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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
Sponsor:
Information provided by (Responsible Party):
Charlotte Ytterberg, Karolinska Institutet

Brief Summary:

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
Stroke

  Show Detailed Description

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Study Type : Observational
Estimated Enrollment : 230 participants
Observational Model: Cohort
Time Perspective: Prospective
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

Group/Cohort
transitions
current transitions from the stroke unit to the home



Primary Outcome Measures :
  1. Care Transition Measure, questionnaire [ Time Frame: 3 months post-stroke ]
    Questionnaire



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
People with mild/moderate stroke, referred from stroke units to home rehabilitation and their significant others will be asked to participate before discharge from the stroke unit.
Criteria

Inclusion Criteria:

  • patients with a stroke diagnosis

Exclusion Criteria:

  • none

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): NCT02925871


Locations
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Sweden
Danderyd hospital
Stockholm, Sweden, 18288
Sponsors and Collaborators
Karolinska Institutet
Investigators
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Principal Investigator: Charlotte Ytterberg, PhD Karolinska Institutet, Department of Neurobiology, Care Sciences and Society

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Responsible Party: Charlotte Ytterberg, PhD, university lecturer, Karolinska Institutet
ClinicalTrials.gov Identifier: NCT02925871     History of Changes
Other Study ID Numbers: 2015/1923-31/2
First Posted: October 6, 2016    Key Record Dates
Last Update Posted: August 14, 2019
Last Verified: August 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description: The investigators would be happy to share the data but there are some limitations due to the Swedish legislation that may hamper the possibilities to share the data
Keywords provided by Charlotte Ytterberg, Karolinska Institutet:
stroke
rehabilitation
interdisciplinary health team
patient-centered care
care transition
Additional relevant MeSH terms:
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Stroke
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases