Accelerating delivery of psychological therapies after stroke

Completed

• Conditions: Topic: Stroke; Subtopic: Rehabilitation; Disease: Therapy type; Nervous System Diseases; Stroke

• Registration Number: ISRCTN12868810
• Lead Sponsor: niversity of Central Lancashire

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2016-02-04
• Last Update Posted: 20 November 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 608

Inclusion Criteria

Case note review
All stroke patients on the acute stroke unit will be identified over one week during the usual care period (prior to process mapping and development of the implementation package), and one week during the period of rolling out the implementation package.

Main Trial
Consecutive stroke patients admitted to the acute stroke units will be identified who:
1. Survive to day 3 post-stroke or being discharged prior to day 3
2. Lives within catchment area of trust
3. Aged 18 or over

Process Evaluation
Stroke patients and carers
Stroke patients and carers will be purposely selected (12 per site) to recruit a balance in sex, age (younger and older), stroke severity (mild, moderate and severe), communication abilities and time since stroke.

Staff
Staff working within the stroke hospital settings within each of the sites. This may include nurses, doctors, OTs, physiotherapists, allied health professionals, reflecting the range of staff involved in the care pathway at each site.

Exclusion Criteria

The participant exclusion criteria is the same for all three elements (casenote review, main trial and process evaluation) and are as follows:
1. Living outside area catchment area of trust
2. Aged under 18
3. Lacks capacity AND has no friend/relative/carer

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient Health Questionnaire 9 item (PHQ-9) at baseline, 6 weeks and 6 months.

Secondary Outcome Measures

Name	Time	Method
1. Behavioual Outcomes of Anxiety Scale (BOA) at baseline, 6 weeks and 6 months<br>2. Generalised Anxiety Disorder 7 item (GAD-7) at baseline, 6 weeks and 6 months<br>3. Impact of Events Scale 6-items at 6 weeks and 6 months<br>4. Stroke Aphasia Depression Questionnaire 10 item (SADQ-10) at baseline, 6 weeks and 6 months<br>5. Work and Social Adjustment Scale 5-items at 6 weeks and 6 months