Factors and Preferences in Patient Selection of Rehabilitation Care Following Acute Stroke: A Predictive Correlational Study.

NCT07089095 | Recruiting

• 1 other identifier: 202302129RIND
• Study Type: observational
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Background and Purpose Patients with stroke have to receive the rehabilitation care after medical condition has stabilized. In recent years, the long-term care policy offers more options available for rehabilitation care after stroke. However, the selection of care is mainly based on physcicians' advice. This study explores the factors and preferences in patient selection of rehabilitation care following acute stroke, in order to help clinical health professionals incorporate patients' preferences in patient-centred care to properly arrange the stroke rehabilitation care. Methods This is a cross-sectional and predictive study. Purposive sampling of patients surviving acute stroke is taken in the general ward of a medical center in northern Taiwan. Data are collected with patients' characteristics, National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI), Modified Rankin Scale (mRS), and factors and preferences in patient selection of rehabilitation care questionnaire. Data are analyzed using IBM SPSS 26.0 for windows. Demographic and clinical characteristics, family support systems and health care systems are compared between patients' preference in the selections of rehabilitation care. Variables with p \< .05 are included as potential predictor variables in the subsequent logistic regression analysis. The level of statistical significance is set at α=0.05. Expected results Demographic and clinical characteristics, family support systems and health care systems are expected as potential predictors of patients' preference in the selection of rehabilitation care.

Conditions

Acute Stroke

Keywords

patient preferences

Outcome Measures

Primary Outcomes (1)

• Patient preferences questionnaire

  Patient preferences include：post-acute care, inpatient rehabilitation, outpatientrehabilitation, reablement at home.

  2025/1/31

Secondary Outcomes (6)

• Patients' characteristics

  2025/1/31

• Stroke severity

  2025/1/31

• Activities of Daily Living

  2025/1/31

• Level of post-stroke functional independence

  2025/1/31

• Factors and preferences in patient selection of rehabilitation

  2025/1/31

Study Arms (2)

acute stroke patient

If acute stroke patient test on the Short Portable Mental State Questionnaire, assessment results are cognitively complete (0-2 questions wrong) or mild (3-4 questions wrong) cognitive impairment, and the patients participate in the study with informed consent.

Other: questionnaire

acute stroke family

Family members of those with acute stroke patients are moderate (5-7 wrong answers) or severe (8-10 wrong answers) cognitive impairments assessed by the Short Portable Mental State Questionnaire (SPMSQ) participated in the study with informed consent.

Other: questionnaire

Interventions

questionnaire OTHER

This is a Relation Research. Use the patient decision aids for acute stroke rehabilitation, then data are collected with patients' characteristics, National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI), Modified Rankin Scale (mRS), and factors and preferences in the patient selection of rehabilitation care questionnaire.

acute stroke family; acute stroke patient

Eligibility Criteria

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

Study Population

Patients with stroke (International Classification of Disease, ICD 10th edition I60-I68, G45-G46)

You may qualify if:

• Age≧18 years old.
• Patients with stroke (International Classification of Disease, ICD 10th edition I60-I68, G45-G46) diagnosed by physicians within 2 weeks after the onset of stroke, including the first and second strokes.

You may not qualify if:

• Those with a score of 5 on the Modified Rankin Scale (mRS).
• Those who have been accepted as research subjects have been admitted to hospital again for stroke.
• People living in rehabilitation wards.
• Those with unstable vital signs.
• Those receiving palliative care or care.
• Patients or family members who cannot communicate in Chinese or Taiwanese.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taiwan

RECRUITING

MeSH Terms

Conditions

Stroke; Patient Preference

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Patient Satisfaction; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Central Study Contacts

Li Ying-Ru, University

CONTACT

02-23123456; tracy109488@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 4, 2023
• First Posted: July 28, 2025
• Study Start: May 11, 2023
• Primary Completion: July 25, 2025
• Study Completion: July 25, 2025
• Last Updated: July 28, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)