Developing a Patient Oriented Discharge Summary for Stroke Inpatients

NCT03177954 | Completed

• 1 other identifier: 180-2017
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

There is a need to improve the discharge process for patients with stroke, which has been reported to be a particularly stressful time for patients. A Patient Oriented Discharge Summary (PODS) meeting has been shown to be an effective approach for minimizing discharge-related stress and fostering self-management skills in other patients being discharged from rehabilitation into the community. The purpose of this study is to develop and evaluate whether a PODS meeting can minimize stress around the discharge process and improve patient satisfaction with this process. There are two main hypotheses regarding the PODS program: 1) it will help in-patients with stroke understand key issues related to knowledge required once discharged and 2) it will increase levels of self-efficacy in in-patients with stroke. Potential subjects are encouraged to participate if they are a Sunnybrook - St. John's Rehab admitted in-patient with a stroke diagnosis who are 18 years or older and meet the following criteria: (a) fluent in English; (b) cognitively intact; and (c) have minimal or no aphasia.The participant will be asked to answer some surveys 8-10 days prior to discharge about their knowledge and confidence in managing their stroke. The participant will then be asked to meet with a clinical staff member who will hold a one-hour PODS meeting. In the meeting, a discharge plan will be created and given to the patient that covers a number of topics that will be useful following their return to the community. One day following the PODS meeting, the participant will be asked to answer the same survey they completed prior to the PODS and again 3-5 days following discharge. If the participant is interested they will be asked to undergo a brief interview to get their feedback on the PODS Program. It is anticipated that about 20 people will participate in the program with all 20 patients completing the surveys with 6 being asked to complete the brief interview. To the best of the investigators knowledge, there is little risk associated with this study. Participants may become uncomfortable during the interview while discussing their experiences. By participating in this study, patients will be provided with a chance to gather information and learn problem solving and self-management skills prior to discharge. It is the hope of this project that it can lead to a more effective approach in supporting the transition from the hospital to the community for patients with stroke

Conditions

Stroke

Outcome Measures

Primary Outcomes (1)

• Change in Patient Satisfaction Survey

  This quantitative scale asks patients to rate their knowledge and confidence on a Likert-scale to manage their health post-discharge.

  A) PRE-PODS (baseline); B) POST-PODS (3 days day after baseline) and 3-5 DAYS POST-DISCHARGE (2 weeks after baseline).

Secondary Outcomes (2)

• Change in Southampton Stroke Self-Management Questionnaire (SSSMQ)

  A) PRE-PODS (baseline); B) POST-PODS (3 days day after baseline) and 3-5 DAYS POST-DISCHARGE (2 weeks after baseline).A) PRE-PODS (baseline); B) POST-PODS (1 week and 1 day after baseline) and 3-5 DAYS POST-DISCHARGE (2 weeks and 5 days after baseline).

• One-time Patient Feedback Interview

  This interview will be completed POST-DISCHARGE (2 weeks post baseline)

Study Arms (1)

Patient Oriented Discharge Summary

EXPERIMENTAL

A one hour patient oriented discharge summary meeting will take place with participants.

Behavioral: Patient Oriented Discharge Summary

Interventions

Patient Oriented Discharge Summary BEHAVIORAL

Participants will undergo a Patient Oriented Discharge Summary (PODS). The PODS is a personalized summary of the discharge plan presented in an easy to understand worksheet that covers (1) medication instructions; (2) follow-up appointments with phone numbers; (3) normal expected symptoms, warning signs, and what to do if they experience a problem; (4) lifestyle changes and when to resume activities; and (5) information and resources to have handy. The meeting will take place one week prior to discharge.

Patient Oriented Discharge Summary

Eligibility Criteria

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

You may qualify if:

• Have a stroke diagnosis.
• Must be minimally aphasic.
• Physically and cognitively be able to participate in a one-hour PODS session and are capable of undergoing the PODS meeting, as well as the study assessments in person and by phone (surveys, telephone interview).

You may not qualify if:

• Participants who are unable to communicate fluently in English

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre: lead

Study Sites (1)

St. John's Rehabilitation

North York, Ontario, M2M 2G1, Canada

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

• Sander L Hitzig, PhD

  Sunnybrook Health Sciences Centre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2017
• First Posted: June 6, 2017
• Study Start: September 10, 2018
• Primary Completion: June 30, 2020
• Study Completion: June 30, 2020
• Last Updated: October 7, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)