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.
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.
- 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.
- Allocation: Randomized
- Masking: Open Label
- Purpose: Prevention
- Endpoint: Efficacy Study
- Intervention: Parallel Assignment
|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|