Patient Engagement Program for Stroke - Pilot Study (PEPS)
Recruitment status was Not yet recruiting
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Purpose
Currently there is a lot of literatures on stroke rehabilitation and post-discharge therapy. However, there are few evidence based guidelines on patient engagement after stroke in the post-rehabilitation community phase. There is evidence from stroke studies that stroke patients with mild to moderate disability, discharged early from an acute hospital unit can be rehabilitated in the community by an interdisciplinary stroke rehabilitation team and attain similar functional outcomes when compared to patients receiving in-patient rehabilitation. There is strong evidence that additional hospital based outpatient therapy improves short term functional outcomes compared to routine care over short term. Although meta-analyses have examined the efficacy of self management education programs, the interpretation of such reviews is limited by heterogeneity in populations and interventions and the limited range of outcomes measured. Few randomized controlled trials have found a reduction in health service utilization, such as incidences of hospitalization (in patients with chronic lung disease, heart disease, stroke and arthritis) as a direct outcome of attending an education program. For self-management support to be effective and sustainable in the community, it is postulated that initiatives simultaneously focus on supporting patients to engage in self management and equipping health care professionals with the necessary resources to assist them.
| Condition | Intervention |
|---|---|
|
Stroke Rehabilitation |
Other: Patient Engagement Programme |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Supportive Care |
| Official Title: | Patient Engagement Program for Stroke - Pilot Study |
- Unplanned Medical readmissions [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Length of hospital stay [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Emergency Department attendance rate [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Carer and Patient Satisfactory Survey [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Carer Strain Index [ Time Frame: 3months ] [ Designated as safety issue: No ]
- Medical complications [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Functional Independence Measure [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Barthel Index [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Modified Rivermead Mobility Index [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Modified Ashworth Score [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Geriatric Geriatric Depression Scale [ Time Frame: 3 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | May 2010 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Control
usual care
|
|
|
Experimental: multidisciplinary intervention
Patient engagement Programme
|
Other: Patient Engagement Programme
Patient's Diary, Ad Hoc medical support and Ad Hoc Clinical admission, Early post discharge Home visit
|
Detailed Description:
This is a randomized controlled pilot study of a post discharge community based patient engagement program for stroke patients discharged with a new carer after a period of in-hospital rehabilitation. Potential cases are identified within 2 weeks after admission into rehabilitation wards and randomized into either intervention group or usual care (control) group. Patients undergo the usual pre-discharge planning while in ward with predischarge assessment carried out by an independent (blinded) assessor. The control group are referred to receive the usual post-discharge community and rehabilitation backup. The intervention group has access to a special telephone hotline, home visits by team member within 1 week after discharge, patient diary to record home monitoring and back up of a specialist lead patient engagement clinic located in Kowloon Hospital. After 12 weeks, another home visit will be arranged for a repeat assessment by an independent (blinded) assessor. The outcomes to be measured include service parameters such as unplanned medical readmissions, AED attendances, length of stay at acute and rehabilitation units. Patient related parameters such as mortality, institutionalization, functional outcomes, mood, quality of life and complications will be measured as well as a carer strain and satisfaction survey.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- A stroke patient being discharged from a rehabilitation unit planned to be discharged to community with new carer
Exclusion Criteria:
- plan to enter institution within 3 months of discharge
Contacts and Locations| China | |
| Department of Rehabilitation, Kowloon Hospital | Not yet recruiting |
| Hong Kong, China | |
| Contact: Mandy PM Fung, FHKCP 31297111 ext 7830 fungpm1@ha.org.hk | |
| Principal Investigator: | Mandy PM Fung, FHKCP | Department of Rehabilitaiton, Kowloon Hospital |
More Information
No publications provided
| Responsible Party: | Dr. Fung Pui Man, Senior Medical Officer, Department of Rehabilitation, Kowloon Hospital |
| ClinicalTrials.gov Identifier: | NCT01112488 History of Changes |
| Other Study ID Numbers: | PEPS |
| Study First Received: | April 22, 2010 |
| Last Updated: | April 27, 2010 |
| Health Authority: | HongKong, China: Research Ethics Committee (Kowloon Central / Kowloon East) |
Keywords provided by Kowloon Hospital, Hong Kong:
|
stroke patient engagement programme community rehabilitation new carer |
Additional relevant MeSH terms:
|
Stroke Cerebral Infarction Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Vascular Diseases Cardiovascular Diseases Brain Infarction Brain Ischemia |
ClinicalTrials.gov processed this record on May 21, 2013