Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Phase 2 Study of Very Early Supported Discharge From a Stroke Unit in
Brief Summary: Stroke is a generic term for cerebral infarction and cerebral haemorrhage and accounts for more patient days than any other single condition in Swedish health care. The Swedish guidelines for stroke treatment, issued by the national board for health and welfare, recommend early supported discharge for people with mild to moderate stroke. This is based on studies in which mean hospitalization was 18 days. The average length of stay in Sweden is 12 days. Policy makers would, however, like to shorten length of stay even further, and many patients are anxious to get home. Where and how to get support at home after discharge varies.

This study is a randomized controlled trial in which half of the subjects are randomly allocated to very early supported discharge and the other half receives usual treatment. The investigators believe that patients discharged very early with support will experience less anxiety compared with controls. The investigators believe that early supported discharge is safe and that there is no difference between groups in bodily function. In order to test differences between the groups, the study requires approximately 110 subjects.

Everyone who comes to the stroke unit at the hospital with a mild to moderate stroke can be recruited to the study. The intervention is having a team from the stroke unit visiting the patient's home and train him/her according to the individualized goals. The controls are discharged according to routine with support from primary care if needed. Assessments are made by therapists who are not involved in the training upon returning home, at 1 month, 3 to 12 months. The assessments include anxiety, motor activity, gait and balance, and ADL. Interviews will be done to highlight the subject's own experience.

It is important to evaluate new methods and organizational changes prior to their implementation in health care. The investigators hope to show that very early supported discharge with rehabilitation is safe and provides confidence and less anxiety. Then it is possible to introduce a method that simultaneously improves patient outcome and increases availability of hospital beds.


Options:
A: Arm Label: Experimental_INTERCARE intervention; Type: EXPERIMENTAL; Interventions: Other: Implementation of a nurse-led model of care | Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Implementation of a nurse-led model of care; Assigned to Arm(s): Experimental_INTERCARE intervention
B: Arm Label: Active; Type: EXPERIMENTAL; Interventions: Other: Very early supported discharge (VESD) | Arm Label: Control; Type: OTHER; Interventions: Other: Ordinary rehabilitation | Intervention Type: OTHER; Name: Very early supported discharge (VESD); Assigned to Arm(s): Active | Intervention Type: OTHER; Name: Ordinary rehabilitation; Assigned to Arm(s): Control
C: Arm Label: Advanced Care at Home (ACH); Type: EXPERIMENTAL; Interventions: Other: Advanced Care at Home (ACH) | Arm Label: Traditional Inpatient (Brick-and-Mortar) Hospital Care; Type: ACTIVE_COMPARATOR; Interventions: Other: Traditional Brick-and-Mortar Hospitalization | Intervention Type: OTHER; Name: Advanced Care at Home (ACH); Assigned to Arm(s): Advanced Care at Home (ACH) | Intervention Type: OTHER; Name: Traditional Brick-and-Mortar Hospitalization; Assigned to Arm(s): Traditional Inpatient (Brick-and-Mortar) Hospital Care
D: Arm Label: Inpatient hospitalization; Type: ACTIVE_COMPARATOR; Interventions: Other: Traditional inpatient hospitalization | Arm Label: Home hospitalization; Type: EXPERIMENTAL; Interventions: Other: Home hospitalization | Intervention Type: OTHER; Name: Home hospitalization; Assigned to Arm(s): Home hospitalization | Intervention Type: OTHER; Name: Traditional inpatient hospitalization; Assigned to Arm(s): Inpatient hospitalization

Answer: B