Clinical trial NCT04197258: Evaluation of the Impact of an Individual Peer Support Intervention for Stroke Patients When Returning Home: a Mixed Methods Pilot Study
Official title: Evaluation of the Impact of an Individual Peer Support Intervention for Stroke Patients When Returning Home: a Mixed Methods Pilot Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Keywords: Stroke
Peer support
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2019-12-13
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Feasibility measure
timeFrame: 6 months
Secondary outcomes:
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Quality of life between the discharge from hospital and 6 months
timeFrame: 6 months
measure: Anxiety and depression scores between discharge and 6 months
timeFrame: 6 months
measure: Patient activation Measure
timeFrame: 6 months
measure: Disability
timeFrame: 6 months
measure: Adherence
timeFrame: 6 months
measure: Human, material and financial assistance provided at home
timeFrame: 6 months
measure: Satisfaction measure
timeFrame: 6 months
measure: Caregiver burden
timeFrame: 6 months
measure: Caregiver satisfaction
timeFrame: 6 months
Other outcomes:
Locations:
city: Saint-Genis-Laval
country: France
facility: Hôpital Henry Gabrielle
Study officials:
References: