Patient Centred Communication Intervention

Not Applicable

Completed

• Conditions: Aphasia; Stroke
• Interventions: Behavioral: Patient-Centred Communication Intervention

• Registration Number: NCT01654029
• Lead Sponsor: University Health Network, Toronto

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-09
• Study First Submitted: 2012-07-20
• Study First Submitted QC: 2012-07-27
• Study First Posted: 2012-07-31
• Status Verified: 2014-04
• Primary Completion: 2014-04
• Study Completion: 2014-04
• Last Update Submitted: 2014-04-23
• Last Update Posted: 2014-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

Not provided

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PCCI Intervention	Patient-Centred Communication 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.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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.

Trial Locations

Locations (1)

Toronto Rehabilitation Institute, E.W. Bickle Centre; 🇨🇦 Toronto, Ontario, Canada