Aneurysmal Subarachnoid Hemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who have experienced an aneurysmal subarachnoid hemorrhage OR Caregivers of patients with aneurysmal subarachnoid hemorrhage: Regularly provide supportive care—whether nursing, emotional, and/or organizational 2. Age: = 18 years 3. Severity: WFNS grade = III 4. Language: Sufficient proficiency in German 5. Sufficient cognitive function 6. Capacity to give informed consent Treating physician: Experience in treating aSAH patients (neurosurgery, neuroradiology, or anesthesiology)
Exclusion criteria
Exclusion criteria: Additional untreated aneurysms
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The goal is to determine care needs based on qualitative (and quantitative) data. Qualitative Interviews As part of this study, qualitative interviews will be conducted with patients who have experienced an aneurysmal subarachnoid hemorrhage (aSAB). A total of 12 patients, 8–12 family members, and 4–6 healthcare providers of aSAB patients will be interviewed by a member of the study team using a semi-structured interview guide. The interviews will last approximately 30 to 40 minutes for patients and family members, and approximately 20 minutes for healthcare providers. The qualitative data will be analyzed using Mayring’s methodology, with the qualitative data (interviews and focus groups) being analyzed jointly (convergent) with the quantitative data. Focus Groups Following the qualitative interviews and standardized questionnaires, qualitative focus groups are planned for patients and family members. These are guided and moderated group discussions between patients and family members (5–8 participants per group; family members and patients in separate groups). Like the interviews, these are transcribed and analyzed according to Mayring’s methodology. | — |
Secondary
| Measure | Time frame |
|---|---|
| Standardized Questionnaires To supplement the qualitative data, quantitative questionnaire data is also collected from patients using paper-based forms. This data is collected immediately following the qualitative interview (duration: approximately 20 minutes). The following questionnaires and constructs are assessed: • Sociodemographics: age, relationship status, number of minor children, highest level of education attained • Questions regarding previous mental health/psychiatric diagnoses • Questions regarding current psychopharmacological treatment • Questions regarding significant pre-existing physical conditions • PHQ-ADS (Patient Health Questionnaire Anxiety and Depression Scale): Measures the severity of depressive and anxiety symptoms (Kroenke et al., 2016). • PA-F-KF (Progression Anxiety Questionnaire): Assesses illness-related fear of progression or concerns about worsening/recurrence in key areas of life (including emotions, family, work, and autonomy; Mehnert et al., 2006). • PCL-5-SF (Posttraumatic Stress Disorder Symptom Checklist): Assesses the extent of posttraumatic stress symptoms according to the DSM-5 as a screening tool and measure of severity (Zuromski et al., 2019; Krüger-Goeschalk et al., 2017). • SIS (Six-Item Screener): Serves as a brief cognitive screener to assess possible cognitive impairments (particularly orientation and memory; Krupp et al., 2018). • Questionnaire on the Needs of Stroke Survivors: Assesses unmet or long-term care and support needs in follow-up care (Franzisket et al., 2025). Family members and healthcare providers do not fill out questionnaires. | — |
Countries
Germany
Contacts
Klinik für Neurochirurgie, Medizinische Fakultät und Universitätsklinikum (UKD), Heinrich-Heine-Universität (HHU) Düsseldorf