Secondary Prevention and Health Promotion After Stroke

Study Overview
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Brief Summary
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The aim of this study was to examine to what extent a one year population of stroke patients at a university hospital had well regulated risk factors and health problems one year after stroke, and if a structured nurse-led previous follow-up in the intervention group including referrals if needed could influence health outcome and risk factors one year after stroke.

Detailed Description
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The follow-up protocol was categorized into Risk factors, Patients' self-reports, and Other health problems. Referral was sent to a physician if medical interventions were needed regarding risk factors measured above the limits as stated in the follow-up protocol in accordance with guidelines,and/or if any self-reported health problems were stated by the patients, or had been detected by the Specialist Nurse. Primary outcome was comparison between the intervention group and control group at one year after stroke regarding proportion of regulated risk factors, and self-reports on health outcome. Results of the two follow-ups of the intervention group were also compared.

Official Title
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Secondary Prevention and Health Promotion After Stroke A Nurse-led Randomized Controlled Open Trial

Conditions
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Stroke

Intervention / Treatment
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* Other: Secondary prevention, supportive counselling
* Other: Standard care until one year follow-up


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: WHO criteria for definition of stroke Signed consent Exclusion Criteria: Other diagnosis causing neurological symptoms
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intervention group<br>Control of secondary prevention at three months and one year after stroke and referral to physician if medical interventions are needed. Assessment of functional status and self-reports on health outcome. Supportive counselling provided. | Other: Secondary prevention, supportive counselling<br>* Patients' self-reports on Mobility, Self Care, Usual activities, Pain/Discomfort, Anxiety/Depression, Health Outcome were registered. Health problems were assessed. Secondary prevention was controlled by measuring blood pressure, Cholesterol levels, HbA1c, Weight to estimate nutritional status. Functional status was assessed. Supportive counselling was provided. Referral was sent to physician if medical interventions were needed.<br>|
| Other: Control group<br>Standard care with no outlined follow-up until one year after stroke. Control of secondary prevention after one year after stroke and referral to physician if medical interventions are needed. Follow-up one year after stroke according to the same protocol as the intervention group. | Other: Standard care until one year follow-up<br>* No intervention three months after stroke. Assessment one year after stroke and comparison with the intervention group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Risk factors and health outcome compared between intervention group and control group | Outcome for both groups after one year was measured as the proportion of risk factors sufficiently treated, the patients' self-reports on health outcome and comparison between the intervention group and the control group. | Baseline to one year after stroke for both groups. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Risk factors and health outcome at two follow-ups. | Comparison of health outcome at three months and one year after stroke in the intervention group. | Baseline to one year after stroke | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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complication, depression, follow-up, intervention, nurse-led, outcome, secondary prevention, stroke