Trial document
DRKS00006780
Trial Description
Title
Optimizing transition home from inpatient stroke rehabilitation
Trial Acronym
OpTheraS
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.
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.
Do you plan to share individual participant data with other researchers?
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Description IPD sharing plan:
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Organizational Data
- DRKS00006780
- 2014/09/18
- [---]*
- yes
- Approved
- 2014-76, Ethikkommission der Medizinischen Fakultät der Martin-Luther-Universität Halle Wittenberg
Secondary IDs
- [---]*
Health Condition or Problem studied
- I63 - Cerebral infarction
- I61 - Intracerebral haemorrhage
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.
Characteristics
- Non-interventional
- Observational study
- Single arm study
- Open (masking not used)
- [---]*
- Uncontrolled/Single arm
- Health care system
- Single (group)
- N/A
- N/A
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.
Secondary Outcome
Patient interviews will be conducted only once. Target criterias will not be differientated into primary and secondary outcomes.
Countries of Recruitment
- Germany
Locations of Recruitment
- University Medical Center
- Medical Center
- Medical Center
- Medical Center
Recruitment
- Actual
- 2014/08/25
- 360
- Multicenter trial
- National
Inclusion Criteria
- Both, male and female
- 18 Years
- no maximum age
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)
Exclusion Criteria
Patients, already taking part in a post hospital intervention study
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
end of 1:1-Block address primary-sponsorstart of 1:1-Block address contact primary-sponsor- +49 (0)345 557-4319
- +49 (0)345 557-4333
- dirk.vordermark at uk-halle.de
- http://www.medizin.uni-halle.de//index.php?id=3996
end of 1:1-Block address contact primary-sponsor -
start of 1:1-Block address scientific-contact
- 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
end of 1:1-Block address scientific-contactstart of 1:1-Block address contact scientific-contact- +49 (0)345 557-4474
- +49 (0)345 557-4471
- susanne.saal at uk-halle.de
- https://www.medizin.uni-halle.de/index.php?id=3666&BF=0
end of 1:1-Block address contact scientific-contact -
start of 1:1-Block address public-contact
- 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
end of 1:1-Block address public-contactstart of 1:1-Block address contact public-contact- +49 (0)345 557-4474
- +49 (0)345 557-4471
- melanie.mueller at medizin.uni-halle.de
- https://www.medizin.uni-halle.de/index.php?id=3666&BF=0
end of 1:1-Block address contact public-contact
Sources of Monetary or Material Support
-
start of 1:1-Block address materialSupport
- Martin-Luther-Universität Halle-WittenbergMedizinische FakultätProdekanat Forschung
- Mr. Prof. Dr. med. habil. Dirk Vordermark
- Magdeburger Straße 8
- 06112 Halle/Saale
- Germany
end of 1:1-Block address materialSupportstart of 1:1-Block address contact materialSupport- +49 (0)345 557-4319
- +49 (0)345 557-4333
- dirk.vordermark at uk-halle.de
- http://www.medizin.uni-halle.de//index.php?id=3996
end of 1:1-Block address contact materialSupport
Status
- Recruiting complete, follow-up complete
- 2015/12/31
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.