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

Официальное название

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

Обзор

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.

Вмешательства

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

Первичные конечные точки

• Chang in Degree of disability after stroke [Срок оценки: baseline, three months when the program is completed, three months after the program is completed.]

Вторичные конечные точки (6)

• Incidence of the recurrence of stroke [Срок оценки: 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. [Срок оценки: baseline, three months when the program is completed, three months after the program is completed.]
• Change of Post-stroke depression [Срок оценки: baseline, three months when the program is completed, three months after the program is completed.]
• Change of Medication adherence [Срок оценки: baseline, three months when the program is completed, three months after the program is completed.]
• Change of Social participation [Срок оценки: 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 [Срок оценки: baseline, three months when the program is completed, three months after the program is completed.]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

Гонконг · 1 центр

• Queen Elizabeth Hospital — Kowloon

Публикации

• 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

Идентификаторы

NCT: NCT05183672 · A0036516

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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