Evaluation of the Impact of an Individual Peer Support Intervention for Stroke Patients When Returning Home: a Mixed Methods Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Feasibility measure
研究概览
简要总结
Going back home following a stroke is a key step for the patient and his or her relatives. Due to the brutality of stroke and increasingly shorter in-hospital lengths of stay, patients and their families must adapt quickly to the patient's new health functioning and the new caregiving and support role for family members.
Peer support could be an innovative and inexpensive approach to addressing these issues. Peer-helpers are patient-partners who put their experiential knowledge from life with the disease at the disposal of other patients to offer them social and emotional support in the management of the disease in connection with care, social and community structures. Group peer support programs face organizational challenges and fail to address the full range of patient needs for stroke home visits. Individualized and more flexible support could better meet the needs of patients. Our hypothesis is that individual peer support improves quality of life and patient empowerment during the discharge period compared to usual practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patient,
- •Having had a first confirmed, ischemic or hemorrhagic stroke
- •Managed in the participating rehabilitation center
- •Whose discharge to home directly from the rehabilitation center is planned
- •Presenting a modified Rankin score of 1 to 3 when deciding to leave the stroke center
- •Having given its written consent
- •Whose main residence is located in the Rhône department
- •Aphasic patients may be included if a caregiver can follow up with the case manager
排除标准
- •Patient living in an institution prior to stroke
- •included in a gerontological network before stroke
- •Patient unable to understand quality of life questionnaires
- •Patient with unstable medical or psychological conditions who, in the opinion of the investigator, could lead the subject to be non-compliant or uncooperative during the study or could compromise patient safety or participation in the study
- •Patient under guardianship or curatorship
- •Patient not affiliated to a social health insurance
研究组 & 干预措施
control group
Patients included in the control group before intervention will receive the usual practices. As part of the study, they will be contacted for data collection 6 months after the transition to home by a clinical research associate.
intervention group
For 6 months after discharge, patients in the intervention group will benefit from peer support by a trained patient (number and frequency of contacts defined according to the patient's needs).
The intervention aims to improve the patient's ability to manage his or her situation and meet his or her needs upon discharge at home, including identifying and seeking for the necessary health or social resources
干预措施: Peer support (Other)
结局指标
主要结局
Feasibility measure
时间窗: 6 months
The feasibility of the intervention will be evaluated as success with a combined criteria including: * Recruitment and training of 2 peer helpers, * Support offered to 20 patients by the peer helpers during the intervention period defined by at least one meeting before and one contact after discharge per patient included in period after, * Good acceptability by patients, carers and peer helpers. These data will be collected by a qualitative approach associating semi-directive interviews, focus groups and participant observation.
次要结局
- Disability(6 months)
- Adherence(6 months)
- Human, material and financial assistance provided at home(6 months)
- Anxiety and depression scores between discharge and 6 months(6 months)
- Patient activation Measure(6 months)
- Satisfaction measure(6 months)
- Caregiver burden(6 months)
- Caregiver satisfaction(6 months)
- Quality of life between the discharge from hospital and 6 months(6 months)