Feasibility of the Post-Stroke Depression-toolkit

NCT03500250 | Completed

• 1 other identifier: PSD-toolkit
• Study Type: observational
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

Rationale: Depression is a frequent complication after a stroke. In stroke guidelines several recommendations focus on early screening, and treatment off depression after stroke. Introducing clinical practice guidelines into routine daily practice however, is a difficult process. In order to make the recommendations applicable to clinical practice a toolkit was developed (the Post Stroke Depression-toolkit), which provides assessment tools for the early detection of depression after stroke, and a set of interventions in case of a positive screening for (risk on) depressive symptoms. Objective: to investigate the feasibility of the Post Stroke Depression-toolkit in daily practice. Study design: An explanatory mixed-methods, before-and-after study design. Study population: Nurses working on the neurological wards of one university hospital and two general hospitals in the Netherlands were included in the study. Additionally, data were obtained from patient charts.

Conditions

Depression; Stroke

Keywords

Complex intervention; Depression; Nursing; Stroke; Feasibility

Outcome Measures

Primary Outcomes (2)

• Fidelity

  the extent to which the components of the PSD toolkit are delivered as intended

  12 months

• Acceptability

  whether the PSD toolkit is judged suitable and satisfactory by the nurses

  T=0; T=1 (after 6 months); T=2 (after 12 months)

Study Arms (1)

Nurses

Nurses working on the neurological wards of three hospitals (one university hospital and two general hospitals)

Other: Post-Stroke Depression toolkit

Interventions

Post-Stroke Depression toolkit OTHER

The Post-Stroke Depression toolkit consists of three components: (1) two screening instruments, (2) seven evidence-based nursing interventions, and (3) an instruction manual.

Nurses

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All nurses working on the neurological wards and stroke units of the participating hospitals, one university hospital and two general hospitals.

You may qualify if:

• Registered Nurses with or without Bachelor degree in Nursing (BN); Nursing students.

You may not qualify if:

• none

Sponsors & Collaborators

• University of Applied Sciences Utrecht: lead
• UMC Utrecht: collaborator

Related Publications (19)

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  BACKGROUND

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  PMID: 27708464 BACKGROUND

• Kutlubaev MA, Hackett ML. Part II: predictors of depression after stroke and impact of depression on stroke outcome: an updated systematic review of observational studies. Int J Stroke. 2014 Dec;9(8):1026-36. doi: 10.1111/ijs.12356. Epub 2014 Aug 26.

  PMID: 25156411 BACKGROUND

• Robinson RG, Jorge RE. Post-Stroke Depression: A Review. Am J Psychiatry. 2016 Mar 1;173(3):221-31. doi: 10.1176/appi.ajp.2015.15030363. Epub 2015 Dec 18.

  PMID: 26684921 BACKGROUND

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  PMID: 18048484 BACKGROUND

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  PMID: 15859533 BACKGROUND

• Hafsteinsdottir TB, Varekamp R, Rensink M, van Linge R, Lindeman E, Schuurmans M; Rehabilitation Guideline Stroke Working Group. Feasibility of a nursing rehabilitation guideline for patients with stroke: evaluating the use by nurses. Disabil Rehabil. 2013 Jun;35(11):939-49. doi: 10.3109/09638288.2012.721049. Epub 2012 Oct 5.

  PMID: 23035834 BACKGROUND

• Hafsteinsdóttir TB, Schuurmans MM. Clinical Nursing Rehabilitation Stroke-Guideline [in Dutch: Verpleegkundige Revalidatierichtlijn Beroerte. Maarsen: Elsevier Gezondheidszorg; 2009. Available from: http://www.elseviergezondheidszorg.nl

  BACKGROUND

• Van Dijk MJ, Hafsteinsdottir TB, Schuurmans MJ, de Man-van Ginkel JM. Feasibility of a nurse-led intervention for the early management of depression after stroke in hospital. J Adv Nurs. 2018 Dec;74(12):2882-2893. doi: 10.1111/jan.13806. Epub 2018 Aug 29.

  PMID: 30019422 DERIVED

MeSH Terms

Conditions

Depression; Stroke

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: April 9, 2018
• First Posted: April 18, 2018
• Study Start: April 1, 2012
• Primary Completion: June 30, 2013
• Study Completion: June 30, 2013
• Last Updated: April 18, 2018

Record last verified: 2018-04