Ischaemic stroke, Haemorrhagic stroke, Cerebrovascular accident, Transient ischaemic attack Stroke, Clot-related stroke, Brain bleed
Conditions
Interventions
CVA eCoach is a mobile application (available via smartphone and tablet) created together with health professionals, patients and informal caregivers. It supports patients who have suffered a stroke o
Sponsors
Isala
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Control group (without CVA eCoach):Patients with cerebral infarction or cerebral hemorrhageAge = 18 yearsCan be discharged directly from the hospital to their homeSufficient command of the Dutch languageNo language disorder due to brain injuryNo serious mental health issuesPatients who do not use the CVA eCoachIntervention group (with CVA eCoach):Patients with cerebral infarction or cerebral hemorrhageAge = 18 yearsCan be discharged directly from the hospital to their homeSufficient command of the Dutch languageNo language disorder due to brain injuryNo serious mental health conditionsAble to use and in possession of a smartphone and/or tabletAccess to the internet
Exclusion criteria
Exclusion criteria: Control group (without CVA eCoach):Younger than 18 years of ageCannot be discharged from hospital (e.g. due to complications)Insufficient command of the Dutch languageLacking sufficient cognitive ability to understand the information letter and consent form, or unable to actively participate in the studySuffering from a serious mental illness that prevents participation in the studyIntervention group (with CVA eCoach):Younger than 18 years of ageCannot be discharged from hospital (e.g. due to complications)Insufficient command of the Dutch languageLacking sufficient cognitive ability to understand the information letter and consent form, or unable to actively participate in the studySuffering from a serious mental illness that prevents participation in the studyDo not have access to a smartphone and/or tablet, or be unable to use oneDo not have access to the internet
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Part 1 – Impact according to the Quadruple AimThe outcome variables are based on the Quadruple Aim model and comprise four core domains:1.1 Improving the patient experience of carePrimary outcome: Overall health, measured with the Patient-Reported Outcomes Measurement Information System 10-Question Short Form (PROMIS-10); score range 9–55; measured at weeks 12–14 and one year after hospital discharge.1.2 Improving population healthPrimary outcome: Difference in the number of outpatient clinic visits within one year at the neurology and rehabilitation departments between the control group and the intervention group.1.3 Reducing healthcare costsPrimary outcome: Number of outpatient clinic visits within one year at the neurology and rehabilitation departments.1.4 Improving the experience of healthcare professionalsPrimary outcome: Usability, satisfaction, and ease of use, measured with the USE (Usefulness, Satisfaction, and Ease of Use) questionnaire; total score range 30–210; assessed at baseline, six months, and one year after the start of the study.Part 2 – Use of and experiences with the CVA eCoach2.1 Use of the CVA eCoach by patientsPrimary outcome: Adherence, evaluated by analysing the extent to which patients complete the full duration of the intervention.2.2 Individual interviews and focus groups with healthcare professionalsPrimary outcome: Identification of recurring factors influencing the implementation and use of the CVA eCoach, both within and between hospitals. | — |
Secondary
| Measure | Time frame |
|---|---|
| Part 1 – Impact according to the Quadruple Aim The outcome variables are based on the Quadruple Aim model and comprise four core domains:1.1 Improving the patient experience of careSecondary: Self-efficacy (measured with the Dutch General Self-Efficacy Scale (DGSES)); score range 0–30; measured at weeks 12–14 and one year after hospital discharge.Secondary: Self-efficacy with regard to information, coping, and grip (measured with three self-developed questions); score range 0–9; measured at weeks 12–14 and one year after hospital discharge.Secondary: Social participation (measured with the Utrecht Scale for Evaluation of Rehabilitation Participation (USER-P)); evaluated per item, with most items having different response options; measured at weeks 12–14 and one year after hospital discharge.Secondary: Patient satisfaction with care (measured with two self-developed questions for the control group or three for the intervention group, with the third question being open-ended); score range 2–20; measured at weeks 12–14.Secondary: Engagement with the CVA eCoach (measured with the Twente Engagement with Ehealth Technologies Scale (TWEETS)); score range 0–40; measured at weeks 12–14.1.2 Improving population healthSecondary: Difference in the number of new outpatient clinic visits between the control and intervention groups.Secondary: Difference in the number of emergency department visits and readmissions between the control and intervention groups.1.3 Reducing healthcare costsSecondary: Presentation as a new patient at the outpatient clinic.Secondary: Emergency department visits and number of readmissions.1.4 Improving the experience of healthcare professionalsNo secondary outcome measures.Part 2 – Use and experiences with the CVA eCoach2.1 Use of the CVA eCoach by patientsSecondary: Response rate to prompted questions, assessed to gain insight into the extent to which patients actively participate in monitoring.Secondary: Most frequently used functions of the eCoach, id | — |
Countries
Netherlands
Contacts
Public ContactL. Bareisyte
Isala
Outcome results
None listed