Patient Centred Communication Intervention (PCCI)
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.
|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|
- 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.
- 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.
|Study Start Date:||September 2010|
|Study Completion Date:||April 2014|
|Primary Completion Date:||April 2014 (Final data collection date for primary outcome measure)|
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01654029
|Toronto Rehabilitation Institute, E.W. Bickle Centre|
|Toronto, Ontario, Canada, M6K 2R7|
|Principal Investigator:||Katherine S McGilton, RN, PhD||Toronto Rehabilitation Institute-University Health Network|