Managing Aftercare for Stroke (MAS): MAS-II - A Longitudinal Complex-interventional Study in Post-rehabilitation Stroke Patients
- Conditions
- Stroke
- Interventions
- Other: comprehensive multidisciplinary stroke care
- Registration Number
- NCT03097146
- Lead Sponsor
- Charite University, Berlin, Germany
- Brief Summary
After discharge from hospital, the current healthcare system in Germany allows considerable flexibility (therefore complexity) of patient access and mobility between multiple care providers in the community setting. The investigators believe this aftercare could be better coordinated by a specialized coordinated stroke aftercare service. Comprehensive coordinated multidisciplinary care is a proven concept with proven benefits in both acute and rehabilitation care provided in stroke units and neurorehabilitation centres. In this study, the investigators postulate that a similar coordinated approach to care can be extended to the phase after in-patient rehabilitation has ended (i.e. "long-term management" as opposed to "early supported discharge") for disabled patients with stroke living in the community.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 61
- Patients with ischemic stroke
- Age ≥18 years
- At the time of V1 completion of rehabilitation or no rehabilitation planned
- Informed consent signed by patient or legal representative
- stroke patients with a stratified mRS score
- within six months after the index event
- Unwillingness to participate in "AmbulanzPartner"
- Unwilling to have pseudonymized data stored, analysed, and anonymously published
- Patients being committed to psychiatric institutions or prisons
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description comprehensive multidisciplinary stroke care comprehensive multidisciplinary stroke care -
- Primary Outcome Measures
Name Time Method "EuroQol five dimensions questionnaire" (EuroQoL-5D) 12 Months questionnaire for self-completion by patients for use as a measure of health outcome
- Secondary Outcome Measures
Name Time Method Freiburg questionnaire for coping (FKV) 12 Months questionnaire is used to assess disease processing modes at the levels of cognition, emotion, and behavior
"Morisky Medication Adherence Scale" (MMAS) 12 Months questionnaire is used to assess patients' medication-taking behaviour
Post Stroke Checklist (PSC) 12 Months checklist that helps identify post-stroke problems
modified Rankin Scale (mRS) 12 Months scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability
Barthel-Index (BI) 12 Months scale is used to measure performance in activities of daily living
Hamilton rating scale for depression 12 Months questionnaire is used to provide an indication of depression
"Nikolaus score for evaluation of social conditions" (SoS) 12 Months score is used to assess patients' social work intervention
modified Ashworth Scale (mAS) 12 Months scale is used as a measure of spasticity
Pain Detect (PD-Q) 12 Months questionnaire for self-completion by patients for the identification of neuropathic pain
Montreal Cognitive Assessment (MoCA) 12 Months cognitive screening test in the detection of mild cognitive impairment
partial Aachen Aphasia Test (AAT) 12 Months test is used to diagnose and describe aphasic disturbances
"Häusliche Pflegeskala" (HPS) 12 Months questionnaire is used to assess social work Intervention and couple's counselling
Hospital Anxiety Depression Scale (HADS) 12 Months questionnaire for self-completion by patients to determine the levels of anxiety and depression
Trial Locations
- Locations (1)
NeuroCure Clinical Research Center (NCRC), Charité
🇩🇪Berlin, Germany