ICD-10: I63 (Cerebral infarction/Ischemic stroke), I64 (Stroke, not specified as hemorrhage or infarction) G45 I63 I64
Conditions
Interventions
Group 1: Intervention: Nurse-led decision and adherence coaching with a web-based patient decision aid
Physician’s consultation with goal setting
Group 2: Control: Optimised standard care with an informational brochure and a short nurse-led conversation
Sponsors
Universität zu Lübeck
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1) First ischaemic stroke (clinical diagnosis) or first transient ischaemic attack (TIA), ABCD2 score = 3. 2) Affected people feel physically and mentally able to participate in the study. 3) Willingness to participate in the study and written informed consent. 4) Affected people have access to the Internet at home.
Exclusion criteria
Exclusion criteria: 1) The NIHSS must not be greater than 0 in items 1a-c (vigilance, orientation, following prompts) . 2) Patient is unable to grasp the information material with sufficient certainty / participate appropriately in coaching due to eye movement disorders or visual impairment 3) Communication limitations due to aphasia or language barriers of a severity that prevent the comprehension of information material/participation in coaching 4) Stroke aetiology with differing secondary prevention: e.g. coagulation disorders (hereditary or paraneoplastic), dissection of a vessel, vasculitis (autoimmune or parainfectious), peri-interventional / perioperative strokes / TIAs, presence of symptomatic stenoses of the vessels supplying the brain (both intracranial and extracranial). 5) Severe cognitive impairments and known dementia. 6) Participation in another clinical trial with a competing intervention (e.g. specialized aftercare, extended secondary prevention).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of feasibility and acceptance Adherence to stroke prevention medication, measured by achieving guideline-based therapy target values after 12 months (LDL cholesterol and blood pressure levels) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health status of participants 2. Adherence 3. Number of recurrent strokes 4. Participants’ knowledge of stroke 5. The potential of the expanded nursing role in improving patient empowerment 6. Involvement of participants in the decision-making process 7. Economic evaluation of the intervention 8. Barriers and facilitators for the implementation of the intervention | — |
Countries
Germany
Contacts
Public ContactAnne-Christin Rahn
Universität zu Lübeck
Outcome results
None listed