Qualitative Analysis of the Post-Stroke Continuum Among African Stroke Survivors in Alabama

Withdrawn

• Conditions: Caregiver Burden; Disability Physical; Patient Satisfaction; Stroke
• Interventions: Other: Informational Interview; Other: Focus Group

• Registration Number: NCT05350488
• Lead Sponsor: University of Alabama at Birmingham

Brief Summary

This proposal seeks to improve the investigators' post-stroke TOC process through developing an innovative, patient informed and guided solution aimed at addressing the investigators' deep south African American population within the UAB system. The investigators will engage participants in both urban and rural Alabama through informational interviews and work to find common themes to address so that future interventions are useful to their unique needs and desires. This goes beyond simply identifying barriers and endeavors to discovering solutions.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-03-30
• Study First Submitted QC: 2022-04-21
• Study First Posted: 2022-04-28
• Study Start: 2023-02-01
• Primary Completion: 2023-02-28
• Study Completion: 2023-02-28
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-17
• Last Update Posted: 2023-07-18

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

1. African American
2. Aged 40 years and older
3. Required home health therapy, outpatient therapy, skilled nursing facility or inpatient rehabilitation
4. Alabama Resident
5. Fluent in English
6. Stroke confirmed by advanced imaging (CT, MRI)
7. Zoom capability (participants can either have video conference ability or can call into Zoom line)
8. Caregivers must be identified by patients as providing a significant portion of care and/or be able to articulate their role as a caregiver

Exclusion Criteria

1. Did not require home health therapy, outpatient therapy or inpatient rehabilitation
2. Long term residents of skilled nursing facility
3. Severe aphasia
4. Severe cognitive impairments

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Stroke Survivors >1 year	Informational Interview	Group B will include participants that are greater than 1 year out from their most recent
Stroke Survivors <1 year	Informational Interview	Group A will include participants that are less than 1 year out from their most recent stroke.
Caregivers	Focus Group	Group C will include participants' identified caregivers.

Primary Outcome Measures

Name	Time	Method
Feasibility of recruitment and retention	July 1,2022-January 20, 2023	The investigators will screen 60-100 individuals with the goal of enrolling a total of 20 AA (African American) stroke survivors +/- their identified caregivers. Historically, there has been low recruitment and retention rates for AAs. The investigators plan to over-recruit in order to account for this phenomenon and track our success/failure rates with percent retained vs recruited.
Ability to use Zoom platform	July 1,2022-January 20, 2023	The Zoom platform is becoming a more popular avenue to conduct qualitative interviews for research purposes among researchers and participants. The investigators will evaluate if this reported phenomenon is reproducible within this particular research cohort. Success will measured by a 50% or greater completion of interview and the ability to successfully connect to the zoom platform either via smart device or telephone dial in. The investigators will also document any technical difficulties that are encountered from either the interviewer's standpoint or the participant's standpoint.
Validity of questions asked to arrive at the themes that will appropriately inform the basis of this proposal	February 2023-May 2023	We will extract data from transcriptions of participants' Zoom interviews and perform thematic analysis