Mobile Technologies and Post-stroke Depression (MOTIV-POSDEP)
MObile Technologies In the preVention of POSt-stroke DEPression
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Igor SIBON
- Phone Number: 05 56 79 55 20
- Email: igor.sibon@chu-bordeaux.fr
Study Locations
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Bordeaux, France, 33 076
- CHU de Bordeaux
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Brest, France, 29 609
- CHRU de Brest
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Dijon, France, 21 079
- CHU Dijon Bourgogne
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Montpellier, France, 34295
- CHU de Montpellier
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Paris, France, 75 014
- Assistance Publique Hopitaux de Paris - Groupe Hospitalier Paris Saint Joseph
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years.
- Male or Female.
- Recent (≤ 15 days) clinically-symptomatic ischemic or hemorrhagic stroke documented through brain imaging (CT or MRI) or a Transient Ischemic Attack with an ABCD2 score ≥ 4.
- Patient discharged to home after hospitalization in the stroke unit.
- No severe neurological handicap: modified Rankin scale ≤ 3 at inclusion.
- No severe cognitive impairment or dementia: MoCA ≥ 16 at inclusion.
- Written informed consent by the patient.
- Covered by French Social Insurance
Exclusion Criteria:
- Transient Non Cerebrovascular Event.
- Subarachnoid hemorrhage.
- Dementia syndrome or other neurologic disorder and/or severe aphasia (NIHSS item 9 ≥ 2) interfering with the completion of evaluations and the utilization of EMA.
- Severe visual impairment interfering with the utilization of EMA.
- Severely impaired physical and/or mental health that, according to the investigator, may affect the participant's compliance with the study
- Patients with a severe substance use disorder (DSM-5 criteria)
- Patients under antidepressant and/or anxiolytic and/or neuroleptic and/or mood stabilizer treatment during the month preceding inclusion
- Participation in another protocol modifying the patient's follow-up status.
- Pregnancy or breastfeeding
- Inability to read French or to use a smartphone
- Individuals under legal protection or unable to express personnally their consent
- Individuals living in an area without 3G/4G internet coverage
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Treatment As Usual (TAU)
Evaluation of depression and anxiety disorders at 3 and 6 months post-stroke using psychological and functional examination
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Psychological evaluation including: MINI (current diagnosis) ; HDRS ; MDQ ; GAD-7 ; PC-PTSD-5 ; Quality of Sleep (item 6 of the Pittsburgh Sleep Quality Index) ; CES-D ; BAI ; RRS-short form ; IES-R ; mYFAS2.0;
Functional evaluation including : EQ5-D ; MFI ; LUNS ; SSQ ; Physical activity (IPAQ)
Biological assessment : White and red blood cells count ; platelets count ; Haemoglobin ; CRPus ; Glycaemia ; Plasmatic HbA1c ; Plasmatic LDLc ; HDLc and triglyceride ; Creatinin clearance, Transaminases.
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|
Experimental: EMA intervention assocuated to Treatment As Usual (EMA-TAU)
Evaluation of depression and anxiety disorders at 3 and 6 months post-stroke using psychological and functional examination in addition with Ecological Momentary Assessment (EMA) evaluation.
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Psychological evaluation including: MINI (current diagnosis) ; HDRS ; MDQ ; GAD-7 ; PC-PTSD-5 ; Quality of Sleep (item 6 of the Pittsburgh Sleep Quality Index) ; CES-D ; BAI ; RRS-short form ; IES-R ; mYFAS2.0;
Functional evaluation including : EQ5-D ; MFI ; LUNS ; SSQ ; Physical activity (IPAQ)
Biological assessment : White and red blood cells count ; platelets count ; Haemoglobin ; CRPus ; Glycaemia ; Plasmatic HbA1c ; Plasmatic LDLc ; HDLc and triglyceride ; Creatinin clearance, Transaminases.
During 3 months after inclusion, a 3 to 5 minutes daily interview will administer questions concerning mood symptoms, activities, stress experience, substance use, social relationships and medication intake, activities, social interaction, environmental conditions, experience of depressed mood, anhedonia, changes in weight, appetite, sleep, fatigue, feelings of worthlessness or inappropriate guilt, concentration or decision-making difficulty
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Hamilton Depression Rating Scale score (HDRS)
Time Frame: Day 0
|
Semi-structured interview questionnaire designed to be used by a health care professional to investigate depressive symptomatology.
