Improving Coordination and Transitions of Care in Stroke Patients

NCT02642744 | Completed Results

• 1 other identifier: 823366
• Study Type: interventional
• Target: 670
• Locations: 1 country
• Sites: 1

Brief Summary

This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health literacy, and reduce early readmissions to ultimately yield improved patient quality of life. Our primary objective is to determine whether the attending nurse model of care improves stroke patients' health at 7 days, 30 days, and 90 days after hospital discharge as assessed through questionnaires.

Conditions

Stroke; Transient Ischemic Attack

Outcome Measures

Primary Outcomes (2)

• Stroke Patient Education Retention Tool

  measures patient knowledge about stroke

  90 days

• Medication Compliance

  medication adherence measurement

  90 Days

Study Arms (2)

Attending nurse model

OTHER

The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds.

Other: Nursing care model

Conventional inpatient nursing care

NO INTERVENTION

Standard of care nursing care patients receive while inpatient

Interventions

Nursing care model OTHER

Subjects will be randomized into either the attending nursing model of care vs the standard nursing model

Attending nurse model

Eligibility Criteria

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

You may qualify if:

• \> 18 years of age
• Admission to the Hospital of the University of Pennsylvania Vascular Neurology service
• Incident or recurrent:
• Ischemic stroke: focal neurological deficit of likely ischemic vascular origin
• Intracerebral hemorrhage: blood seen on initial head CT
• Transient Ischemic attack: focal neurological deficit of likely ischemic vascular origin that has clinically resolved

You may not qualify if:

• Pregnancy
• Comfort or hospice care
• Severe dementia prior to stroke
• Non-communicative and have no family/social support

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Stroke; Ischemic Attack, Transient

Interventions

Models, Nursing

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Models, Theoretical; Investigative Techniques

Results Point of Contact

• Title: Laura Stein
• Organization: University of Pennsylvania

laura.stein@pennmedicine.upenn.edu

215-662-6214

Study Officials

• Scott E Kasner, MD

  University of Pennsylvania

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 24, 2015
• First Posted: December 30, 2015
• Study Start: October 1, 2015
• Primary Completion: September 30, 2017
• Study Completion: December 1, 2023
• Last Updated: February 23, 2024
• Results First Posted: November 8, 2023

Record last verified: 2024-02

Locations

US (1)