Improving Post-acute Stroke Follow-up Care by Adopting Telecare Consultations in a Nurse-led Clinic

NCT05183672 | Recruiting

• 1 other identifier: A0036516
• Study Type: interventional
• Target: 196
• Locations: 1 country
• Sites: 1

Brief Summary

Since 2017, Hong Kong has provided post-acute stroke services in clinics operated by stroke advanced practice nurses (APNs). Currently, the applicability of the clinics has been further limited by the emergence of the coronavirus (COVID-19) pandemic due to restrictions on visits to the clinics and tightened social distancing requirements. Telecare consultations may be a viable option for contributing more flexible, interactive, and cost-efficient care models to support stroke survivors over the longer run. The present study takes advantage of this opportunity by utilizing implementation science to simultaneously implement and evaluate a telecare model of care in a nurse-led post-acute stroke clinic.

Conditions

Stroke

Keywords

stroke; telecare consultation

Outcome Measures

Primary Outcomes (1)

• Chang in Degree of disability after stroke

  Simplified modified Rankin scale will be used to measure the degree of disability for stroke patients. The scale has three questions to identify whether the patient has a score from 0 to 5, with higher scores representing higher degree of disability.

  baseline, three months when the program is completed, three months after the program is completed.

Secondary Outcomes (6)

• Incidence of the recurrence of stroke

  baseline, three months when the program is completed, three months after the program is completed.

• Change of Quality of life, which measures an individual perception oftheir position in life. It includes physical and mental health.

  baseline, three months when the program is completed, three months after the program is completed.

• Change of Post-stroke depression

  baseline, three months when the program is completed, three months after the program is completed.

• Change of Medication adherence

  baseline, three months when the program is completed, three months after the program is completed.

• Change of Social participation

  baseline, three months when the program is completed, three months after the program is completed.

Other Outcomes (1)

• Cost effectiveness of the program

  baseline, three months when the program is completed, three months after the program is completed.

Study Arms (2)

Intervention group

EXPERIMENTAL

Participants will receive three tertiary stroke care consultations provided by stroke nurses via telecare in 3 months.

Procedure: Telecare consultation

Control group

PLACEBO COMPARATOR

Participants will receive three usual face-to-face consultations provided by stroke nurses in 3 months

Procedure: Usual face-to-face consultation

Interventions

Telecare consultation PROCEDURE

Using Zoom to communicate with patients

Intervention group

Usual face-to-face consultation PROCEDURE

Face-to-face communication with patients

Control 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, have 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

RECRUITING

Related Publications (1)

• Wong AKC, Kwok VWY, Wong FKY, Tong DWK, Yuen BMK, Fong CS, Chan ST, Li WC, Zhou S, Lee AYL. Improving post-acute stroke follow-up care by adopting telecare consultations in a nurse-led clinic: Study protocol of a hybrid implementation-effectiveness trial. J Adv Nurs. 2024 Mar;80(3):1222-1231. doi: 10.1111/jan.15960. Epub 2023 Nov 10.

  PMID: 37950400 DERIVED

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

Central Study Contacts

Arkers Wong, Ph.D.

CONTACT

85234003805; arkers.wong@polyu.edu.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: December 7, 2021
• First Posted: January 10, 2022
• Study Start: December 1, 2022
• Primary Completion: October 30, 2025
• Study Completion: December 30, 2025
• Last Updated: September 10, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)