17 items are used to provide a score.
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Day 0
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Hamilton Depression Rating Scale score (HDRS)
Time Frame: 3 months
|
Semi-structured interview questionnaire designed to be used by a health care professional to investigate depressive symptomatology.
17 items are used to provide a score.
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3 months
|
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Hamilton Depression Rating Scale score (HDRS)
Time Frame: 6 months
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Semi-structured interview questionnaire designed to be used by a health care professional to investigate depressive symptomatology.
17 items are used to provide a score.
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6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Mini International Neuropsychiatric Interview (MINI)
Time Frame: Day 0
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Day 0
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Mini International Neuropsychiatric Interview (MINI)
Time Frame: 3 months
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3 months
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Mini International Neuropsychiatric Interview (MINI)
Time Frame: 6 months
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6 months
|
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Mood Disorder Questionnaire (MDQ)
Time Frame: 3 months
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13 questions on mood symptoms and 2 additional questions on the co-occurrence and psychosocial impact of these symptoms.
This questionnaire assesses the probability of an existing bipolar disorder.
A positive screen include : a) answering 'Yes' to at least 7 of 13 questions, and b) reporting that several of these symptoms have been experienced during the same period of time, and c) reporting that psychosocial impairment has been caused by these symptoms.
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3 months
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Mood Disorder Questionnaire (MDQ)
Time Frame: 6 months
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13 questions on mood symptoms and 2 additional questions on the co-occurrence and psychosocial impact of these symptoms.
This questionnaire assesses the probability of an existing bipolar disorder.
A positive screen include : a) answering 'Yes' to at least 7 of 13 questions, and b) reporting that several of these symptoms have been experienced during the same period of time, and c) reporting that psychosocial impairment has been caused by these symptoms.
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6 months
|
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Generalized Anxiety Disorder-7 scale (GAD-7)
Time Frame: 3 months
|
7 items that assess GAD symptoms experienced over the past two weeks.
Patients are asked the frequency of these symptoms using a 4-point scale, ranging from 0 (Not at all) to 3 (Nearly every day).
A cutoff score of greater than 10 is commonly used to identify cases of GAD.
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3 months
|
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Generalized Anxiety Disorder-7 scale (GAD-7)
Time Frame: 6 months
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7 items that assess GAD symptoms experienced over the past two weeks.
Patients are asked the frequency of these symptoms using a 4-point scale, ranging from 0 (Not at all) to 3 (Nearly every day).
A cutoff score of greater than 10 is commonly used to identify cases of GAD.
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6 months
|
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Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)
Time Frame: 3 months
|
5-item screen designed to identify individuals with probable PTSD.
It begins with an item designed to assess whether the respondent has had any exposure to traumatic events.
If a respondent denies exposure, the scale is completed with a score of 0. If the respondent indicates a trauma history, he/she has additional Yes/No questions about how the traumatic event has affected him/her over the past month.
If the total score is 3 or more, the screen indicates probable PTSD.
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3 months
|
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Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)
Time Frame: 6 months
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5-item screen designed to identify individuals with probable PTSD.
It begins with an item designed to assess whether the respondent has had any exposure to traumatic events.
If a respondent denies exposure, the scale is completed with a score of 0. If the respondent indicates a trauma history, he/she has additional Yes/No questions about how the traumatic event has affected him/her over the past month.
If the total score is 3 or more, the screen indicates probable PTSD.
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6 months
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Center of Epidemiological Studies-Depression Scale (CES-D)
Time Frame: 3 months
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20-item.
It measures symptoms of depression in nine different groups as defined by the DSM-5: Sadness (Dysphoria, 3 items), Loss of Interest (Anhedonia, 2 items), Appetite (2 items), Sleep (3 items), Thinking (Concentration, 2 items), Guilt or Worthlessness (2 items), Fatigue (2 items), Agitation (2 items), Suicidal ideation (2 items).
