Goal-setting in Stroke: From Guideline Towards Implementation: a Realist Evaluation

NCT06065397 | Unknown

• 1 other identifier: Goal setting in Stroke
• Study Type: interventional
• Target: 280
• Locations: 1 country
• Sites: 1

Brief Summary

Overall objective: The aim of the project is to integrate the quality improvement programme on goal setting into the current care of people with stroke and to test and refine this programme. Target group:

1. 1.People after a stroke (treatment in the participating centres); total number 155 people
2. 2.Informal carers (only if the person has had a stroke and has limited opportunities to participate)
3. 3.Professional carer; total number 155 people
4. 4.Health professionals: start of the study and end of the study via questionnaires. Interviews/focus group (every 3 months)
5. 5.Review of patient records and observations (every 3 weeks)
6. 6.Patient assessment: Admission and 1 week before discharge or end of study, Interviews/focus group (3 months)

Conditions

Stroke

Keywords

Implementation; Realist evaluation; Stroke; Improvement program; Goal setting

Outcome Measures

Primary Outcomes (2)

• Adoption and adherence of goal-setting programme- in acute care setting

  The medical record screens whether all points of the predetermined goal setting programme are carried out and noted in the medical record.

  Once up to 3 weeks during the hospitalisation period, through study completion, an average of 1 year

• Adoption and adherence of goal-setting programme- in rehabilitation setting

  The medical record screens whether all points of the predetermined goal setting programme are carried out and noted in the medical record.

  Every 3 weeks during the hospitalisation period, through study completion, an average of 1 year

Secondary Outcomes (10)

• Evaluation of patient/ informal caregivers: Measuring patient satisfaction with stroke care

  Baseline and immediately after the intervention/admission to the healthcare institution

• Evaluation of patient/ informal caregivers: Patient Participation

  Baseline and immediately after the intervention/admission to the healthcare institution

• Evaluation of patient/ informal caregivers, Patient empowerment:

  Baseline and immediately after the intervention/admission to the healthcare institution

• Evaluation of patient/ informal caregivers, Level of depression:

  Baseline and immediately after the intervention/admission to the healthcare institution

• Evaluation of patient/ informal caregivers, general Self-Efficacy

  Baseline and immediately after the intervention/admission to the healthcare institution

Study Arms (3)

People after a stroke event

EXPERIMENTAL

Implementation of improvement program

Procedure: Goal setting improvement program

Healthcare professionals

EXPERIMENTAL

Implementation of improvement program

Procedure: Goal setting improvement program

Close relatives of people after a stroke

EXPERIMENTAL

Implementation of improvement program

Procedure: Goal setting improvement program

Interventions

Goal setting improvement program PROCEDURE

A improvement program how to optimalize patient-centered goal setting in rehab care is being implemented.

Close relatives of people after a stroke; Healthcare professionals; People after a stroke event

Eligibility Criteria

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

You may qualify if:

• Participants are employed in hospitals, rehabilitation centres and/or private practices/primary healthcare facilities located in the provinces: Province of Flemish Brabant, Brussels, Province of Walloon Brabant, Limburg
• Participants have a social, medical profession/background, work in the management of healthcare services or quality of healthcare
• Participants involved (direct or indirect) in the goal-setting process of the patients
• Participants who master the Flemish or French language
• Adult participants (≥18 years)

You may not qualify if:

• Not giving informed consent
• Patients
• Participants after a stroke event.
• Residence in one of the four participating sites, in outpatient care or receive treatment in first line zone
• Participants who master the Flemish or French language
• Adult participants (≥18 years)
• Not giving informed consent
• Other severe comorbidities that interfere with the rehabilitation process or goal-setting process
• Informal caregivers
• Informal caregiver of a stroke patient admitted to one of the four participating sites

Sponsors & Collaborators

• Hasselt University: lead
• Federal Public Service Health, Food Chain Safety and Environment: collaborator

Study Sites (1)

UHasselt

Hasselt, Limburg, 3500, Belgium

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Annemie Spooren, prof dr

  UHasselt

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Annemie Spooren, prof dr

CONTACT

+3211269332; annemie.spooren@uhasselt.be

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof Dr

Study Record Dates

• First Submitted: February 28, 2023
• First Posted: October 3, 2023
• Study Start: January 17, 2023
• Primary Completion: September 23, 2023
• Study Completion: March 30, 2024
• Last Updated: October 3, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)