Trial document



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  DRKS00006780

Trial Description

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Title

Optimizing transition home from inpatient stroke rehabilitation

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Trial Acronym

OpTheraS

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URL of the Trial

[---]*

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Brief Summary in Lay Language

Transition from inpatient to outpatient care is not optimally organized according to judgments of clinicians, family physicians, physiotherapists and occupational therapists.
The purpose of this study is to investigate the current transition practice from inpatient to outpatient care after stroke and determine interventions to overcome problems in discharge home in the future.
A systematic literature search will be conducted and patients with stroke will be interviewed after discharged home. Clinicians, family physicians, occupational therapists, physical therapists, speech therapists and nurses will be asked about their experiences and attitudes to the current discharge practice.

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Brief Summary in Scientific Language

In Saxony-Anhalt, the number of people suffering from stroke is much higher than the national average in Germany (371 versus 326 per 100 000 inhabitants per year). Transition from inpatient to outpatient care is not optimally organized according to judgments of clinicians, family physicians, physiotherapists and occupational therapists.
The study will 1) systematically identify barriers of the current transition practice from inpatient to outpatient care and 2) determine interventions to overcome these problems in the future. The study uses the UK Medical Research Council`s guideline on developing and evaluating complex interventions as framework.
First, a scoping review about interventions to improve discharge of stroke patients’ transition will be conducted. Second, a sample of 360 patients will be interviewed via phone six weeks after discharge. If the respondent is engaged in any therapy during the point of time, the therapist will be additionally asked about the specific prescribed therapy. Third, semi-structured interviews with clinicians and family physicians (n=8) will be conducted as well as group discussions with occupational therapists, physical therapists and speech therapists aimed to explore professionals’ attitudes to the current discharge practice and to identify challenges of transition from inpatient to outpatient care. A final inter-professional workshop will summarize the results and discuss the feasibility of potential interventions.

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Organizational Data

  •   DRKS00006780
  •   2014/09/18
  •   [---]*
  •   yes
  •   Approved
  •   2014-76, Ethikkommission der Medizinischen Fakultät der Martin-Luther-Universität Halle Wittenberg
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   I63 -  Cerebral infarction
  •   I61 -  Intracerebral haemorrhage
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Interventions/Observational Groups

  •   Patients will be interviewed via phone six weeks after discharge from hospital or inpatient rehabilitation. They will asked about quality of life,stroke specific limitations, use of services and satisfaction with services.
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Characteristics

  •   Non-interventional
  •   Observational study
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Health care system
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

Patient interviews will be conducted only once. Since this is not an interventional trial, it is not distinguished between primary and secondary outcomes. Patients will be asked about quality of life, stroke specific limitations, use of services and satisfaction with services.

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Secondary Outcome

Patient interviews will be conducted only once. Target criterias will not be differientated into primary and secondary outcomes.

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • University Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
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Recruitment

  •   Actual
  •   2014/08/25
  •   360
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

diagnosis I63 or I61 ICD-10, discharge home, persistent need for therapy (recommendation to follow-up outpatient treatment in the discharge letter)

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Exclusion Criteria

Patients, already taking part in a post hospital intervention study

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Addresses

  • start of 1:1-Block address primary-sponsor
    • Martin-Luther-Universität Halle-WittenbergMedizinische FakultätProdekanat Forschung
    • Mr.  Prof. Dr. med. habil.  Dirk  Vordermark 
    • Magdeburger Str. 8
    • 06112 Halle/Saale  Halle
    • Germany
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    • Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg Institut für Gesundheits- und Pflegewissenschaft
    • Ms.  Dr. rer. medic.  Susanne  Saal 
    • Magdeburger Str. 8
    • 06097   Halle/Saale
    • Germany
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    • Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg Institut für Gesundheits- und Pflegewissenschaft
    • Ms.  Dipl. Soz.  Melanie  Müller 
    • Magdeburger Str. 8
    • 06097   Halle/Saale
    • Germany
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Sources of Monetary or Material Support

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    • Martin-Luther-Universität Halle-WittenbergMedizinische FakultätProdekanat Forschung
    • Mr.  Prof. Dr. med. habil.  Dirk  Vordermark 
    • Magdeburger Straße 8
    • 06112  Halle/Saale
    • Germany
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Status

  •   Recruiting complete, follow-up complete
  •   2015/12/31
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Trial Publications, Results and other Documents

  •   Saal S., Kirchner-Heklau U., Müller T., Wohlfarth K., Hamzei F., Müller M., Strobel S., Clewing C.: Optimierung der Überleitung von der stationären zur ambulanten Gesundheitsversorgung nach Schlaganfall (OpTheraS) – Bestandsaufnahme der aktuellen Praxis und Analyse von Wirkmechanismen der Überleitung. Die Rehabilitation. DOI: 10.1055/s-0043-124347; EPub: 2018/01/30.
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* This entry means the parameter is not applicable or has not been set.