Evaluating the Effect of Nurse-Led Stroke Transitional Care in Tanzania
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorShandong University
About this trial
The goal of this observational study is to assess the effects of nurse-led stroke transitional care in stroke survivors, caregivers and healthcare providers who participate in nurse-led stroke transitional care program to improve discharge preparedness, disease self-management and quality of life among stroke survivors. The main question it aims to answer is: does nurse-led stroke transitional care program improve discharge preparedness, disease self-management and quality of life among stroke survivors? Participants are currently participating in nurse-led stroke transitional care program as part of their medical care. Stroke survivors and their caregivers will be followed for six months period to assess their transitional care quality and clinical outcome measures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Clinical nurses and physicians with six months of working experience in stroke care
Clinical nurses and physicians with a minimum of diploma in their professions.
Stroke survivors with 18 years old and above
Stroke survivors admitted in the stroke units
Disqualifiers
Healthcare providers who will be on leave during the study period.
Stroke survivors with previous stroke who are not admitted in stroke units
Stroke survivors who are discharged against medical advice
Stroke survivors who have end-stage organ failure
Trial population
The study will include nurses, doctors, stroke survivors and caregivers who are directly involved in hospital-to-home transition.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Nurse-led stroke transitional care program
BehavioralParticipants in intervention group will receive usual care plus nurse-led stroke transitional care. Two nurse champions will conduct the face-to-face sessions while other two nurse researchers will conduct the telephone call sessions between August and December, 2025. During hospitalization, the two nurse champions will conduct five face-to-face sessions (2 individual sessions at admission; and at discharge), and three group sessions with 2-4 dyads of patients and caregivers. After hospitalization, two nurse researchers will conduct seven follow-up sessions for three months via phone calls at day 3, week 1, week 3, week 5, week 7, week 9, and week 11. The face-to-face sessions and phone call sessions will take 40-60 minutes and 20-30 minutes respectively
Treatment groups
130 Participants
are divided into 1 treatment groupGroup A: Historical control group1 intervention
Trial outcomes
Primary outcomes
1
Self-efficacy among stroke survivors
Ability to take control and perform recommended health behaviors and discharge instructions. Self-efficacy will be measured by the Stroke Self-Efficacy Questionnaire (a=0.9) developed by Jones and colleagues. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better ability to follow and adhere to healthy lifestyles after stroke
Time frame
6 months after discharge2
Quality of life among stroke survivors
Quality of life that will be measured by the Stroke Specific Quality of Life (SSQoL) with (a=0.85). This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better quality of life as evidenced by ability to perform self-care activities, improved cognitive function, mobility, and engaging in social activities
Time frame
6 months after discharge3
Discharge preparedness among survivors
Discharge preparedness that will be measured by the Short Forms of the Readiness for Hospital Discharge Scale (RHDS) developed by Weiss. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate readiness for hospital-to-home discharge among stroke survivors.
Time frame
within 1 month after discharge4
Discharge preparedness among health care providers
Discharge preparedness that will be measured by the Short Forms of the Readiness for Hospital Discharge Scale (RHDS) developed by Weiss. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate agreement on readiness for hospital-to-home discharge among nurses and doctors.
Time frame
within 1 month after dischargeSecondary outcomes
1
Depression and anxiety among survivors and caregivers
Depression and anxiety that will be measured by the locally validated 10-items Kessler Psychological Distress Scale with a=0.85. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate poor mental health status after discharge.
Time frame
6 months after discharge2
Care satisfaction among survivors and caregivers
Satisfaction of hospital care will be measured by a questionnaire developed specific for this study. It will be measured as total scores and mean scores. High total and mean scores indicate good satisfaction with transitional care.
Time frame
within 1 month after discharge3
Mortality among survivors
This will be counted as a death event after discharge.
Time frame
6 months after discharge4
readmission among survivors
This will be measured as number of times the patient is readmitted at the hospital after discharge. High frequency will indicate many readmissions.
Time frame
6 months after dischargeSponsors and contacts
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Source ClinicalTrials.gov