The Missing Link- Development and Evaluation of Person-centred Transitions From the Stroke Unit to the Home (MissingLink)
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|ClinicalTrials.gov Identifier: NCT02925871|
Recruitment Status : Active, not recruiting
First Posted : October 6, 2016
Last Update Posted : August 14, 2019
There is strong evidence that early supported discharge and continued rehabilitation at home (ESD) delivered by an interdisciplinary team reduces deaths or dependency in activities in daily living after stroke. Despite recommendations in national guidelines ESD is only implemented in few places in Sweden. There are interdisciplinary teams that supply rehabilitation in the home but the coordinated transition is lacking. Such rehabilitation is not evidence based. The key components of a coordinated transition to achieve the benefits of ESD are not known. The aim is to design, implement and evaluate new person-centred transitions between stroke units and the home to achieve full ESD. The development of person-centred transition will be performed together by people with stroke, significant others, stroke unit staff and interdisciplinary teams.
Phase 1, a prospective observational study of current transitions from stroke units to rehabilitation in the home without coordination. The aim is to identify factors that are facilitators or barriers to transitions, patient and caregiver outcomes, use of health care during the first year after stroke. In phase 2, a co-design process of new person-centred transitions will be carried out by people with stroke, significant others, stroke unit staff and interdisciplinary home rehabilitation teams. In phase 3 new person-centred transitions will be implemented to form a full ESD service and evaluated in a cluster randomised controlled trial.
|Condition or disease|
Show Detailed Description
|Study Type :||Observational|
|Estimated Enrollment :||230 participants|
|Official Title:||The Missing Link- Development and Evaluation of Person-centred Transitions From the Stroke Unit to the Home - a Co-design Project|
|Study Start Date :||April 2016|
|Estimated Primary Completion Date :||December 2019|
|Estimated Study Completion Date :||December 2020|
current transitions from the stroke unit to the home
- Care Transition Measure, questionnaire [ Time Frame: 3 months post-stroke ]Questionnaire
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): NCT02925871
|Stockholm, Sweden, 18288|
|Principal Investigator:||Charlotte Ytterberg, PhD||Karolinska Institutet, Department of Neurobiology, Care Sciences and Society|