Secondary Prevention and Health Promotion After Stroke

Completed

Phase N/A Results N/A

Trial Description

The aim of this study was to examine to what extent a one year population of stroke patients at a university hospital had well regulated risk factors and health problems one year after stroke, and if a structured nurse-led previous follow-up in the intervention group including referrals if needed could influence health outcome and risk factors one year after stroke.

Detailed Description

The follow-up protocol was categorized into Risk factors, Patients' self-reports, and Other health problems. Referral was sent to a physician if medical interventions were needed regarding risk factors measured above the limits as stated in the follow-up protocol in accordance with guidelines,and/or if any self-reported health problems were stated by the patients, or had been detected by the Specialist Nurse. Primary outcome was comparison between the intervention group and control group at one year after stroke regarding proportion of regulated risk factors, and self-reports on health outcome. Results of the two follow-ups of the intervention group were also compared.

Conditions

Interventions

  • Standard Care Behavioral
    Intervention Desc: No intervention three months after stroke. Assessment one year after stroke and comparison with the intervention group.
    ARM 1: Kind: Experimental
    Label: Control group
    Description: Expected to receive standard care after stroke
  • Secondary prevention Other
    Intervention Desc: Risk factors; Pain/Discomfort and Anxiety/Depression; and Other health problems were assessed. Supportive counselling
    ARM 1: Kind: Experimental
    Label: Intervention group
    Description: Assessment of risk factors three months after stroke and referral when needed
  • Secondary prevention, supportive counselling Other
    Intervention Desc: Patients' self-reports on Mobility, Self Care, Usual activities, Pain/Discomfort, Anxiety/Depression, Health Outcome were registered. Health problems were assessed. Secondary prevention was controlled by measuring blood pressure, Cholesterol levels, HbA1c, Weight to estimate nutritional status. Functional status was assessed. Supportive counselling was provided. Referral was sent to physician if medical interventions were needed.
    ARM 1: Kind: Experimental
    Label: Intervention group
    Description: Control of secondary prevention at three months and one year after stroke and referral to physician if medical interventions are needed. Assessment of functional status and self-reports on health outcome. Supportive counselling provided.
  • Standard care until one year follow-up Other
    Intervention Desc: No intervention three months after stroke. Assessment one year after stroke and comparison with the intervention group.
    ARM 1: Kind: Experimental
    Label: Control group
    Description: Standard care with no outlined follow-up until one year after stroke. Control of secondary prevention after one year after stroke and referral to physician if medical interventions are needed. Follow-up one year after stroke according to the same protocol as the intervention group.

Trial Design

  • Allocation: Randomized
  • Masking: Open Label
  • Purpose: Prevention
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Number of interventions needed Number of interventions needed in intervention group vs control group one year after stroke. Yes
Secondary Prevalence of depression One year after stroke Yes
Primary Risk factors and health outcome compared between intervention group and control group Baseline to one year after stroke for both groups. Yes
Secondary Risk factors and health outcome at two follow-ups. Baseline to one year after stroke Yes

Sponsors