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3 months
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Center of Epidemiological Studies-Depression Scale (CES-D)
Time Frame: 6 months
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20-item.
It measures symptoms of depression in nine different groups as defined by the DSM-5: Sadness (Dysphoria, 3 items), Loss of Interest (Anhedonia, 2 items), Appetite (2 items), Sleep (3 items), Thinking (Concentration, 2 items), Guilt or Worthlessness (2 items), Fatigue (2 items), Agitation (2 items), Suicidal ideation (2 items).
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6 months
|
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Beck Anxiety Inventory (BAI)
Time Frame: 3 months
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The Beck Anxiety Inventory (BAI) assesses the severity of patient anxiety during the past week.
Though anxiety can be thought of as having several components, including cognitive, somatic, affective, and behavioral components included only two components in the BAI's original version: cognitive and somatic symptoms, with the cognitive subscale providing a measure of fearful thoughts and impaired cognitive functioning whereas the somatic subscale measures the symptoms of physiological arousal.
Care was taken during scale construction to eliminate items that would be confounded with depression items.
Patients respond to the frequence of 21 symptoms using a scale from 0 (Never) to 3 (Frequently, Almost every day).
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3 months
|
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Beck Anxiety Inventory (BAI)
Time Frame: 6 months
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The Beck Anxiety Inventory (BAI) assesses the severity of patient anxiety during the past week.
Though anxiety can be thought of as having several components, including cognitive, somatic, affective, and behavioral components included only two components in the BAI's original version: cognitive and somatic symptoms, with the cognitive subscale providing a measure of fearful thoughts and impaired cognitive functioning whereas the somatic subscale measures the symptoms of physiological arousal.
Care was taken during scale construction to eliminate items that would be confounded with depression items.
Patients respond to the frequence of 21 symptoms using a scale from 0 (Never) to 3 (Frequently, Almost every day).
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6 months
|
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Ruminative Response Scale-short form (RRS-short form)
Time Frame: 3 months
|
Ruminative Response Scale-short form (RRS-short form) is one of the most widely used self-reported measures of rumination, comprising 9 items and describing the factors of brooding (5 items) and reflection (5 items).
For each item, patients indicate the frequency of each event on a 4-point scale ranging from 1 ("almost never") to 4 ("almost always").
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3 months
|
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Ruminative Response Scale-short form (RRS-short form)
Time Frame: 6 months
|
Ruminative Response Scale-short form (RRS-short form) is one of the most widely used self-reported measures of rumination, comprising 9 items and describing the factors of brooding (5 items) and reflection (5 items).
For each item, patients indicate the frequency of each event on a 4-point scale ranging from 1 ("almost never") to 4 ("almost always").
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6 months
|
|
Multidimensional Fatigue Inventory (MFI)
Time Frame: 3 months
|
The MFI contains 20 items classified into four dimensions: general fatigue, mental fatigue, reduced activities and motivation.
The statements are rated on a 5-point Likert scale (from "Yes, that is true" to "No, that is not true") representing the patient's current feeling.
Low MFI scores reflect a higher degree of fatigue.
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3 months
|
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Multidimensional Fatigue Inventory (MFI)
Time Frame: 6 months
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The MFI contains 20 items classified into four dimensions: general fatigue, mental fatigue, reduced activities and motivation.
The statements are rated on a 5-point Likert scale (from "Yes, that is true" to "No, that is not true") representing the patient's current feeling.
Low MFI scores reflect a higher degree of fatigue.
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6 months
|
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EuroQoL 5-Dimensions Questionnaire (EQ-5D)
Time Frame: 3 months
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The EuroQoL 5-Dimensions Questionnaire (EQ-5D) is a standardized instrument for use as a measure of health outcome in stroke and was designed for self-completion by respondents.
The 5 items of the questionnaire provide a simple descriptive profile and a single index value for health status.
The EQ-Index has shown reasonable validity and acceptable responsiveness for detecting the health-related quality of life in stroke patients.
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3 months
|
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EuroQoL 5-Dimensions Questionnaire (EQ-5D)
Time Frame: 6 months
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The EuroQoL 5-Dimensions Questionnaire (EQ-5D) is a standardized instrument for use as a measure of health outcome in stroke and was designed for self-completion by respondents.
