Health Condition 1: null- BEDRIDDEN STROKE PATIENTS AND THEIR CAREGIVERS Health Condition 2: G819- Hemiplegia, unspecified
Conditions
Interventions
Intervention1: Medical application (smartphone app), routine care, and booklet: MAPSS, the medical application based post stroke care strategy using smartphone/tablet incorporating all the procedures
Sponsors
Ashok Kumar
Eligibility
Inclusion criteria
Inclusion criteria: 1. All stroke patients >=18 years of age. 2. Recent ( 3. Stroke survivors with significant residual disability (requiring help from another person for everyday activities)/bedridden patients (mRS >3). 4. The caregivers are willing and able to provide care to the patients after discharge. 5. The caregivers / patients must have a smartphone/tablet with internet facility and should be competent as well as willing to use an app as a health care tool (For Phase Ib (Pilot phase) and Phase II). 6. Expected to survive to discharge from hospital with a reasonable expectation of 6 month survival (i.e. not palliative, no evidence of widespread cancer etc.) 7. Stroke survivors/caregivers who will provide informed written consent. (Subjects will only be recruited if they or their legally acceptable representatives (LARs) are willing to provide a written informed consent to participate in the study.)
Exclusion criteria
Exclusion criteria: 1. Stroke survivors with no caregiver or hired caregiver or illiterate caregiver, 2. Caregiver who is not competent enough to use MAPSS as per the investigators judgment {For Phase Ib (Pilot phase) and Phase II}. 3. Stroke survivors who localized in poor network connectivity area {For Phase Ib (Pilot phase) and Phase II}.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Development of bed-sores in a patient with mRS 3 at discharge from the hospital with in first 3 months is taken as surrogate marker as well as primary outcome of the study. Co-primary outcomes: i. Development of other complications eg. aspiration pneumonia, catheter related UTIs, contracture frozen shoulder, DVT (incidence rates for all) ii. Caregiver stress index (CSI) score. iii. Quality of life of patients (score) Timepoint: at 3 months and 6 months after stroke development. | — |
Secondary
| Measure | Time frame |
|---|---|
| i. Functional status of the patients / Disability (mRS score). ii. Number of Patientsâ?? hospital visits /hospitalization. iii. Skills / Knowledge / Practice/Opinions (score) iv. ADL score. Timepoint: 3 MONTHS | — |
Countries
India
Contacts
Public ContactAshok Kumar
Postgraduate Institute of Medical Education and Research (PGIMER)
Outcome results
None listed