Evaluation of the Impact of an Individual Peer Support Intervention for Stroke Patients When Returning Home: a Mixed Methods Pilot Study

Обзор

Going back home following a stroke is a key step for the patient and his or her relatives. Due to the brutality of stroke and increasingly shorter in-hospital lengths of stay, patients and their families must adapt quickly to the patient's new health functioning and the new caregiving and support role for family members. Peer support could be an innovative and inexpensive approach to addressing these issues. Peer-helpers are patient-partners who put their experiential knowledge from life with the disease at the disposal of other patients to offer them social and emotional support in the management of the disease in connection with care, social and community structures. Group peer support programs face organizational challenges and fail to address the full range of patient needs for stroke home visits. Individualized and more flexible support could better meet the needs of patients. Our hypothesis is that individual peer support improves quality of life and patient empowerment during the discharge period compared to usual practice.

Вмешательства

• Другое Peer support
  The intervention studied is the psycho-social support by a peer-helper to the patients and their main informal caregiver during the return home following a stay in rehabilitation center for a stroke. Peer support intervention will be based on evidence, Bandura's social learning and social support theory, and the results of our ongoing study of the needs of patients and their caregivers as a result of returning home (Stroke69). It will include a meeting before the discharge and a regular follow-

Первичные конечные точки

• Feasibility measure [Срок оценки: 6 months]

Вторичные конечные точки (12)

• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Quality of life between the discharge from hospital and 6 months [Срок оценки: 6 months]
• Anxiety and depression scores between discharge and 6 months [Срок оценки: 6 months]
• Patient activation Measure [Срок оценки: 6 months]
• Disability [Срок оценки: 6 months]
• Adherence [Срок оценки: 6 months]
• Human, material and financial assistance provided at home [Срок оценки: 6 months]

Критерии участия

Критерии включения

• Adult patient,
• Having had a first confirmed, ischemic or hemorrhagic stroke
• Managed in the participating rehabilitation center
• Whose discharge to home directly from the rehabilitation center is planned
• Presenting a modified Rankin score of 1 to 3 when deciding to leave the stroke center
• Having given its written consent
• Whose main residence is located in the Rhône department
• Aphasic patients may be included if a caregiver can follow up with the case manager

Критерии исключения

• Patient living in an institution prior to stroke
• included in a gerontological network before stroke
• Patient unable to understand quality of life questionnaires
• Patient with unstable medical or psychological conditions who, in the opinion of the investigator, could lead the subject to be non-compliant or uncooperative during the study or could compromise patient safety or participation in the study
• Patient under guardianship or curatorship
• Patient not affiliated to a social health insurance

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

Франция · 1 центр

• Hôpital Henry Gabrielle — Saint-Genis-Laval

Идентификаторы

NCT: NCT04197258 · 69HCL19_0233

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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