Interdisciplinary Team Approach to Stroke Rehabilitation in Home Care

NCT00463229 | Completed Results

• 1 other identifier: PHE-78692
• Study Type: interventional
• Target: 101
• Locations: 1 country
• Sites: 1

Brief Summary

As the population ages and the number of stroke survivors increases, information is needed to determine the best way of providing home care services for rehabilitation to stroke survivors and their caregivers while containing health care costs. This project will address this area by developing and testing the effects and costs of a collaborative and specialized team approach to stroke rehabilitation by health professionals, in a home care setting, compared to usual home care services. The overall goal of this way of providing home care services is to improve the quality of life and function of stroke survivors and their caregivers and prevent future strokes, which will reduce the overall cost to the health care system.

Conditions

Stroke

Keywords

stroke; rehabilitation; home care services; effectiveness; quantitative research; interdisciplinary; cost; health services research, integrated

Outcome Measures

Primary Outcomes (1)

• Change Between the Value of the SF-36 Physical Function Score at 12 Months Minus Value at Baseline to Measure the Change in Health-related Quality of Life and Function

  The primary measure of effect was the change in health-related quality of life and functioning from baseline to 12-months as measured by the SF-36 physical functioning score. The range of possible scores for this subscale is 0-100, with a higher score indicating a more favourable health status.

  Baseline (pre-randomization) and 12 months

Secondary Outcomes (6)

• Stroke Impact Scale - 16

  Baseline (pre-randomization) and 12 months

• Reintegration to Normal Living Index

  Baseline (pre-randomization) and 12 months

• Short Portable Mental Status Questionnaire.

  Baseline (pre-randomization) and 12 months

• Centre for Epidemiological Studies in Depression Scale (CES-D)

  Baseline and 12 months

• Personal Resource Questionnaire (PRQ85-Part Two)

  Baseline (pre-randomization) and 12 months

Study Arms (2)

Interprofessional Team Approach

EXPERIMENTAL

Participants in the experimental group will receive home care services from a team of professional service providers \[Community Care Access Centre (CCAC) Care Coordinator, Registered Nurse, Occupational therapist, Physiotherapist, Speech language pathologist, Nutritionist\] and non-professional service providers (personal support workers) with experience and training in stroke care. The team will provide a comprehensive, coordinated and evidence-based approach to stroke rehabilitation through weekly case conferencing, a written interdisciplinary care plan, and joint visits.

Other: Interprofessional Team Approach

Usual Home Care Services

NO INTERVENTION

Participants allocated to the control group received standard home care services arranged by the CCAC. These include routine follow-up by the CCAC case manager whose focus is on assessment and referral to community agencies, and ongoing monitoring and evaluating the plan of care through in-home assessment with clients.

Interventions

Interprofessional Team Approach OTHER

Subject in the second group will receive home care services from a team of professional service providers (CCAC Care Coordinator, Registered Nurse, Occupational therapist, Physiotherapist, Speech language pathologist, Nutritionist) and non-professional service providers (personal support workers) with experience and training in stroke care. The team will provide a comprehensive, coordinated and evidence-based approach to stroke rehabilitation through weekly case conferencing, a written interdisciplinary care plan, and joint visits.

Also known as: Interdisciplinary Stroke Rehabilitation Team

Interprofessional Team Approach

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• diagnosis of stroke or TIA has been confirmed.
• newly referred to and eligible for home care services (physiotherapy, speech language therapy, occupational therapy, nursing) through the Toronto Central CCAC.
• living at home in the community (outside of an institutional setting) up to 18-months post-stroke.
• English speaking

You may not qualify if:

• refuse to give informed consent.
• more than 18 months post-stroke at time of recruitment.
• unable to read/write English and an appropriate translator is not available.

Sponsors & Collaborators

• McMaster University: lead
• Canadian Institutes of Health Research (CIHR): collaborator
• Ontario Ministry of Health and Long Term Care: collaborator
• Toronto Central Community Care Access Centre: collaborator
• Heart and Stroke Foundation of Ontario: collaborator
• Greater Toronto Area Rehabilitation Network: collaborator

Study Sites (1)

School of Nursing, McMaster University

Hamilton, Ontario, L8N 3Z5, Canada

Location

Related Publications (1)

• Markle-Reid M, Orridge C, Weir R, Browne G, Gafni A, Lewis M, Walsh M, Levy C, Daub S, Brien H, Roberts J, Thabane L. Interprofessional stroke rehabilitation for stroke survivors using home care. Can J Neurol Sci. 2011 Mar;38(2):317-34. doi: 10.1017/s0317167100011537.

  PMID: 21320840 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Results Point of Contact

• Title: Maureen Markle-Reid
• Organization: McMaster University

mreid@mcmaster.ca

905-525-9140

Study Officials

• Maureen Markle-Reid, RN MScN PhD

  McMaster University, School of Nursing

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: April 18, 2007
• First Posted: April 20, 2007
• Study Start: February 1, 2006
• Primary Completion: September 1, 2008
• Study Completion: September 1, 2008
• Last Updated: December 4, 2018
• Results First Posted: October 15, 2010

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)