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Recruiting NCT05183672

Improving Post-acute Stroke Follow-up Care by Adopting Telecare Consultations in a Nurse-led Clinic

No phase Interventional Stroke

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Telecare consultation, Usual face-to-face consultation.
Who it may be relevant to
Registry conditions: Stroke. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Hong Kong
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Improving Post-acute Stroke Follow-up Care by Adopting Telecare Consultations in a Nurse-led Clinic During COVID-19 and Beyond: A Hybrid Type 2 Implementation-effectiveness Randomized Trial

Overview

Since 2017, Hong Kong has provided post-acute stroke services in clinics operated by stroke advanced practice nurses (APNs). Currently, the applicability of the clinics has been further limited by the emergence of the coronavirus (COVID-19) pandemic due to restrictions on visits to the clinics and tightened social distancing requirements. Telecare consultations may be a viable option for contributing more flexible, interactive, and cost-efficient care models to support stroke survivors over the longer run. The present study takes advantage of this opportunity by utilizing implementation science to simultaneously implement and evaluate a telecare model of care in a nurse-led post-acute stroke clinic.

Interventions

  • Procedure Telecare consultation
    Using Zoom to communicate with patients
  • Procedure Usual face-to-face consultation
    Face-to-face communication with patients

Primary outcome measures

  • Chang in Degree of disability after stroke [Time frame: baseline, three months when the program is completed, three months after the program is completed.]
Secondary outcome measures (6)
  • Incidence of the recurrence of stroke [Time frame: baseline, three months when the program is completed, three months after the program is completed.]
  • Change of Quality of life, which measures an individual perception oftheir position in life. It includes physical and mental health. [Time frame: baseline, three months when the program is completed, three months after the program is completed.]
  • Change of Post-stroke depression [Time frame: baseline, three months when the program is completed, three months after the program is completed.]
  • Change of Medication adherence [Time frame: baseline, three months when the program is completed, three months after the program is completed.]
  • Change of Social participation [Time frame: baseline, three months when the program is completed, three months after the program is completed.]
  • Number of attendances at a general practitioners' office, emergency department, hospital, and general out-patient clinic [Time frame: baseline, three months when the program is completed, three months after the program is completed.]

Eligibility criteria

Inclusion criteria

  • confirmed diagnosis of stroke within 1 month before enrolment, will be discharged home within a week, aged 18 or above, cognitively competent with a score equal to or greater than 22 in the Montreal Cognitive Assessment Hong Kong version, own a smartphone

Exclusion criteria

  • have unaccompanied hearing or vision loss, cannot be reached by phone, bedbound, have no Internet connection at home, participating in other clinical trials at the same time, require physical contact, i.e. wound dressing

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Health services research

Study locations

Hong Kong · 1 center
  • Queen Elizabeth Hospital — Kowloon

Publications

  • Wong AKC, Kwok VWY, Wong FKY, Tong DWK, Yuen BMK, Fong CS, Chan ST, Li WC, Zhou S, Lee AYL. Improving post-acute stroke follow-up care by adopting telecare consultations in a nurse-led clinic: Study protocol of a hybrid implementation-effectiveness trial. J Adv Nurs. 2024 Mar;80(3):1222-1231. doi: 10.1111/jan.15960. Epub 2023 Nov 10. PMID 37950400

Identifiers

NCT: NCT05183672 · A0036516

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