial is to learn about Tele-Take Charge in adults with stroke who live in Southern Alberta. The main questions it aims to answer are:

* is delivering Take Charge by telehealth feasible?
* is Take Charge by telehealth acceptable to this population?

Participants will meet with facilitators online via Zoom at 4 to 16 weeks after stroke, and be randomized to receive either:

* two Tele-Take Charge sessions six weeks apart
* one control tele-education session.

Researchers will compare the Tele-Take Charge and control groups to see if there are any differences in outcome measures. these differences will help researchers to estimate the number of participants that will be needed for a larger, multi-centred effectiveness trial.

Detailed Description

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For adults diagnosed with acute stroke who are discharged to community living (non-institutionalized), we wish to evaluate whether delivering two Take Charge sessions by telehealth is (1) acceptable to the population of Southern Alberta, and (2) feasible to do.

Subjects will be randomly assigned to receive either two Tele-Take Charge sessions or one tele-education session (Life After Stroke video) by telehealth (the active control).

The primary feasibility outcome will be recruitment rate. Secondary outcomes will be measured by a blinded outcomes assessor at 6 and 12 months, either by e-questionnaire or by telephone.

Those who received Tele-Take Charge will also be asked to complete an acceptability questionnaire, and will be invited to take part in an in-depth interview about their experience as part of a qualitative substudy.

Conditions

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Stroke/Brain Attack

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective Randomized Controlled Open Blinded Endpoint Feasibility Trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Tele-TaCAS

Two Take Charge sessions delivered by telehealth six weeks apart, the first being at 2 to 16 weeks after stroke, the earliest possible time after discharge to the community.

Group Type EXPERIMENTAL

Take Charge session

Intervention Type OTHER

A 'talk therapy' session designed to harness the person's self-determination, re-establishing purpose, identity, autonomy, and skills to Take Charge of their recovery after stroke

Control

Life After Stroke: Survivor Stories video played by telehealth at 2 to 16 weeks after stroke, the earliest possible time after discharge to the community.

Group Type ACTIVE_COMPARATOR

Active Control

Intervention Type OTHER

Life After Stroke educational video

Interventions

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Take Charge session

A 'talk therapy' session designed to harness the person's self-determination, re-establishing purpose, identity, autonomy, and skills to Take Charge of their recovery after stroke

Intervention Type OTHER

Active Control

Life After Stroke educational video

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Discharged with diagnosis of stroke to non-institutionalised community living situation
* Answering 'No' to the question 'Are you fully recovered from your stroke?' (i.e., modified Rankin score \[mRS\] must be \> 0)
* Able to access video calling with a smartphone, computer, or other device

Exclusion Criteria

* Major comorbid illness that would dictate functional outcome at 12 months or life expectancy \< 12 months
* Pre-stroke dependency (mRS \> 2 before index stroke)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Calgary

OTHER

Sponsor Role lead

Responsible Party

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Dr. Sean Dukelow

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dr Vernon Fanning CareWest Rehabilitation Centre

Calgary, , Canada

Site Status

Foothills Medical Centre

Calgary, , Canada

Site Status

Countries

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Canada

Central Contacts

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Vivian WY Fu, PhD

Role: CONTACT

5879687352

Sean P Dukelow, PhD

Role: CONTACT

4038360986

Facility Contacts

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Team Leader / Nurse Clinician

Role: primary

4032306900

Vivian Fu, PhD

Role: primary

5879687352

Related Links

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https://pubmed.ncbi.nlm.nih.gov/32293236/

Taking Charge After Stroke main results paper

Other Identifiers

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Version 1.0 25Sept2022

Identifier Type: -

Identifier Source: org_study_id

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