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Patient Centred Communication Intervention (PCCI)

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ClinicalTrials.gov Identifier: NCT01654029
Recruitment Status : Completed
First Posted : July 31, 2012
Last Update Posted : April 24, 2014
Sponsor:
Collaborator:
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
University Health Network, Toronto

Brief Summary:
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 or disease Intervention/treatment
Aphasia Stroke Behavioral: Patient-Centred Communication Intervention

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 120 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Patient Centred Communication Intervention
Study Start Date : September 2010
Primary Completion Date : April 2014
Study Completion Date : April 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Aphasia
U.S. FDA Resources

Arm Intervention/treatment
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.



Primary Outcome Measures :
  1. Stroke and Aphasia Quality of Life (SAQOL) [ Time Frame: Change in SAQOL from baseline to 1 month and from baseline to 3 months ]
    The SAQOL is a 39-item tool designed to measure health-related quality of life in patients post-stroke with aphasia.


Secondary Outcome Measures :
  1. Communication-Impairment Questionnaire (CIQ) [ Time Frame: Change in CIQ from baseline to 1 month and from baseline to 3 months ]
    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.



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01654029


Locations
Canada, Ontario
Toronto Rehabilitation Institute, E.W. Bickle Centre
Toronto, Ontario, Canada, M6K 2R7
Sponsors and Collaborators
University Health Network, Toronto
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Katherine S McGilton, RN, PhD University Health Network, Toronto

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
First Posted: July 31, 2012    Key Record Dates
Last Update Posted: April 24, 2014
Last Verified: April 2014

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

Additional relevant MeSH terms:
Aphasia
Speech Disorders
Language Disorders
Communication Disorders
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms