Specialist nurse support for patients with stroke in the community

Completed

Phase N/A Results

Trial Description

To evaluate whether specialist nurse visits enhance the social integration and perceived health of patients with stroke or alleviate stress in caregivers in long-term stroke care.

Interventions

Trial Design

Stratified, randomized controlled trial of 240 patients. Patients were stratified by whether they had been admitted to hospital or stayed at home, by level of social activities before stroke (Frenchay activities index, categories 0-10, 11-30, 31-45) and by functional ability (Barthel Index, categories 0-9, 10-14, 15-19, 20).

Patient Involvement

Patients were randomized to the intervention or control group. The intervention included visits by specialist outreach nurses over 12 months to provide information, advice, and support; minimum of six visits during the first six months. The control group received no visits. Assessments were made at 3, 6, and 12 months in the patients' homes.

Outcomes

Type Measure Time Frame Safety Issue
Primary The Frenchay activities index (social activity).
Secondary The Barthel index (functional ability), the Nottingham health profile (perceived health status). Stress among caregivers was indicated by the general health questionnaire-28 (28 items).

Sponsors

Stroke Association (UK)