Health, Functioning, Work, and Experiences of Social and Health Services of Persons With Stroke (FinPostStroke)

The purpose of the Health, functioning, work, and experiences of social and health services of persons with stroke study (FinPostStroke) is to identify factors related to self-reported health, functioning, work, inclusion, and accessibility of social and health services, and how such factors are interconnected in Finnish adults one or more years after stroke. Participants will be targeted from two tertiary hospitals' registries and recruited via mail.

This cross-sectional explorative observational study is based on register data and postal survey. The survey questionnaire includes several valid patient-reported outcome measures. The study will add knowledge to be utilized in developing health care and rehabilitation services for people with stroke, as well as provide information for various parties involved.

Study Overview

• Status: Active, not recruiting
• Conditions: Cardiovascular Diseases; Stroke; Central Nervous System Diseases; Health, Subjective
• Intervention / Treatment: Other: no intervention

Detailed Description

The purpose of the Health, functioning, work, and experiences of social and health services of persons with stroke (FinPostStroke) study is to identify factors related to self-reported health, functioning, work, inclusion, and accessibility of social and health services, and how such factors are interconnected in Finnish adults one or more years after stroke. The International Classification of Functioning, Disability and Health (ICF) is used as a structured framework.

Adults with cerebral infarction, subarachnoid hemorrhage, or intracerebral hemorrhage will be targeted from Kuopio and HUS Helsinki University Hospitals' patient registries. The survey data is planned to be collected with postal questionnaire by May 2025. The questionnaire includes several valid patient-reported outcome measures to assess health and functioning, work and income, inclusion, and social and health services. Participants will be recruited via mail with an invitation letter and study information attached to the questionnaire. All participants are expected to give written informed consent prior to the study.

This study will add knowledge to be utilized in developing health care and rehabilitation services for people with stroke, as well as provide information for various parties involved. We plan to publish at least four peer-reviewed articles along with common articles and texts concerning self-reported health, functioning, work, inclusion, and accessibility of social and health services among Finnish adults with stroke.

• Study Type: Observational
• Enrollment (Estimated): 7500

Contacts and Locations

Study Locations

• Finland
  • Uusimaa
    • Helsinki, Uusimaa, Finland, 00280
      • The Finnish Association of People with Physical Disabilities

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

Adults with cerebral infarction, subarachnoid hemorrhage, or intracerebral hemorrhage that have been treated either in Kuopio or HUS Helsinki University Hospitals in 2018-2022.

Description

Inclusion Criteria:

• treated for a stroke (ICD-10 codes I60-61, I63-64) in HUS Helsinki University Hospital or in Kuopio University Hospital between January 2018 and December 2022
• stroke is primary diagnose for the treatment
• 18 years or older at the time of survey

Exclusion Criteria:

• stroke is secondary diagnose for the treatment
• treated for a stroke only as outpatient in other than emergency room
• lives abroad
• missing address

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Persons treated in Kuopio University Hospital	Other: no intervention; no intervention
Persons treated in HUS Helsinki University Hospital	Other: no intervention; no intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
PROMIS® Global Health	The Patient-Reported Outcomes Measurement Information System (PROMIS®) General Health consists of 10 items with 5-point rating scale. It is used to assess overall health, physical health, mental health, social health, fatigue, and pain.	7 days
PROMIS® 29+2 Profile	The Patient-Reported Outcomes Measurement Information System (PROMIS®) 29+2 Profile consists of 31 items with 5-point rating scale. It is used to assess physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in social roles and activities, pain interference and intensity, and cognitive function.	7 days
12-item WHODAS 2.0	The 12-item World Health Organization Disability Schedule 2.0 (WHODAS) measures functioning. It consists of 12 items with 5-point rating scale (0-4), sum score ranging from 0 to 48. Higher score means more disability. It is used to assess cognition, mobility, self-care, getting along, life activities, and participation.	30 days
Experiences of Social Inclusion Scale, ESIS	Experiences of Social Inclusion Scale (ESIS) consists of 10 claims with 5-point Likert scale (1-5). The sum score of 10-50 is converted to a scale of 0 to 100. Higher score means stronger experience of inclusion. It is used to assess the experience of meaningfulness, belief in action possibilities and the perceived quality of social interaction.	1 day
Health and social services	"Health and social services" consists of 24 semistructured questions about health and social services chosen from the National Health Finland Survey.	1 year
Work and income	"Work and income" consists of 14 semistructured questions about work and income chosen from the International Spinal Cord Injury Survey.	30 days

Collaborators and Investigators

• Sponsor: The Finnish Association of People with Physical Disabilities
• Collaborators: Kuopio University Hospital; HUS Helsinki University Hospital; The Finnish Brain Association
• Investigators: Principal Investigator: Sinikka Hiekkala, The Finnish Association of People with Physical Disabilities

Study record dates

Study Major Dates

• Study Start (Actual): January 29, 2024
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2027

Study Registration Dates

• First Submitted: August 21, 2024
• First Submitted That Met QC Criteria: August 26, 2024
• First Posted (Actual): August 28, 2024

Study Record Updates

• Last Update Posted (Actual): August 28, 2024
• Last Update Submitted That Met QC Criteria: August 26, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: Stroke; ICF; Survey; Health; Functioning; Work; Inclusion; Health and social services
• Additional Relevant MeSH Terms: Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Stroke; Cardiovascular Diseases; Nervous System Diseases; Central Nervous System Diseases
• Other Study ID Numbers: pr42115

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