Improving Follow up Care for People After Minor Stroke

Imperial College Healthcare NHS Trust60 enrolled

Overview

The goal of this feasibility study is to ascertain if this follow-up programme of care can feasibly be implemented within a healthcare system with people after minor stroke. The main feasibility questions are: i) To establish recruitment uptake ii) To establish treatment adherence iii) To determine participant retention. Participants will be randomly allocated to the intervention and control group. Those in the intervention group will receive a follow-up telephone call at two weeks after discharge and a second follow-up appointment at six weeks after discharge. Outcome measures will be taken at twelve weeks after discharge.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Stroke, Acute

Interventions

Personalised, holistic follow-up appointments underpinned by self determination theoryBEHAVIORAL

Appointment 1 (two weeks after discharge): * Address participants knowledge gaps as regards their stroke, medication and secondary prevention. * Detailed biopsychosocial review. * Understand participant priorities and jointly set goals. * Agreeing onward referrals if needed. * Written summary sent to GP with copy to participant. Appointment 2 (six weeks): * Review priorities identified in post stroke review checklist. * Review goals and plans from first appointment. * Address any new or persistent information gaps. * Review hidden impairments that may be impacting on return to work, activities of daily living, relationships or general well-being. * Agreeing onward referrals and action plan. * Written summary and plan sent to GP.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult ≥18 * Clinical or radiological diagnosis of minor stroke from a stroke consultant. * Admitted to HASU or seen in rapid assessment/TIA clinic. * Pre-admission mRS of 0-3 with no formal package of care prior to stroke. * Discharge mRS of 0-3. * No onward referral to community therapy team or for package of care. * Has capacity to consent. Exclusion Criteria: * Any serious co-morbidities that would impact a person's ability to participate in the follow-up appointments and outcome measurement. * Insufficient English to engage in intervention and outcome measures and no family or friends to support with this. * Not resident in England. * Pregnant women.

Locations (1)

Imperial College Healthcare NHS Trust

London, United Kingdom

RECRUITING

Outcomes

Primary Outcomes

Recruitment rate

Proportion of participants randomised relative to the total number meeting the inclusion criteria.

Time frame: Baseline

Treatment completion rate

Proportion of participants who attend both follow-up appointments

Time frame: 6 weeks post randomisation

Retention rate

Proportion of participants that complete the follow-up questionnaires

Time frame: 12 weeks post randomisation

Secondary Outcomes

PROMIS10

Patient reported outcome measures information system

Time frame: 2 weeks and 12 weeks

Health Care Climate Questionnaire Short Form

Patient reported outcome measure

Time frame: Baseline and 12 weeks

MOCA

Cognitive assessment

Time frame: Baseline and 12 weeks

PHQ9

Mood score

Time frame: 12 weeks

GAD7

Anxiety score

Time frame: 12 weeks

Central Contacts

Jennifer Crow

CONTACT

07795826663 jcrow@ic.ac.uk

Paresh Malhotra

CONTACT

02033135525 p.malhotra@imperial.ac.uk

Data from ClinicalTrials.gov

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