Quality of Life Clinical Trial
— CODE:QoLOfficial title:
Cerebrovascular Disease: Quality of Life (CODE: QoL)
NCT number | NCT06443268 |
Other study ID # | 2023-00224 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | May 27, 2023 |
Est. completion date | June 30, 2028 |
The goal of this observational study is to learn about quality of life, stress and caregiver burden in patients with stroke and their caregivers. The main question is: • to discover the factors associated with quality of life and stress in patient-caregiver dyads. Participants will be asked to fill out questionnaires and agree to provide a hair sample (in order to measure stress hormones in hair) and consent to use of their routine clinical and laboratory data. Researchers will compare a group of participants without stroke to establish a comparable baseline.
Status | Recruiting |
Enrollment | 680 |
Est. completion date | June 30, 2028 |
Est. primary completion date | April 30, 2028 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Control group: Inclusion criteria: - over 18 years old - No previous stroke OR previous stroke >3 years ago - No significant disability (maximum mRS 1) - ambulatory patients at the University Hospital of Zurich (USZ), Dept. of Neurology - Patients' AND caregiver's ability to give informed consent - Patients' AND close relative's / caregiver's willingness to participate Exclusion criteria: • Medication with steroid hormones (prednisone, prednisolone, dexamethasone, methylprednisolone, hydrocortisone etc.) within last 3 months Main Group: Inclusion criteria: - over 18 years old - Patients diagnosed with either transient ischemic attack, ischemic stroke or intracerebral hemorrhage and their caregivers - Caregiver of a patient as described above, age over 18 years - Hospitalized or ambulatory patients at the University Hospital of Zurich (USZ) included within 28 days from event. - Patients' AND caregiver's ability to give informed consent - Patients' AND caregiver's willingness to participate Exclusion criteria: • Medication with steroid hormones (prednisone, prednisolone, dexamethasone, methylprednisolone, hydrocortisone etc.) within last 3 months |
Country | Name | City | State |
---|---|---|---|
Switzerland | Department of Neurology, University Hospital Zurich | Zürich | Zurich |
Lead Sponsor | Collaborator |
---|---|
University of Zurich |
Switzerland,
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* Note: There are 25 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Quality of Life as assessed via Short Form - 36 (SF-36) | will be assessed using Short Form - 36 (SF-36)
Multi-item scale with 8 domains assessing health related quality of life: limitations in physical activities limitations in social activities limitations in usual role activities because pain limitations in social role activities vitality overall mental health overall health Domains are scored seperately; Values span from 0 to 100, higher values indicate fewer limitations |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Stress | as assessed using Perceived Stress Scale - 10 (PSS-10)
Scoring is based on 2 subscales: Subscale 1: Perceived self-efficacy (PSE), range: (4-20) Subscale 2: Perceived helplessness (PH), range: (6-30) Total score PSS-10 is evaluated by adding both sub scale scores. Values span from 10 to 50, higher values indicate higher levels of stress |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Positive Aspects of Caregiving: | Measure of caregiver burden
Questionnaire: 11 items / Likert scales (1-5) Values span from 11 to 55, higher values indicate positive aspects of caregiving |
caregivers at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Zarit Burden Interview: | Measure of caregiver burden
22 items / Likert scales (0-4) Values span from 0 to 88, higher values indicate higher caregiver burden |
caregivers at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Stroke Related Quality of Life | will be assessed using Stroke Impact Scale 3.0 (SIS-3.0)
SIS-3.0 includes 60 items and assesses 9 domains using Likert scales: Strength - 4 items Hand function - 5 items Activities of daily living - 10 items Mobility - 9 items Communication - 7 items Emotion - 9 items Memory and thinking - 7 items Participation/Role function - 8 items Perceived recovery since stroke onset - single-item VAS (visual analog scale) Domains are scored seperately; Values span from 0 to 100, higher values indicate fewer limitations |
patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Anxiety | will be assessed using General Anxiety Disorder- (GAD-7)
7 items / Likert scales (0-3) Values span from 0 to 21, higher values indicate higher level of anxiety and functional impairment |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Depression | will be assessed using Patient Health Questionnaire - 9 (PHQ-9)
9 items, evaluated by likert scale (0-3) Values span from 0 to 27, higher values indicate higher probability of depression and decreased functional status |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Sexual Quality of Life | will be assessed using Sexual Behavior Questionnaire German (SBQ-G)
Equal base questions (1-6) and gender specific questions m(7-11), f(7-10) Single item evaluation with two answer categories (0-1) dysfunctional (2-3) functional Evaluation of MGISD (Mean Global Index of sexual Dysfunction): Arithmetic mean of 1,4,5,6,8f/11m |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Incontinence | will be assessed using International Consultation on Incontinence Questionnaire (ICIQ)
3 Questions regarding urinary incontinence Frequency? Severity? Impact on quality of life? Score is sum of answer values (1 + 2 + 3); Range: 0-21 Scoring Categories slight (1-5) moderate (6-12) severe (13-18) very severe (19-21) |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | neurological functioning of the patients (NIHSS) | will be assessed using National Institutes of Health Stroke Scale (NIHSS)
NIHSS 13 assessed functional domains Range 0-42, higher score indicates severe impairment |
patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | neurological functioning of the patients (mRS) | will be assessed using modified Rankin Scale (mRS)
mRS • Range: (0-6) 0 = no symptoms, 6 = death, higher score indicates severe impairment |
patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | neurological functioning of the patients (Barthel Index) | will be assessed using Barthel Index
Barthel Index Physical impairment in daily life / self-care score ranges from 0-100 higher score indicates fewer limitations |
patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Distress | will be assessed using Distress Thermometer
Assessment with Visual Analog Scale (0-10), higher scale indicates more distress. Selection of aspects in life causing distress |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Quality of Life (short) | will be assessed using EuroQol-5 (EQ5-DL)
Evaluation of 5 different aspects of health with likert scale (1-5) MOBILITY SELF-CARE USUAL ACTIVITIES PAIN / DISCOMFORT ANXIETY / DEPRESSION Each domain is scored individually, higher values indicate higher impairment of quality of life |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Quality of Life (short) | will be assessed using EuroQol-5 (EQ5-DL)
Visual analog scale: EQ VAS 0-100, higher score indicates better perceived current health |
caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | cortisol / cortisone in hair (pg/mg) | Stress biomarkers | caregivers and patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | fasting glucose (mmol/l) | Stress biomarkers | patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | HbA1c (in %) | Stress biomarkers | patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Lipid profiles (LDL, HDL, triglycerides in mmol/l) | Stress biomarkers | patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | TSH (mU/l) | Stress biomarkers | patients at 0, 3 and 12 months after cerebrovascular event. | |
Secondary | Blood pressure (systolic & diastolic in mmHg) | Stress biomarkers | caregivers and patients at 0, 3 and 12 months after cerebrovascular event. |
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