Stroke Self-Management: Effect on Function and Stroke Specific Quality of Life

Completed · Not applicable

Conditions studied: Stroke

In brief

The experience of a stroke event may result in a disruption to the survivor's daily life. Patients with stroke have reported fears of permanent disability and major concerns over their ability to recover and be productive and engaged with family, friends and coworkers. To enhance recovery from stroke, the investigators designed a stroke self-management program and have pilot tested the program among Veterans recovering from stroke/TIA. The study is a three-site, randomized controlled trial designed to test the efficacy of a stroke self-management program. The intervention program includes 6 bi-weekly sessions over months 1-3 followed by monthly telephone calls as the investigators administered in the investigators' pilot study during months 4-6 for a total length of program duration of 6 months. The investigators have added 3 monthly group support sessions during months 4-6 for additional peer support. Thus, participants will receive bi-monthly support during months 4-6. The three intervention sites include the Jesse Brown VAMC in Chicago, the Roudebush VAMC in Indianapolis, and the IU Health Methodist Hospital in Indianapolis, Indiana. The three hospitals represent facilities with a small, moderate, and large volume of acute stroke care, respectively. Additionally, Methodist Hospital includes a greater proportion of women which enables us to study the patterns and preferences of women with stroke/TIA and tailor the investigators' future programs to prepare for the increasing female Veteran population.

Key facts

Study ID

NCT01507688

Run by

VA Office of Research and Development

People needed

258

Starts

2013-01-07

Expected to finish

2019-08-29

Last updated by the study team

2023-07-27

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patient eligibility criteria include:
• age 18 or older;
• acute diagnosis of ischemic stroke or TIA within past 12 months;
• able to speak and understand English;
• no severe cognitive impairment;
• access to a telephone;
• willing to follow-up in VA/IU Health outpatient care;
• had a previous outpatient primary care visit during the past 12 months in VA/IU Health outpatient care;
• willing to attend all individual phone and group meetings during the 6 month intervention; and
• life expectancy of at least 6 months as defined by the patient's neurologist at stroke event.

You may not qualify if…

• Short Portable Mental Status score < 7;
• Significant language comprehension (NIH Stroke Scale commands score > 0); or
• Receptive language deficits (NIH Stroke Scale aphasia score > 2).

Where it is running

• Jesse Brown VA Medical Center, Chicago, IL — Chicago, Illinois, United States
• Richard L. Roudebush VA Medical Center, Indianapolis, IN — Indianapolis, Indiana, United States

Full record on ClinicalTrials.gov

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