Application of Educational Intervention on the Knowledge, Depression and Self-efficacy of Patients With Cerebrovascular Accident

January 18, 2022 updated by: National Taiwan University Hospital

National Taiwan University Hospital

Within 6 months after the occurrence of stroke, more than 25% of patients will experience severe disability. Patients and caregivers need to learn stroke self-care knowledge. Nursing personnel play the role of educator and provide self-care health education content. Traditional nursing instructions are mainly provided using leaflets and verbal health education. However, the advancement of information technology and the popularization of mobile network 3C products make it possible to provide real-time, individualized and large-capacity information, which is the most real-time and efficient way of clinical care at present. Therefore, this study investigated whether mobile device health education program provided for patients with stroke can improve their self-care knowledge and self-efficacy and reduce depression.

This study enrolled patients at the wards of Division of Neurology in a certain medical center in the northern Taiwan. This study adopted two-group, pre-and-post-test, randomized, single-blind experimental research design, and calculated the samples size using G-Power. At least 35 subjects should be enrolled in the experimental group (APP education program intervention) and control group (conventional nursing), respectively. This study performed the pre-test on Day 1 of hospitalization, implemented the interventional program on Day 2, and performed the post-test before discharge. The research questionnaires included Stroke Self-care Knowledge Scale, Stroke Self-efficacy Scale, Beck Depression Inventory (BDI), VAS Health Education Satisfaction Scale. This study performed statistical analysis using the package statistical software version SPSS 20.0, and tested the distribution and homogeneity of two groups of data using the independent sample T-test. Moreover, this study also performed descriptive statistical analysis and inferential statistical analysis. For the descriptive statistical analysis, this study presented the demographic data and disease characteristics of the research subjects using frequency distribution, percentage, average mean, standard deviation, maximum and minimum. Furthermore, this study used independent sample T-test, chi-square, One-way ANOVA, Pearson product-moment correlation coefficient, and ANCOVA to compare the differences in demographic data, disease characteristics, stroke self-care knowledge, stroke self-efficacy, depression, and health education satisfaction between the two groups.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

In a large teaching hospital in Asia, stroke patients were divided into experimental group and control group by random allocation. The experimental group was given a mobile device education program, and the control group was routine nursing care. Two groups of stroke were discussed. Whether there are significant differences in knowledge, depression assessment, and self-efficacy assessment.

Hopefully, the intervention of mobile device education program can provide patients with a health education method that is accessible and can be repeatedly watched for learning. Hopefully, this education program may replace traditional health education leaflet, as well as reduce the workload of clinical nurses. It is hoped that this education program can effectively improve the self-care knowledge of patients with stroke, enhance self-efficacy, reduce depression symptoms, increase satisfaction with educational instructions, and ultimately prevent patients with stroke from experiencing any relapse to coexist with their stroke and enjoy a good quality of life.

Study Type

Interventional

Enrollment (Actual)

76

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Taiwan
      • Taipei, Taiwan
        • Taiwan

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Over 20 years of age
  • A clear state of consciousness
  • No diagnosis of mental or cognitive diseases
  • Normal hearing and vision
  • Able to communicate in Chinese and Taiwanese
  • Able to use Digital mobile phone and agree to participate in this research.

Exclusion Criteria:

  • Suffer from mental illness and cognitive dysfunction
  • Visual impairment, hard of hearing
  • Combined with other complications, such as: pneumonia, urinary tract infection, etc. ‧
  • Unwilling to participate in this study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Effectiveness of Application Education Intervention
This study hopes that through the intervention of mobile device education programs, it can provide patients with easy access and repeated viewing and learning. It can replace traditional leaflet health education and reduce the workload of clinical nurses. It is hoped that it can effectively improve the self-care knowledge of stroke patients, improve self-efficacy, reduce the symptoms of depression, and increase the satisfaction of education and guidance. Eventually, patients can be prevented from recurring from stroke, and they can coexist peacefully with stroke and have a good quality of life.
Other: Intervention:APP educational programs
Use mobile device education programs to improve disease knowledge and self-efficacy of stroke patients, and reduce depression
Other Names:
  • educational programs
Other: genaral care
Give patients routine care
Other: No Intervention:general care
general care

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
self-care knowledge
Time Frame: one year

I hope that the use of APP health education can improve the cognitive knowledge of stroke patients, Use the stroke knowledge scale to evaluate.

There are a total of 16 questions on this scale. You get one point for correct answers. If you answer incorrectly or don't know you don't give points. The maximum score for this scale is 16.The higher the score on this scale, the better the knowledge of stroke
one year
self-efficacy
Time Frame: one year

Hope that using APP health education can improve the self-efficacy of stroke patients, Use the stroke self-efficacy scale to evaluate.

There are a total of 13 questions on this scale, with a total score of 10 points for a completely certain answer and 0 points for a completely unsure answer. The total score is 130.The higher the score on this scale, the better the self-efficacy of stroke
one year
depression
Time Frame: one year

Hope that using APP health education can reduce the depression of stroke patients,Use the BDI scale to evaluate.

The higher the score on this scale, the higher the depression
one year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National Taiwan University Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2021

Primary Completion (Actual)

July 31, 2021

Study Completion (Actual)

August 31, 2021

Study Registration Dates

First Submitted

January 10, 2021

First Submitted That Met QC Criteria

January 14, 2021

First Posted (Actual)

January 19, 2021

Study Record Updates

Last Update Posted (Actual)

January 20, 2022

Last Update Submitted That Met QC Criteria

January 18, 2022

Last Verified

January 1, 2021

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 202006127RINB

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Effectiveness of Application Education Intervention

Clinical Trials on Intervention:APP educational programs

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Malta

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe