Evaluating the Effect of Nurse-Led Stroke Transitional Care in Tanzania

NCT ID: NCT07319312

Last Updated: 2026-01-06

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

RECRUITING

Total Enrollment

130 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-08-01

Study Completion Date

2026-03-30

Brief Summary

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The goal of this observational study is to assess the effects of nurse-led stroke transitional care in stroke survivors, caregivers and healthcare providers who participate in nurse-led stroke transitional care program to improve discharge preparedness, disease self-management and quality of life among stroke survivors. The main question it aims to answer is: does nurse-led stroke transitional care program improve discharge preparedness, disease self-management and quality of life among stroke survivors? Participants are currently participating in nurse-led stroke transitional care program as part of their medical care. Stroke survivors and their caregivers will be followed for six months period to assess their transitional care quality and clinical outcome measures.

Detailed Description

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Conditions

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Stroke Acute Stroke (CVA) or Transient Ischemic Attack

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Historical control group

Stroke survivors and their caregivers received usual care

Nurse-led stroke transitional care program

Intervention Type BEHAVIORAL

Participants in intervention group will receive usual care plus nurse-led stroke transitional care. Two nurse champions will conduct the face-to-face sessions while other two nurse researchers will conduct the telephone call sessions between August and December, 2025. During hospitalization, the two nurse champions will conduct five face-to-face sessions (2 individual sessions at admission; and at discharge), and three group sessions with 2-4 dyads of patients and caregivers. After hospitalization, two nurse researchers will conduct seven follow-up sessions for three months via phone calls at day 3, week 1, week 3, week 5, week 7, week 9, and week 11. The face-to-face sessions and phone call sessions will take 40-60 minutes and 20-30 minutes respectively

Interventions

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Nurse-led stroke transitional care program

Participants in intervention group will receive usual care plus nurse-led stroke transitional care. Two nurse champions will conduct the face-to-face sessions while other two nurse researchers will conduct the telephone call sessions between August and December, 2025. During hospitalization, the two nurse champions will conduct five face-to-face sessions (2 individual sessions at admission; and at discharge), and three group sessions with 2-4 dyads of patients and caregivers. After hospitalization, two nurse researchers will conduct seven follow-up sessions for three months via phone calls at day 3, week 1, week 3, week 5, week 7, week 9, and week 11. The face-to-face sessions and phone call sessions will take 40-60 minutes and 20-30 minutes respectively

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Clinical nurses and physicians with six months of working experience in stroke care
* Clinical nurses and physicians with a minimum of diploma in their professions.
* Stroke survivors with 18 years old and above
* Stroke survivors admitted in the stroke units
* Stroke survivors with primary diagnosis of stroke confirmed by brain CT/MRI
* Stroke survivors who undergo usual discharge process
* Stroke survivors who live with their family caregivers
* Stroke survivors who have mobile phones
* Stroke survivors who can read and write
* Stroke survivors who are able to communicate
* Stroke survivors with National Institutes of Health Stroke Scale (NIHSS) \< 6
* Stroke survivors with Modified Barthel Index (MBI) \> 9
* Stroke survivors with Modified Rankin Scale (mRS) \< 5
* Stroke survivors with Montreal Cognitive Assessment Test (MoCA) \> 14
* Stroke survivors who are expected to stay in the ward for 3-5 days,
* Stroke survivors who are expected to survive for 3 months
* Family caregivers with mobile phones
* Family caregivers who can read and write
* Family caregivers who are able to communicate
* Family caregivers who live with the patient after stroke

Exclusion Criteria

* Healthcare providers who will be on leave during the study period.
* Stroke survivors with previous stroke who are not admitted in stroke units
* Stroke survivors who are discharged against medical advice
* Stroke survivors who have end-stage organ failure
* Stroke survivors who have family caregivers
* Stroke survivors who can't read/write
* Stroke survivors who have no mobile phones.
* Family caregivers without mobile phone that is accessible
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shandong University

OTHER

Sponsor Role lead

Responsible Party

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Nyagwaswa Athanas Michael

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Muhimbili University of Health and Allied Sciences

Dar es Salaam, , Tanzania

Site Status RECRUITING

Countries

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Tanzania

Central Contacts

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Nyagwaswa Michael, Masters

Role: CONTACT

+255685005923

Facility Contacts

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Nyagwaswa Michael, Masters

Role: primary

+255685005923

Lilian Mselle, PhD

Role: backup

+255717565610

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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72274110

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

Shandong@2025

Identifier Type: -

Identifier Source: org_study_id

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