Patient Engagement Program for Stroke - Pilot Study

NCT01112488 | Unknown DMC

• 1 other identifier: PEPS
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Currently there is a lot of literatures on stroke rehabilitation and post-discharge therapy. However, there are few evidence based guidelines on patient engagement after stroke in the post-rehabilitation community phase. There is evidence from stroke studies that stroke patients with mild to moderate disability, discharged early from an acute hospital unit can be rehabilitated in the community by an interdisciplinary stroke rehabilitation team and attain similar functional outcomes when compared to patients receiving in-patient rehabilitation. There is strong evidence that additional hospital based outpatient therapy improves short term functional outcomes compared to routine care over short term. Although meta-analyses have examined the efficacy of self management education programs, the interpretation of such reviews is limited by heterogeneity in populations and interventions and the limited range of outcomes measured. Few randomized controlled trials have found a reduction in health service utilization, such as incidences of hospitalization (in patients with chronic lung disease, heart disease, stroke and arthritis) as a direct outcome of attending an education program. For self-management support to be effective and sustainable in the community, it is postulated that initiatives simultaneously focus on supporting patients to engage in self management and equipping health care professionals with the necessary resources to assist them.

Conditions

Stroke; Rehabilitation

Keywords

stroke; patient engagement programme; community rehabilitation; new carer

Outcome Measures

Primary Outcomes (3)

• Unplanned Medical readmissions

  3 months

• Length of hospital stay

  3 months

• Emergency Department attendance rate

  3 months

Secondary Outcomes (8)

• Carer and Patient Satisfactory Survey

  3 months

• Carer Strain Index

  3months

• Medical complications

  3 months

• Functional Independence Measure

  3 months

• Barthel Index

  3 months

Study Arms (2)

Control

NO INTERVENTION

usual care

multidisciplinary intervention

EXPERIMENTAL

Patient engagement Programme

Other: Patient Engagement Programme

Interventions

Patient Engagement Programme OTHER

Patient's Diary, Ad Hoc medical support and Ad Hoc Clinical admission, Early post discharge Home visit

multidisciplinary intervention

Eligibility Criteria

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

You may qualify if:

• A stroke patient being discharged from a rehabilitation unit planned to be discharged to community with new carer

You may not qualify if:

• plan to enter institution within 3 months of discharge

Sponsors & Collaborators

• Kowloon Hospital, Hong Kong: lead

Study Sites (1)

Department of Rehabilitation, Kowloon Hospital

Hong Kong, China

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Mandy PM Fung, FHKCP

  Department of Rehabilitaiton, Kowloon Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 22, 2010
• First Posted: April 28, 2010
• Study Start: May 1, 2010
• Primary Completion: December 1, 2010
• Study Completion: December 1, 2010
• Last Updated: April 28, 2010

Record last verified: 2010-03

Locations

CN (1)