Participative Rehabilitation in Stroke Patients

Martin-Luther-Universität Halle-Wittenberg322 enrolled

Overview

Primary objective of this study is to determine whether a case management of stroke patients after discharge to home or to nursing home results in improving physical and cognitive capacity one year after discharge.

In a randomized trial, the project Participative rehabilitation process management "Stroke in Saxony-Anhalt" (PaReSiS) implements a case management trial, explicitly including all providers in the course of illness, treatment and rehabilitation. To achieve this, patients in the intervention group have the opportunity to choose, specifically and according to their own needs, from the offers of a web portal and a telephone hotline, from individual counselling and info sessions as well as from home visits. Patients in the control group receive patient-information-notes beyond primary care. There will be qualitative interviews with the persons concerned and/or their relatives in both groups in order to validate the instruments.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

322

Conditions

Stroke

Interventions

Case managementBEHAVIORAL

Case management with patient-information-notes, telephone hotline, individual counselling using home visits, e-mail and telephone contact, web portal

Case managementBEHAVIORAL

Usual stroke aftercare plus patient-information-notes

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Acute cerebrovascular event (ischemic stroke or intra-cerebral bleeding) with signs and symptoms of an acute stroke according to the diagnosis I61 and I63 of the ICD-10-GM 2008 * Differentiation between ischemic or haemorrhagic stroke by the use of CT or MRT * Resident in Saxony-Anhalt or Saxony or Thuringia * Able to understand German language Exclusion Criteria: * Reinfarction * Alcoholism * Death in acute care * NIHHS \> 25 * Homelessness

Locations (1)

Institute for Health and Nursing Science, Medical faculty, Martin-Luther-University Halle-Wittenberg, Halle (Saale)

Halle, Germany

Outcomes

Primary Outcomes

physical scale of the Stroke Impact Scale 3.0

Time frame: before discharge from acute care, four weeks after discharge from the hospital or rehabilitation (in case of referral to a medical rehabilitation) immediately before randomization (baseline assessment), and 12 months after randomization

Secondary Outcomes

Health related quality of life, depression, mortality, recurrent stroke and/or TIA/PRIND

Data from ClinicalTrials.gov

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