An Implementation Project to Improve Identification Of Altered Mood for People Hospitalised After Acute Stroke

Will patients with acute stroke who are admitted to a hospital providing the mood identification program have a greater likelihood of having altered mood identified than patients in hospitals providing standard care and when compared to an historical control period?

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12614000839606

Acronym

IAMAS

Enrollment

200

Registered

2014-08-07

Start date

2014-05-19

Completion date

2015-12-24

Last updated

2020-01-13

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

Conditions

None listed

Brief summary

Altered mood is a common problem after stroke and can impact on stroke survivors’ recovery. Despite this it is often poorly identified by health professionals. Accessing psychology services after stroke is an enormous issue with only 12% of acute services having access to clinical psychology and 29% having protocols for referral to psychology. This pilot, implementation study aims to improve the identification of suspected altered mood in patients with stroke admitted to Hunter New England Health (HNEH) hub services. It will trial standardised processes and tools, supported by training for clinicians. Identification processes will commence early in the acute setting and continue during the stroke survivor's inpatient stay in HNEH hub facilities. Results from identifying suspected altered mood will be included in the patient discharge summary. This controlled, pre and post-implementation cohort design study will include comparisons to historical audit data and control sites.

Interventions

Patients with stroke and TIA admitted to intervention sites will be observed (from admission onwards) and screened (after 5 days) for altered mood. Screening will be undertaken using the Hospital Anxiety & Depression Scale (HADS) or for those with cognition/ communication issues the Behavioural Outcomes of Anxiety (BOA) and Stroke Aphasic Depression Questionnaire Hospital Version (SADQ-H10) tools. These will be repeated as clinically indicated. Staff will be trained in observation and screening.

Study design

Allocation

Non-randomised trial

Intervention model

Parallel

Primary purpose

Diagnosis

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Admitted with clinical signs of stroke or Transient Ischaemic Attack (TIA) Participants located in a stroke unit or general ward

Exclusion criteria

nil

Outcome results