PCCI: Patient Centred Communication Intervention

Sponsor

University Health Network, Toronto (Other)

Overall Status

Completed

CT.gov ID

NCT01654029

Collaborator

Canadian Institutes of Health Research (CIHR) (Other)

120

Enrollment

Location

Arms

Duration (Months)

2.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The most frequent consequence of a stroke is a communication impairment. When patients cannot articulate their needs, frustration and agitation are frequent responses, often resulting in poor optimization of post-stroke function. Staff's lack of knowledge of communication strategies exacerbates the problem. A key component of patient-centred care is the ability of staff to communicate in such a way that allows them to understand the patient's needs. Members of our team developed the patient-centred communication intervention (PCCI) targeting registered and unregulated staff caring for complex continuing care (CCC) patients with communication impairments post stroke. The purpose of the study is to examine if the PCCI results in improved patients' quality of life and in improved staff attitudes and skills in caring for patients with communication impairments.

Condition or Disease	Intervention/Treatment	Phase
Aphasia Stroke	Behavioral: Patient-Centred Communication Intervention	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

120 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Patient Centred Communication Intervention

Study Start Date :

Sep 1, 2010

Actual Primary Completion Date :

Apr 1, 2014

Actual Study Completion Date :

Apr 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
No Intervention: Control group receiving usual care Usual care consists of speech language therapy for some patients. Most care is focused on swallowing assessments.
Experimental: PCCI Intervention The Patient-Centred Communication Intervention consists of 1) development of a communication care plan; 2)a workshop for staff focused on communication and behavioural management strategies,: and 3) implementing a staff support system.	Behavioral: Patient-Centred Communication Intervention The intervention consists of three parts: 1) development of individualized communication care plans; 2) staff attendance at a workshop focused on communication and behavioral management strategies; and 3) implementation of a staff support system.

Arm

Intervention/Treatment

No Intervention: Control group receiving usual care

Usual care consists of speech language therapy for some patients. Most care is focused on swallowing assessments.

Experimental: PCCI Intervention

The Patient-Centred Communication Intervention consists of 1) development of a communication care plan; 2)a workshop for staff focused on communication and behavioural management strategies,: and 3) implementing a staff support system.

Behavioral: Patient-Centred Communication Intervention

The intervention consists of three parts: 1) development of individualized communication care plans; 2) staff attendance at a workshop focused on communication and behavioral management strategies; and 3) implementation of a staff support system.

Outcome Measures

Primary Outcome Measures

Stroke and Aphasia Quality of Life (SAQOL) [Change in SAQOL from baseline to 1 month and from baseline to 3 months]
The SAQOL is a 39-item tool designed to measure health-related quality of life in patients post-stroke with aphasia.

Secondary Outcome Measures

Communication-Impairment Questionnaire (CIQ) [Change in CIQ from baseline to 1 month and from baseline to 3 months]
The Communication Impairment Questionnaire is an 8-item self-report scale. It is used to measure the attitudes of nurses toward patients with communication impairments.

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Patients:

Inclusion Criteria

diagnosis of stroke related to cerebral infarct
presence of a communication impairment
ability to speak and understand English before the stroke
ability to consent

Exclusion Criteria:

global aphasia or severe Wernicke's aphasia

Staff:

Inclusion Criteria

directly involved in providing care
employed full or part-time
ability to consent
ability to speak and write English
work with patients who have communication impairments

Exclusion Criteria

unwilling to provide informed consent

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Toronto Rehabilitation Institute, E.W. Bickle Centre	Toronto	Ontario	Canada	M6K 2R7

Sponsors and Collaborators

University Health Network, Toronto
Canadian Institutes of Health Research (CIHR)

Investigators

Principal Investigator: Katherine S McGilton, RN, PhD, University Health Network, Toronto

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

University Health Network, Toronto

ClinicalTrials.gov Identifier:

NCT01654029

Other Study ID Numbers:

PCCI 93790

First Posted:

Jul 31, 2012

Last Update Posted:

Apr 24, 2014

Last Verified:

Apr 1, 2014

Keywords provided by University Health Network, Toronto

Stroke

Communication impairments

Nurse-patient communication

Patient-centred care

Additional relevant MeSH terms:

Aphasia

Study Results

No Results Posted as of Apr 24, 2014