Evaluating the Effect of Nurse-Led Stroke Transitional Care in Tanzania
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: Nurse-led stroke transitional care program.
- Who it may be relevant to
- Registry conditions: Stroke Acute, Stroke (CVA) or Transient Ischemic Attack. 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
- Tanzania
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Evaluating the Clinical Effectiveness and Implementation Outcomes of Nurse-Led Stroke Transitional Care Model in Tanzania
Overview
The goal of this observational study is to assess the effects of nurse-led stroke transitional care in stroke survivors, caregivers and healthcare providers who participate in nurse-led stroke transitional care program to improve discharge preparedness, disease self-management and quality of life among stroke survivors. The main question it aims to answer is: does nurse-led stroke transitional care program improve discharge preparedness, disease self-management and quality of life among stroke survivors? Participants are currently participating in nurse-led stroke transitional care program as part of their medical care. Stroke survivors and their caregivers will be followed for six months period to assess their transitional care quality and clinical outcome measures.
Interventions
- Behavioral Nurse-led stroke transitional care program
Participants in intervention group will receive usual care plus nurse-led stroke transitional care. Two nurse champions will conduct the face-to-face sessions while other two nurse researchers will conduct the telephone call sessions between August and December, 2025. During hospitalization, the two nurse champions will conduct five face-to-face sessions (2 individual sessions at admission; and at discharge), and three group sessions with 2-4 dyads of patients and caregivers. After hospitalizati
Primary outcome measures
- Self-efficacy among stroke survivors [Time frame: 6 months after discharge]
- Quality of life among stroke survivors [Time frame: 6 months after discharge]
- Discharge preparedness among survivors [Time frame: within 1 month after discharge]
- Discharge preparedness among health care providers [Time frame: within 1 month after discharge]
- Resilience among caregivers [Time frame: 6 months after discharge]
- Quality of transition care among survivors and caregivers [Time frame: within 1 month after discharge]
- Caregiver self-efficacy [Time frame: 6 months after discharge]
Secondary outcome measures (5)
- Depression and anxiety among survivors and caregivers [Time frame: 6 months after discharge]
- Care satisfaction among survivors and caregivers [Time frame: within 1 month after discharge]
- Mortality among survivors [Time frame: 6 months after discharge]
- readmission among survivors [Time frame: 6 months after discharge]
- length of hospital stay among survivors [Time frame: Day 1 after discharge]
Eligibility criteria
Inclusion criteria
- Clinical nurses and physicians with six months of working experience in stroke care
- Clinical nurses and physicians with a minimum of diploma in their professions.
- Stroke survivors with 18 years old and above
- Stroke survivors admitted in the stroke units
- Stroke survivors with primary diagnosis of stroke confirmed by brain CT/MRI
- Stroke survivors who undergo usual discharge process
- Stroke survivors who live with their family caregivers
- Stroke survivors who have mobile phones
- Stroke survivors who can read and write
- Stroke survivors who are able to communicate
- Stroke survivors with National Institutes of Health Stroke Scale (NIHSS) < 6
- Stroke survivors with Modified Barthel Index (MBI) > 9
- Stroke survivors with Modified Rankin Scale (mRS) < 5
- Stroke survivors with Montreal Cognitive Assessment Test (MoCA) > 14
- Stroke survivors who are expected to stay in the ward for 3-5 days,
- Stroke survivors who are expected to survive for 3 months
- Family caregivers with mobile phones
- Family caregivers who can read and write
- Family caregivers who are able to communicate
- Family caregivers who live with the patient after stroke
Exclusion criteria
- Healthcare providers who will be on leave during the study period.
- Stroke survivors with previous stroke who are not admitted in stroke units
- Stroke survivors who are discharged against medical advice
- Stroke survivors who have end-stage organ failure
- Stroke survivors who have family caregivers
- Stroke survivors who can't read/write
- Stroke survivors who have no mobile phones.
- Family caregivers without mobile phone that is accessible
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Tanzania · 1 center
- Muhimbili University of Health and Allied Sciences — Dar es Salaam
Identifiers
NCT: NCT07319312 · Shandong@2025 · 72274110