Telecare Consultation in Nurse-led Post-acute Stroke Clinic

NCT05081570 | Completed

• 1 other identifier: P0035531
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: The progress of stroke recovery is slow and enduring. If stroke survivors are not properly managed to facilitate their rehabilitation after discharged from hospital, their risk for recurrence after an index stroke will be very high. Globally, nurse-led post-acute stroke clinics have been developed to provide tertiary care services to support stroke survivors. While synthesized evidence supports the idea that the post-stroke services delivered by nurses in the clinic can improve the functional ability and reduce the readmission rate, shortcomings of these services such as compulsory traveling time and cost, long waiting time at the clinic, and the pandemic situation limit the clinic utilization by stroke survivors. Telecare consultation is a new modality aiming to provide a new healthcare access experience to the public, though how it can be applied in nurse-led clinic and what effects it can bring about on post-stroke survivors has not been reported.

Conditions

Stroke

Keywords

stroke; telecare consultation; nurse clinic

Outcome Measures

Primary Outcomes (1)

• Degree of disability after stroke

  Simplified modified Rankin scale will be used to measure the degree of disability for stroke patients.

  baseline, three months when the program is completed

Secondary Outcomes (5)

• Quality of life

  baseline, three months when the program is completed

• Post-stroke depression

  baseline, three months when the program is completed

• Medication adherence

  baseline, three months when the program is completed

• Social participation

  baseline, three months when the program is completed

• Number of attendances at a general practitioner's office, emergency department, hospital, and general out-patient clinic

  baseline, three months when the program is completed

Other Outcomes (3)

• Number of patients who are eligible, excluded, recruited, and completed.

  three months when the program is completed

• IT literacy

  baseline, three months when the program is completed

• the success of the adoption of telecare consultation

  three months when the program is completed

Study Arms (1)

Intervention group

EXPERIMENTAL

The participants will receive two tertiary stroke care consultations provided by stroke nurses via telecare in 2 months.

Device: telecare consultation

Interventions

telecare consultation DEVICE

Two tertiary stroke care consultations will be provided by stroke nurses via telecare in 2 months. Consultation content includes provide education on modifying stroke-specific risk factors, disseminate self-management knowledge, reinforce the importance of medication compliance, revise the blood and investigation results, and co-design and follow-up on mutually agreed rehabilitation goals with the subjects. When necessary, the nurse will also refer the stroke survivors to multidisciplinary team members according to the referral guidelines. The nurse will also encourage the patients' family and/or informal caregivers to participate in the consultations.

Intervention group

Eligibility Criteria

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

You may qualify if:

• confirmed diagnosis of stroke within 1 month before enrolment
• will be discharged home within a week
• aged 18 or above
• cognitively competent with a score equal to or greater than 22 in the Montreal Cognitive Assessment Hong Kong version
• own a smartphone

You may not qualify if:

• have unaccompanied hearing or vision loss
• cannot be reached by phone
• bedbound
• no Internet connection at home
• participating in other clinical trials at the same time
• require physical contact, i.e. wound dressing

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead
• The Queen Elizabeth Hospital: collaborator

Study Sites (1)

Queen Elizabeth Hospital

Kowloon, Hong Kong

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

• Arkers Wong, Ph.D.

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: No masking is needed
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: October 6, 2021
• First Posted: October 18, 2021
• Study Start: October 30, 2021
• Primary Completion: July 30, 2023
• Study Completion: July 30, 2023
• Last Updated: September 22, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)