The 5 items of the questionnaire provide a simple descriptive profile and a single index value for health status.
The EQ-Index has shown reasonable validity and acceptable responsiveness for detecting the health-related quality of life in stroke patients.
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6 months
|
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Long-term Unmet Needs after Stroke (LUNS)
Time Frame: 3 months
|
The Long-term Unmet Needs after Stroke (LUNS) includes 22 items that have each been worded to ask whether the respondent has a need and whether the need is met, and the potential complexity of "double-barrelled" questions was managed by providing Yes or No response modalities, with instructions to tick 'No' if there is no need or if the need has been met.
Participants are also asked to indicate what level of help (from care givers/friends) they have received in completing the questionnaires, if any.
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3 months
|
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Long-term Unmet Needs after Stroke (LUNS)
Time Frame: 6 months
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The Long-term Unmet Needs after Stroke (LUNS) includes 22 items that have each been worded to ask whether the respondent has a need and whether the need is met, and the potential complexity of "double-barrelled" questions was managed by providing Yes or No response modalities, with instructions to tick 'No' if there is no need or if the need has been met.
Participants are also asked to indicate what level of help (from care givers/friends) they have received in completing the questionnaires, if any.
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6 months
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Short version of Sarason's Social Support Questionnaire (6 items SSQ)
Time Frame: 3 months
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Used to measure two dimensions of social support : satisfaction and availability perceptions of social support and satisfaction with that social support.
Each item is a question that solicits a two-part answer: Part 1 asks participants to list all the people that fit the description of the question, and Part 2 asks participants to indicate how satisfied they are in general with these people using a 6-point Licket scale (from 1. Very unsatisfied to 6. Extremely satisfied).
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3 months
|
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Short version of Sarason's Social Support Questionnaire (6 items SSQ)
Time Frame: 6 months
|
Used to measure two dimensions of social support : satisfaction and availability perceptions of social support and satisfaction with that social support.
Each item is a question that solicits a two-part answer: Part 1 asks participants to list all the people that fit the description of the question, and Part 2 asks participants to indicate how satisfied they are in general with these people using a 6-point Licket scale (from 1. Very unsatisfied to 6. Extremely satisfied).
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6 months
|
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International Physical Activity Questionnaire (7 items IPAQ)
Time Frame: Day 0
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The International Physical Activity Questionnaire (7 items IPAQ) assesses physical activity undertaken across a comprehensive set of domains including: a. leisure time physical activity, b. domestic and gardening activities, c. work related physical activity, d. transport-related physical activity.
The IPAQ short form asks about three specific types of activity undertaken in these four domains : walking, moderate-intensity activities and vigorous-intensity activities.
Computation of the total score for the short form requires summation of the duration (in minutes) and frequency (days) of walking, moderate-intensity and vigorous-intensity activities.
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Day 0
|
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International Physical Activity Questionnaire (7 items IPAQ)
Time Frame: 3 months
|
The International Physical Activity Questionnaire (7 items IPAQ) assesses physical activity undertaken across a comprehensive set of domains including: a. leisure time physical activity, b. domestic and gardening activities, c. work related physical activity, d. transport-related physical activity.
The IPAQ short form asks about three specific types of activity undertaken in these four domains : walking, moderate-intensity activities and vigorous-intensity activities.
Computation of the total score for the short form requires summation of the duration (in minutes) and frequency (days) of walking, moderate-intensity and vigorous-intensity activities.
|
3 months
|
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International Physical Activity Questionnaire (7 items IPAQ)
Time Frame: 6 months
|
The International Physical Activity Questionnaire (7 items IPAQ) assesses physical activity undertaken across a comprehensive set of domains including: a. leisure time physical activity, b. domestic and gardening activities, c. work related physical activity, d. transport-related physical activity.
The IPAQ short form asks about three specific types of activity undertaken in these four domains : walking, moderate-intensity activities and vigorous-intensity activities.
Computation of the total score for the short form requires summation of the duration (in minutes) and frequency (days) of walking, moderate-intensity and vigorous-intensity activities.
|
6 months
|
|
Percentage of stroke risk
Time Frame: Day 0
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The Riskometer application will be used to measure the stroke risk based on recorded parameters.
