Transitional Care Model for Patients With Stroke

NCT ID: NCT06280599

Last Updated: 2024-04-03

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 80 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2024-04-29

Brief Summary

Patients with stroke benefitted from superior improvements in physical function, particularly when performing activities of daily living, fewer visits to the emergency room, less depression symptoms, and improved health-related quality of life thanks to transitional model care. Despite widespread implementation of transitional care for stroke patients, intervention effectiveness remains inconclusive, and another concern with transitional care for patients is the scarcity of effects on specific findings.

Detailed Description

A stroke may be a profound and life-changing occurrence for both the survivors and those who care for them, mandating participation in the adaptation and reinvention of a new post-stroke lifestyle that is sometimes unpredictable and temperamental. The sudden onset of a stroke and its accompanying treatment in an acute hospital setting can be distressing for both patients and caregivers. Admission after stroke may have a profound impact as patients and their caregiver start to understand the effects of the occurrence, which is scary, puzzling, and stressful. Nonetheless, adjusting to situations or life after a stroke might be made easier by implementing relevant and timely strategies throughout hospitalization, discharge, and the post-discharge period. Both populations, stroke patients and caregivers, may have unmet needs once the patients are discharged at home, such as communication, recovery plan and process, medicine, emotional needs, and stroke information, as well as social involvement. To address unmet needs after discharge from the hospital to a variety of settings, such transitional care is recommended to tackle the adverse outcomes.One of the widely used transitional care models is TCM, which was developed at the University of Pennsylvania under the direction of a nurse and was then made available to patients who were elderly at risk of poor outcomes and suffering from chronic illnesses including stroke patients. Incorporated into the model, TCM were developed to meet the needs that arose during hospitalization and to provide continuity of care for patients, including those with stroke, who were unable to receive it after their acute illness treatment

Conditions

Stroke

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Transitional care model

In-hospital assessments, video-based stroke education, home visits, and weekly telephone follow-up

Group Type: EXPERIMENTAL

Transitional care model

Intervention Type: BEHAVIORAL

In-hospital assessments, video-based stroke education, home visits, and weekly telephone follow-up

Post-stroke usual care

Treatment as usual after discharged home

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Transitional care model

In-hospital assessments, video-based stroke education, home visits, and weekly telephone follow-up

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Being at least 18 years old, being admitted in neurology department for at least 24 to 48 hours,
• Not having cognitive impairment as measured by the Montreal cognitive assessment (score ≥ 23),
• Being able to communicate in Indonesia, having the ability to provide informed consent,
• Being willing to participate in this study during hospitalization and 8 weeks after hospital discharge

Exclusion Criteria

• Have potentially biased information, such as being unable to provide informed consent due to cognitive impairment,
• Having major speech and language problems or aphasia that prevent them from participating in the study,
• Having serious psychiatric disorders or other with terminal disease requiring active treatment, and
• Being discharged to a nursing home or welfare institution.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kaohsiung Medical University

OTHER

Sponsor Role: lead

Responsible Party

Ita Daryanti Saragih

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Bih-O Lee, Professor

Role: STUDY_CHAIR

Kaohsiung Medical University

Locations

RSUD Prof. Dr. W Z Johannes Kupang

Kupang, , Indonesia

Site Status: RECRUITING

Countries

Indonesia

Central Contacts

Ita Saragih, PhD student

Role: CONTACT

itadaryanti05@gmail.com

+886 986 226143

Facility Contacts

Sakti Oktaria Batubara

Role: primary

oktariabatubara@gmail.com

Role: backup

itadaryanti05@gmail.com

Other Identifiers

SON KMU

Identifier Type: -

Identifier Source: org_study_id