Patient Centred Communication Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Stroke and Aphasia Quality of Life (SAQOL)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion Criteria
- •diagnosis of stroke related to cerebral infarct
- •presence of a communication impairment
- •ability to speak and understand English before the stroke
- •ability to consent
排除标准
- •global aphasia or severe Wernicke's aphasia
- •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
研究组 & 干预措施
Control group receiving usual care
Usual care consists of speech language therapy for some patients. Most care is focused on swallowing assessments.
PCCI 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.
干预措施: Patient-Centred Communication Intervention (Behavioral)
结局指标
主要结局
Stroke and Aphasia Quality of Life (SAQOL)
时间窗: 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.
次要结局
- Communication-Impairment Questionnaire (CIQ)(Change in CIQ from baseline to 1 month and from baseline to 3 months)