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Managing Aftercare for Stroke (MAS): MAS-II - A Longitudinal Complex-interventional Study in Post-rehabilitation Stroke Patients

Not Applicable
Completed
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
Inclusion Criteria
  • 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
Exclusion Criteria
  • 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
GroupInterventionDescription
comprehensive multidisciplinary stroke carecomprehensive multidisciplinary stroke care-
Primary Outcome Measures
NameTimeMethod
"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
NameTimeMethod
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 depression12 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

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