Clinical trial NCT05183672: Improving Post-acute Stroke Follow-up Care by Adopting Telecare Consultations in a Nurse-led Clinic
Official title: 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
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Keywords: stroke
telecare consultation
Lead sponsor: The Hong Kong Polytechnic University
Sponsor class: OTHER
Collaborators: name: The Queen Elizabeth Hospital
First posted: 2022-01-10
Enrollment: 196
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Chang in Degree of disability after stroke
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
Secondary outcomes:
measure: Incidence of the recurrence of stroke
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
measure: Change of Quality of life, which measures an individual perception oftheir position in life. It includes physical and mental health.
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
measure: Change of Post-stroke depression
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
measure: Change of Medication adherence
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
measure: Change of Social participation
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
measure: Number of attendances at a general practitioners' office, emergency department, hospital, and general out-patient clinic
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
Other outcomes:
measure: Cost effectiveness of the program
timeFrame: baseline, three months when the program is completed, three months after the program is completed.
Locations:
city: Kowloon
country: Hong Kong
facility: Queen Elizabeth Hospital
Study officials:
affiliation: The Hong Kong Polytechnic University
name: Arkers Wong, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: