Health Condition 1: G811- Spastic hemiplegia
Conditions
Interventions
Intervention1: Intervention arm: Subjects will be allocated for
routine standard care
Booklet QR code/PDF and web link of routine care videos for duration of three months.
Control Intervention1: Contr
Sponsors
ICMR
Eligibility
Inclusion criteria
Inclusion criteria: 1.All stroke patients of more than equal to 18 years of age. 2. Recent ( 3. Stroke survivors with significant residual disability (requiring help from another person for everyday activities)/bedridden patients (mRS more than 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. 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.
Exclusion criteria
Exclusion criteria: 1.Stroke survivors with no caregiver or hired caregiver or illiterate caregiver, who is not competent enough to use MAPSS as per the investigators judgment. 2.Stroke survivors who localized in poor network connectivity area. (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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of reduction composite of the complications will be taken as primary outcome (Aspiration pneumonia, catheter associated urinary tract infection (CAUTI) shoulder pain (less than 5 score on Numerical rating scale (NRS more than equal to 5)), deep vein thrombosis (DVT) in a patient with mRS equal to 3 within first 3 months after recruitment in the study will be assessed)Timepoint: 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Caregiver stress index (CSI) score will be assessed by using modified caregiver strain index (MCSI). 2. Health related Quality of life of patients (score) will be assessed by using VAS of EQ-5D scale. 3. Functional status of patients will be assessed by using modified Rankin Scale (mRS). 4. Stroke severity level will be assessed by using National institute of health and stroke scale (NIHSS). 5. Mortality. 6. Number of hospital visits and hospitalization will be assessed by using validated semi structured interview schedule. 7. Activity of daily life score will be assessed by using Barthel Index. 8. Cost effectiveness will be assessed by validated tools. 9. App usage quantification will be assessed only in App group at the end of the study.Timepoint: 6 months | — |
Countries
India
Contacts
Public ContactDrAshok J
PGIMER CHANDIGARH
Outcome results
None listed