Participative Rehabilitation in Stroke Patients (PaReSiS)

Martin-Luther-Universität Halle-Wittenberg

Status and phase: Completed; Phase 3

Conditions: Stroke

Treatments: Behavioral: Case management

Study type: Interventional

Funder types: Other

Identifiers

NCT00687869

01GX0711

Details and patient eligibility

About

Primary objective of this study is to determine whether a case management of stroke patients after discharge to home or to nursing home results in improving physical and cognitive capacity one year after discharge.

Full description

In a randomized trial, the project Participative rehabilitation process management "Stroke in Saxony-Anhalt" (PaReSiS) implements a case management trial, explicitly including all providers in the course of illness, treatment and rehabilitation. To achieve this, patients in the intervention group have the opportunity to choose, specifically and according to their own needs, from the offers of a web portal and a telephone hotline, from individual counselling and info sessions as well as from home visits. Patients in the control group receive patient-information-notes beyond primary care. There will be qualitative interviews with the persons concerned and/or their relatives in both groups in order to validate the instruments.

Enrollment: 322 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acute cerebrovascular event (ischemic stroke or intra-cerebral bleeding) with signs and symptoms of an acute stroke according to the diagnosis I61 and I63 of the ICD-10-GM 2008
• Differentiation between ischemic or haemorrhagic stroke by the use of CT or MRT
• Resident in Saxony-Anhalt or Saxony or Thuringia
• Able to understand German language

Exclusion criteria

• Reinfarction
• Alcoholism
• Death in acute care
• NIHHS > 25
• Homelessness

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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322 participants in 2 patient groups

Case management

Experimental group

Description:

Case management with patient-information-notes, telephone hotline, individual counselling using home visits, e-mail and telephone contact, web portal

Treatment:

Behavioral: Case management

Behavioral: Case management

usual care

Active Comparator group

Description:

Usual stroke aftercare plus patient-information-notes

Treatment:

Behavioral: Case management

Behavioral: Case management