Patient Centred Communication Intervention (PCCI)

This study is currently recruiting participants.
Verified July 2012 by University Health Network, Toronto
Sponsor:
Collaborator:
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
University Health Network, Toronto
ClinicalTrials.gov Identifier:
NCT01654029
First received: July 20, 2012
Last updated: July 27, 2012
Last verified: July 2012
  Purpose

The most frequent consequence of a stroke is a communication impairment. When patients cannot articulate their needs, frustration and agitation are frequent responses, often resulting in poor optimization of post-stroke function. Staff's lack of knowledge of communication strategies exacerbates the problem. A key component of patient-centred care is the ability of staff to communicate in such a way that allows them to understand the patient's needs. Members of our team developed the patient-centred communication intervention (PCCI) targeting registered and unregulated staff caring for complex continuing care (CCC) patients with communication impairments post stroke. The purpose of the study is to examine if the PCCI results in improved patients' quality of life and in improved staff attitudes and skills in caring for patients with communication impairments.


Condition Intervention
Aphasia
Communication Impairments Related to Stroke
Behavioral: Patient-Centred Communication Intervention

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Patient Centred Communication Intervention

Resource links provided by NLM:


Further study details as provided by University Health Network, Toronto:

Primary Outcome Measures:
  • Stroke and Aphasia Quality of Life (SAQOL) [ Time Frame: Change in SAQOL from baseline to 1 month and from baseline to 3 months ] [ Designated as safety issue: No ]
    The SAQOL is a 39-item tool designed to measure health-related quality of life in patients post-stroke with aphasia.


Secondary Outcome Measures:
  • Communication-Impairment Questionnaire (CIQ) [ Time Frame: Change in CIQ from baseline to 1 month and from baseline to 3 months ] [ Designated as safety issue: No ]
    The Communication Impairment Questionnaire is an 8-item self-report scale. It is used to measure the attitudes of nurses toward patients with communication impairments.


Estimated Enrollment: 60
Study Start Date: September 2010
Estimated Study Completion Date: September 2012
Estimated Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Control group receiving usual care
Usual care consists of speech language therapy for some patients. Most care is focused on swallowing assessments.
Experimental: PCCI Intervention
The Patient-Centred Communication Intervention consists of 1) development of a communication care plan; 2)a workshop for staff focused on communication and behavioural management strategies,: and 3) implementing a staff support system.
Behavioral: Patient-Centred Communication Intervention
The intervention consists of three parts: 1) development of individualized communication care plans; 2) staff attendance at a workshop focused on communication and behavioral management strategies; and 3) implementation of a staff support system.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Patients:

Inclusion Criteria

  • diagnosis of stroke related to cerebral infarct
  • presence of a communication impairment
  • ability to speak and understand English before the stroke
  • ability to consent

Exclusion Criteria:

  • global aphasia or severe Wernicke's aphasia

Staff:

Inclusion Criteria

  • directly involved in providing care
  • employed full or part-time
  • ability to consent
  • ability to speak and write English
  • work with patients who have communication impairments

Exclusion Criteria

  • unwilling to provide informed consent
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01654029

Locations
Canada, Ontario
Toronto Rehabilitation Institute, E.W. Bickle Centre Recruiting
Toronto, Ontario, Canada, M6K 2R7
Contact: Mary Gould, RN,BA    416-597-3422 ext 2127    Mary.Gould@uhn.ca   
Principal Investigator: Katherine S McGilton, RN, PhD         
Sponsors and Collaborators
University Health Network, Toronto
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Katherine S McGilton, RN, PhD Toronto Rehabilitation Institute-University Health Network
  More Information

No publications provided by University Health Network, Toronto

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University Health Network, Toronto
ClinicalTrials.gov Identifier: NCT01654029     History of Changes
Other Study ID Numbers: PCCI 93790
Study First Received: July 20, 2012
Last Updated: July 27, 2012
Health Authority: Canada: Canadian Institutes of Health Research

Keywords provided by University Health Network, Toronto:
Stroke
Communication impairments
Nurse-patient communication
Patient-centred care

Additional relevant MeSH terms:
Communication Disorders
Aphasia
Stroke
Speech Disorders
Language Disorders
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Mental Disorders Diagnosed in Childhood
Mental Disorders
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on April 15, 2014