Qualitative Analysis of the Post-Stroke Continuum Among African Stroke Survivors in Alabama

• Sponsor: University of Alabama at Birmingham (Other)
• Overall Status: Not yet recruiting
• CT.gov ID: NCT05350488
• Collaborator: (none)
• Enrollment: 30
• Anticipated Duration (Months): 9.9

Study Details

Study Description

Brief Summary

This proposal seeks to improve the investigators' post-stroke TOC process through developing an innovative, patient informed and guided solution aimed at addressing the investigators' deep south African American population within the UAB system. The investigators will engage participants in both urban and rural Alabama through informational interviews and work to find common themes to address so that future interventions are useful to their unique needs and desires. This goes beyond simply identifying barriers and endeavors to discovering solutions.

Condition or Disease	Intervention/Treatment	Phase
Stroke; Disability Physical; Patient Satisfaction; Caregiver Burden	Other: Informational Interview; Other: Focus Group

Study Design

• Study Type: Observational [Patient Registry]
• Anticipated Enrollment: 30 participants
• Observational Model: Cohort
• Time Perspective: Other
• Official Title: Qualitative Analysis of the Post-Stroke Continuum Among African Stroke Survivors in Alabama
• Anticipated Study Start Date: Sep 1, 2022
• Anticipated Primary Completion Date: May 30, 2023
• Anticipated Study Completion Date: Jun 30, 2023

Arms and Interventions

Arm	Intervention/Treatment
Stroke Survivors <1 year Group A will include participants that are less than 1 year out from their most recent stroke.	Other: Informational Interview; Interview topics will fall in the broad categories of assessing medical knowledge and understanding of stroke, knowledge of medical and community resources, understanding and experience of post-stroke rehabilitation barriers faced upon reintegrating back home and ability to continue management of stroke diagnosis and suggestions for improvement.
Stroke Survivors >1 year Group B will include participants that are greater than 1 year out from their most recent	Other: Informational Interview; Interview topics will fall in the broad categories of assessing medical knowledge and understanding of stroke, knowledge of medical and community resources, understanding and experience of post-stroke rehabilitation barriers faced upon reintegrating back home and ability to continue management of stroke diagnosis and suggestions for improvement.
Caregivers Group C will include participants' identified caregivers.	Other: Focus Group; Focus group topics will fall into the same broad categories as the informational interviews, however will be asked from a caregiver's perspective

Outcome Measures

Primary Outcome Measures

1. Feasibility of recruitment and retention [July 1,2022-January 20, 2023]

   The investigators will screen 60-100 individuals with the goal of enrolling a total of 20 AA (African American) stroke survivors +/- their identified caregivers. Historically, there has been low recruitment and retention rates for AAs. The investigators plan to over-recruit in order to account for this phenomenon and track our success/failure rates with percent retained vs recruited.

2. Ability to use Zoom platform [July 1,2022-January 20, 2023]

   The Zoom platform is becoming a more popular avenue to conduct qualitative interviews for research purposes among researchers and participants. The investigators will evaluate if this reported phenomenon is reproducible within this particular research cohort. Success will measured by a 50% or greater completion of interview and the ability to successfully connect to the zoom platform either via smart device or telephone dial in. The investigators will also document any technical difficulties that are encountered from either the interviewer's standpoint or the participant's standpoint.

3. Validity of questions asked to arrive at the themes that will appropriately inform the basis of this proposal [February 2023-May 2023]

   We will extract data from transcriptions of participants' Zoom interviews and perform thematic analysis

Eligibility Criteria

Criteria

• Ages Eligible for Study: 40 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

1. African American

2. Aged 40 years and older

3. Required home health therapy, outpatient therapy, skilled nursing facility or inpatient rehabilitation

4. Alabama Resident

5. Fluent in English

6. Stroke confirmed by advanced imaging (CT, MRI)

7. Zoom capability (participants can either have video conference ability or can call into Zoom line)

8. Caregivers must be identified by patients as providing a significant portion of care and/or be able to articulate their role as a caregiver

Exclusion Criteria:

1. Did not require home health therapy, outpatient therapy or inpatient rehabilitation

2. Long term residents of skilled nursing facility

3. Severe aphasia

4. Severe cognitive impairments

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

• University of Alabama at Birmingham

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Amber Clark, Assistant Professor in the Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham
• ClinicalTrials.gov Identifier: NCT05350488
• Other Study ID Numbers: 300009035
• First Posted: Apr 28, 2022
• Last Update Posted: Jul 20, 2022
• Last Verified: Jul 1, 2022

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Amber Clark, Assistant Professor in the Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham: Rehabilitation; Post-Stroke Rehabilitation Continuum
• Additional relevant MeSH terms: Stroke; Caregiver Burden

Study Results

No Results Posted as of Jul 20, 2022