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Stroke - 65 Plus. Continued Active Life. (Stroke65+)

24. august 2021 opdateret af: Hanne Pallesen, Central Jutland Regional Hospital

Stroke - 65 Plus. Continued Active Life. A Randomised Controlled Trial of the Effect of a Novel Self-management Intervention Supporting Older Adults After Stroke

Since august 2016, the researchers at a highly specialized neurorehabilitation hospital in a Danish region with 1.2 inhabitants have in cooperation with health professionals from a specialized neurorehabilitation in a Danish municipality with 336,000 inhabitants, worked through and is still working with an iterative process in the development of a novel self-management support intervention for elderly stroke individuals.The intervention is going to be implemented into the second phase- a randomized clinical controlled trial (RCT) in the project named 'Stroke - 65 plus. Continued active life'.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Background: Elderly adults represent the majority of stroke cases worldwide. Sequelae after a stroke causes the stroke individuals to live a more isolated life 5 years after the stroke. This makes the stroke individuals an especially vulnerable group of elderly people regarding social reintegration. Reintegration into the community post-stroke depends highly on support from the family. However, the stroke individual's closest relatives are at risk of developing anxiety and depression.

The aim of this study is to investigate the effect of a novel self-management intervention supporting older adults after stroke

Methods/Design: Randomized controlled observer-blind trial. More than sixty stroke survivors over 65 years will two weeks before leaving a rehabilitation hospital be randomized to either a group receiving conventional rehabilitation (control) or a novel self-management intervention addition to standard rehabilitation.

During a period of 6 months the patients will be offered additional 6-8 sessions of self-management intervention of 45-60 minutes duration by a physiotherapist or an occupational therapist.

Study outcome measurements: Stroke Self-efficacy questionnaire, Stroke Specific Quality of Life Scale and Impact on participation and Autonomy and activity by accelerometers will be evaluated at baseline, three and nine months post hospital treatment.

Patient, informal caregiver and therapist satisfaction will be with examined with questionnaires and interviews.

Discussion: Self-management interventions are promising tools for rehabilitation of self-efficacy, quality of life as well as participation and autonomy. The introduction of novel self management intervention in combination with traditional physical and occupational therapy may enhance recovery after stroke, quality of life and burden on relatives. Stroke 65+ trial will provide further evidence of self management strategies to clinicians, patients and health economists.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

69

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Hammel, Danmark, 8450
        • Region Hospital Hammmel Neurorehabilitation
    • Jutland
      • Hammel, Jutland, Danmark, 8450
        • Region Hospital Hammel Neurocentre

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

65 år og ældre (Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • stroke survivors with rehabilitation needs discharge from rehabilitation hospital to home

Exclusion Criteria:

  • do not understand danish Montreal Cognitive assessment (MOCA) below 20

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Mentor
An independent centralized randomization database will provide allocation concealed to the involved clinicians and assessors. A stratified block randomization of severity of impairment will be performed within each rehabilitation hospital
Traditional rehabilitation.
Andre navne:
  • Self-mangement
Aktiv komparator: Traditional rehabilitation
An independent centralized randomization database will provide allocation concealed to the involved clinicians and assessors. A stratified block randomization of severity of impairment will be performed within each rehabilitation hospital
Traditional rehabilitation.
Andre navne:
  • Self-mangement

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Stroke Self-efficacy questionnaire
Tidsramme: Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital
Change of Self-efficacy
Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Impact on participation and Autonomy Questionnaire
Tidsramme: Measured 3 and 9 months post discharged from rehabilitation hospital
Change of Impact on participation and Autonomy
Measured 3 and 9 months post discharged from rehabilitation hospital
Stroke Specific Quality of Life Scale Questionnaire(short version)
Tidsramme: Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital
Change of Specific Quality of Life
Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Activity (accelerometers)
Tidsramme: Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital
Change of activity
Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital
Caregiver Burden Scale
Tidsramme: Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital
Change of caregivers burden
Measured at baseline, 3 and 9 months post discharged from rehabilitation hospital

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Hanne Pallesen, Post Doc, Hammel neurorehabilitation centre and university research clinic

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. juni 2017

Primær færdiggørelse (Faktiske)

15. november 2020

Studieafslutning (Faktiske)

24. august 2021

Datoer for studieregistrering

Først indsendt

6. juni 2017

Først indsendt, der opfyldte QC-kriterier

9. juni 2017

Først opslået (Faktiske)

12. juni 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

25. august 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

24. august 2021

Sidst verificeret

1. august 2021

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • JutlandRH54962

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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