Promoting Community Reintegration for Young Adults With Stroke

The Chinese University of Hong Kong

Status: Enrolling

Conditions: Stroke

Treatments: Behavioral: Narrative and Skills-building Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04560140

NSI

Details and patient eligibility

About

This project will investigate the effects of a Narrative and Skills-building Intervention on young stroke survivors' community reintegration and psychosocial outcomes. A randomised controlled trial will be conducted. This is a novel trial to test the short and long-term effects of a theory-based intervention on young stroke survivors' community reintegration.

Full description

This project will investigate the effects of a Narrative and Skills-building Intervention on young stroke survivors' community reintegration and psychosocial outcomes. A randomised controlled trial will be conducted. Participants will be facilitated to narrate their survival experiences and rebuild core life skills. Outcomes including community reintegration, depressive symptoms, health-related quality of life, self-efficacy, outcome expectation and satisfaction with performance of self-management behaviours will be measured. This is a novel trial to test the short and long-term effects of a theory-based intervention on young stroke survivors' community reintegration.

Enrollment: 208 estimated patients

Sex: All

Ages: 18 to 64 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• (1) are 18-64 years of age,
• (2) have a clinical diagnosis of first-ever or recurrent ischaemic or haemorrhagic stroke,
• (3) are living at home after discharge from hospital,
• (4) have a Montreal Cognitive Assessment score >20,
• (5) have a modified Rankin Scale score ≥3,
• (6) can communicate in Cantonese, and
• (7) are able to attend all intervention sessions.

Exclusion criteria

• 1. transient ischaemic attack, subdural or epidural haemorrhage,
• 2. experienced cerebrovascular events due to tumours or head trauma,
• 3. mental condition such as depression, schizophrenia, bipolar or personality disorder,
• 4. incomprehensible speech or difficulty in comprehending conversations, or
• 5. have received a self-management programme in the past.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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208 participants in 2 patient groups

Intervention group

Experimental group

Description:

Eligible participants will be randomly assigned to receive usual care with the novel 24-week Narrative and Skills-building Intervention.

Treatment:

Behavioral: Narrative and Skills-building Intervention

Usual care group

No Intervention group

Description:

Participants will receive usual stroke care.