Skip to content

Shared Team Approach between Nurses and Doctors For Improved Risk Factor Management for stroke patients

A prospective, multicentre, randomised controlled trial of efficacy (control of risk factors at 12 months) and cost effectiveness of a team approach between nurses and doctors (coordinated transition from hospital to general practice) versus standard care (the ongoing care that a patient would normally receive) in patients discharged home after an acute stroke.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12608000166370
Acronym
STAND-FIRM
Enrollment
563
Registered
2008-04-04
Start date
2010-02-16
Completion date
2013-11-21
Last updated
2024-09-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A randomised-controlled trial of a shared approach to risk management (the intervention) versus standard care (control) following stroke. Outcome is blinded and analysis is intention-to-treat. A cost-effectiveness analysis is included. It is hypothesised that at 12 months following stroke a shared nurse/doctor team approach to risk factor management will result in improved management of patients risk factors, result in fewer adverse events, and will be cost-effective.

Interventions

Patients who have had a new stroke are randomised to receive a coordinated team approach of risk factor management following discharge home from hospital. The approach involves assessing patients’ risk factors, educating patients about their risk factors, and then treating their risk factors and/or otherwise managing their risk factors with behavioural changes. Both nurses and doctors in hospital and primary care settings coordinate this care. The intervention will continue for 18 months.

Sponsors

Monash University
Lead SponsorOther

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patient with first or recurrent stroke (haemorrhage or infarct) or transient ischaemic attack, admitted to hospital.

Exclusion criteria

Patients living more than 50km from the hospital, recruited to another clinical trial, or being discharged to a nursing home.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 27, 2026