The Stroke Riskometer app assesses the possibility of suffering a stroke using a number of health and lifestyle factors including age, sex, ethnic origin, blood pressure, atrial fibrillation, left ventricular hypertrophy, anti-hypertension, tobacco, cardiovascular history, weight / height ratio, cholesterol level, diabetes, alcohol, stress, cognitive decline, family and personal history of stroke and TIA, history of head trauma and myocardial infarction
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Day 0
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Percentage of stroke risk
Time Frame: 3 months
|
The Riskometer application will be used to measure the stroke risk based on recorded parameters.
The Stroke Riskometer app assesses the possibility of suffering a stroke using a number of health and lifestyle factors including age, sex, ethnic origin, blood pressure, atrial fibrillation, left ventricular hypertrophy, anti-hypertension, tobacco, cardiovascular history, weight / height ratio, cholesterol level, diabetes, alcohol, stress, cognitive decline, family and personal history of stroke and TIA, history of head trauma and myocardial infarction
|
3 months
|
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Percentage of stroke risk
Time Frame: 6 months
|
The Riskometer application will be used to measure the stroke risk based on recorded parameters.
The Stroke Riskometer app assesses the possibility of suffering a stroke using a number of health and lifestyle factors including age, sex, ethnic origin, blood pressure, atrial fibrillation, left ventricular hypertrophy, anti-hypertension, tobacco, cardiovascular history, weight / height ratio, cholesterol level, diabetes, alcohol, stress, cognitive decline, family and personal history of stroke and TIA, history of head trauma and myocardial infarction
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6 months
|
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Recurrent stroke
Time Frame: 3 months
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Recurrent stroke or TIA post-stroke defined by standard clinico-radiological criteria
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3 months
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Recurrent stroke
Time Frame: 6 months
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Recurrent stroke or TIA post-stroke defined by standard clinico-radiological criteria
|
6 months
|
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Cardiovascular events post-stroke
Time Frame: 3 months
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Cardiovascular events post-stroke defined by standard clinical criteria
|
3 months
|
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Cardiovascular events post-stroke
Time Frame: 6 months
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Cardiovascular events post-stroke defined by standard clinical criteria
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6 months
|
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Intensity of post-stroke pain
Time Frame: Day 0
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Intensity of post-stroke pain using a visual analog scale
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Day 0
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Intensity of post-stroke pain
Time Frame: 3 months
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Intensity of post-stroke pain using a visual analog scale
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3 months
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Intensity of post-stroke pain
Time Frame: 6 months
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Intensity of post-stroke pain using a visual analog scale
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6 months
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Pittsburgh Sleep Quality Index
Time Frame: Visit 1 ; 3 months ; 6 months
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Quality of sleep using the item 6 of the Pittsburgh Sleep Quality Index
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Visit 1 ; 3 months ; 6 months
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Blood pressure
Time Frame: Visit 1 ; 3 months ; 6 months
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Blood pressure
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Visit 1 ; 3 months ; 6 months
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HbA1c measure
Time Frame: 3 months ; 6 months
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Glycaemic control using the HbA1c measure
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3 months ; 6 months
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LDLc plasmatic measure
Time Frame: 3 months ; 6 months
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Lipidic control using the LDLc plasmatic measure
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3 months ; 6 months
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CRPus plasmatic measure
Time Frame: 3 months ; 6 months
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Systemic inflammation will be evaluated using CRPus plasmatic measure
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3 months ; 6 months
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Smoking Index (HSI)
Time Frame: 3 months ; 6 months
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Tobacco use will be evaluated using the Heaviness of Smoking Index (HSI)
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3 months ; 6 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Igor SIBON, University Hospital, Bordeaux
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Mental Disorders
- Behavioral Symptoms
- Behavior
- Stroke
- Anxiety Disorders
- Depression
- Behavioral Disciplines and Activities
- Psychological Tests
- Ecological Momentary Assessment
Other Study ID Numbers
Other Study ID Numbers
- CHUBX 2017/49
- 2019-A00898-49 (Other Identifier: ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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