Improving Coordination and Transitions of Care in Stroke Patients

Sponsor

University of Pennsylvania (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT02642744

Collaborator

(none)

700

Enrollment

Location

Arms

Duration (Months)

8.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health literacy, and reduce early readmissions to ultimately yield improved patient quality of life. Our primary objective is to determine whether the attending nurse model of care improves stroke patients' health at 7 days, 30 days, and 90 days after hospital discharge as assessed through questionnaires.

Condition or Disease	Intervention/Treatment	Phase
Stroke Transient Ischemic Attack	Other: Nursing care model	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

700 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

Improving Coordination and Transitions of Care for Stroke Patients With an Attending Nurse: a Comparative Effectiveness Single Center Study Comparing Models of Nursing Care

Study Start Date :

Oct 1, 2015

Actual Primary Completion Date :

Sep 30, 2017

Anticipated Study Completion Date :

Dec 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Other: Attending nurse model The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds.	Other: Nursing care model Subjects will be randomized into either the attending nursing model of care vs the standard nursing model
No Intervention: Conventional inpatient nursing care Standard of care nursing care patients receive while inpatient

Arm

Intervention/Treatment

Other: Attending nurse model

The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds.

Other: Nursing care model

Subjects will be randomized into either the attending nursing model of care vs the standard nursing model

No Intervention: Conventional inpatient nursing care

Standard of care nursing care patients receive while inpatient

Outcome Measures

Primary Outcome Measures

Stroke Patient Education Retention tool [90 days]
measures patient knowledge about stroke
MMAS-4: Four question Morizky Scale [90 Days]
medication adherence measurement

Secondary Outcome Measures

Questionnaire to capture patient impression of their in-hospital care, transition home and quality of life [90 days]
Stroke Impact Scale [30 days]
Proportion of readmissions [30 days]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

18 years of age
Admission to the Hospital of the University of Pennsylvania Vascular Neurology service
Incident or recurrent:
Ischemic stroke: focal neurological deficit of likely ischemic vascular origin
Intracerebral hemorrhage: blood seen on initial head CT
Transient Ischemic attack: focal neurological deficit of likely ischemic vascular origin that has clinically resolved

Exclusion Criteria:

Pregnancy
Comfort or hospice care
Severe dementia prior to stroke
Non-communicative and have no family/social support

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Hospital of the University of Pennsylvania	Philadelphia	Pennsylvania	United States	19104

Sponsors and Collaborators

University of Pennsylvania

Investigators

Principal Investigator: Scott E Kasner, MD, University of Pennsylvania

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

University of Pennsylvania

ClinicalTrials.gov Identifier:

NCT02642744

Other Study ID Numbers:

823366

First Posted:

Dec 30, 2015

Last Update Posted:

Feb 14, 2022

Last Verified:

Feb 1, 2022

Additional relevant MeSH terms:

Stroke

Ischemic Attack, Transient

Study Results

No Results Posted as of Feb 14, 2022