Stroke
Conditions
Brief summary
This project will investigate the effects of an 8-week theory-driven online/hybrid Self-employment Skill Building Intervention on the rate of self-employment, self-efficacy, life satisfaction, and psychosocial outcomes among working-age stroke survivors.
Detailed description
A 2-arm randomised controlled trial will be conducted. Individuals aged 18-65 years old, with a first-ever/recurrent ischaemic/haemorrhagic stroke, and unemployed for at least 6 months will be recruited. Eligible participants will be randomly assigned to receive usual care or a new intervention with usual care. The intervention is aimed at assisting survivors in becoming self-employed by developing entrepreneurial skills. Outcomes including self-employment rate, self-efficacy, life satisfaction, emotional well-being, and community reintegration at baseline, immediately and 3 months after completing the intervention. Semi-structured interviews will be conducted with participants to elicit feedback on SSI.
Interventions
OTHERSelf-employment support intervention
A new intervention developed to assist stroke survivors in becoming self-employed by developing entrepreneurial skills. It consists of one home visit, three online individual sessions, and four online group sessions held once a week for eight weeks.
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* 18-65 years old at the time of recruitment * been clinically diagnosed with a first-ever/recurrent ischaemic/haemorrhagic stroke * a Montreal Cognitive Assessment score (MoCA) \>2nd percentile * a paid job (full-time/part-time) at the recent onset of stroke * been unemployed (not in paid, full-time/part-time job) for ≥6 months at the time of recruitment * able to communicate in Cantonese and read Traditional Chinese.
Exclusion criteria
* diagnosed with transient ischaemic attack * cerebrovascular events due to tumour * diagnosed with a mental condition for example depression or schizophrenia * incomprehensible speech * receiving or awaiting to receive vocational programmes * self-employed at the time of recruitment or planning to retire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-employment rate | Change from baseline level to three months after completion of the intervention | Self-employment work is defined as the active production of goods and/or services on one's own or with a small group for personal gains, including income, and is not performed for wages by employers. Work done by housewives, students, and volunteers is not included. A minimum of 10 hours per week should be committed to the work (25% of full-time work).(2,3) The participant's response will be rated as "Yes" or "No". |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy | Change from baseline level to three months after completion of the intervention | Participants' self-efficacy in coping with stressful life events will be assessed by the 10-item General Self-Efficacy Scale (GSES) (Chinese version). Each item is rated on a 4-point scale (1=not at all true to 4=exactly true). |
| Life satisfaction | Change from baseline level to three months after completion of the intervention | Participants' satisfaction with life will be measured by the Satisfaction with Life Scale (Chinese version). It contains 5 items that ask participants to rate their agreement with each statement on a 7-point scale (1=strongly disagree to 7=strongly agree). |
| Emotional well-being | Change from baseline level to three months after completion of the intervention | Participants' emotional well-being will be measured by the 14-item Hospital Anxiety and Depression Scale (Chinese version). It has 2 subscales (anxiety and depression), and participants will rate their mood in the previous week on a 4-point scale (0=no not at all to 3=yes definitely). Summation of relevant item scores yields the subscale score (total=0-21). |
| Community reintegration | Change from baseline level to three months after completion of the intervention | The 11-item Reintegration to Normal Living Index (Chinese version) will be used to assess participants' level of community reintegration.(44) It has 8 domains (mobility, daily self-care and work/activities, roles in family, relationships with others, presentation of self to others, coping skills). Participants will rate how well each item describes their situation (1=a small extent to 5=a great extent). Summation produces a total score that is normalised to 100 (range 25-100). |
Countries
Hong Kong
Contacts
CONTACTSuzanne Lo
PRINCIPAL_INVESTIGATORSuzanne Lo
Chinese University of Hong Kong
Outcome results
None listed