Patient Centred Communication Intervention (PCCI)

This study has been completed.
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: April 23, 2014
Last verified: April 2014

July 20, 2012
April 23, 2014
September 2010
April 2014   (final data collection date for primary outcome measure)
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.
Same as current
Complete list of historical versions of study NCT01654029 on ClinicalTrials.gov Archive Site
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.
Same as current
Not Provided
Not Provided
 
Patient Centred Communication Intervention
Patient Centred Communication Intervention

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.

Not Provided
Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Aphasia
  • Stroke
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.
  • 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.
    Intervention: Behavioral: Patient-Centred Communication Intervention
McGilton KS, Sorin-Peters R, Sidani S, Boscart V, Fox M, Rochon E. Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care. BMC Geriatr. 2012 Oct 11;12:61. doi: 10.1186/1471-2318-12-61.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
120
April 2014
April 2014   (final data collection date for primary outcome measure)

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
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT01654029
PCCI 93790
No
University Health Network, Toronto
University Health Network, Toronto
Canadian Institutes of Health Research (CIHR)
Principal Investigator: Katherine S McGilton, RN, PhD Toronto Rehabilitation Institute-University Health Network
University Health Network, Toronto
April 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP