A Personalized, Digital Coaching Program After Stroke
- Conditions
- Stroke, Ischemic
- Interventions
- Behavioral: Strokecoach.be - digital coaching program for stroke patients
- Registration Number
- NCT03038685
- Lead Sponsor
- University Hospital, Antwerp
- Brief Summary
The Belgian Stroke Council initiated a project to improve risk factor control and medication adherence in ischemic stroke patients by developing an individualized in-hospital initiated and post- discharge, digital coaching program addition to standard practice (strokecoach.be).
- Detailed Description
The overall aim of this project is to further improve subacute and chronic stroke care in the Belgian context with main focus on the patients' quality of life, stroke recurrence and secondary cardiovascular prevention. Main focuses are on patient-empowerment, shared-decision making and health literacy, as these items are linked with better therapeutic adherence and self-care for chronic diseases.
In case of a positive result, implementation of this individualized chronic stroke care program executed by a personal stroke coach, initiated during hospitalization and using a web-based intervention program, can easily be unrolled in other Belgian stroke units. The program can be cost-effective if better clinical outcome, stroke recurrence rates, number of in-hospital consultations, number of rehospitalisations are reduced. This will be evaluated in a in-depth healt-economic analysis.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 148
Patients with an acute ischemic stroke hospitalized at a participating stroke center can be included during hospitalisation if fulfilling following three criteria: - they will return back home or be discharged to a rehabilitation center
- have a life expectancy of more than 6 months
- have experience with internet use (at least weekly checking emails) or a caregiver accepts to help with the digital platform.
- Age < 18 years
- Patients unable or unwilling to be followed post-discharge for 6 months
- Patients with a major neurologic post-stroke and no caregiver participation
- Cognitive impairment limiting use of digital platform and no caregiver participation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description prospective, multicenter cohort Strokecoach.be - digital coaching program for stroke patients A group of 175 patients will be recruited in 4 Belgian stroke centers during the six months period. All data will be collected prospectively and patients will be treated during six months period.
- Primary Outcome Measures
Name Time Method cardiovascular risk factor control 6 months The primary endpoint is the impact of the intervention on the cardiovascular risk factor control by assessing the evolution of the SCORE (Systematic COronary Risk Evaluation: High \& Low cardiovascular Risk Charts) risk pre- and postintervention. An official program to analyze these parameter will be used (AOST©, Crethsoft).
- Secondary Outcome Measures
Name Time Method Clinical outcome 6 months The impact on the clinical outcome will be assessed by the modified Rankin Score (0-6, mRS).
Therapeutic adherence 0.5-1-2-3-6 months A selfreport of the therapeutic adherence will be checked at every consultation by asking them if any medication had been skipped during last 10 days.
Quality-of-life 3-6months The impact on the quality-of-life will be evaluated by using the dutch version of the EQ-5D questionnaire
Stroke recurrence rate 0.5-1-2-3-6 months At every teleconsultancy contact stroke recurrences will be demanded.
Trial Locations
- Locations (4)
Groeningehospital
🇧🇪Kortrijk, Belgium
Sint-Lucashospital
🇧🇪Brugge, Belgium
University Hospital Antwerp
🇧🇪Edegem, Belgium
Sint-Janhospital
🇧🇪Brugge, Belgium