Assessment of Patient Reported Health Status Questions Via Four Different Methods of Administration, in Stroke Survivors.

Stroke Clinical Trial

Official title:

Assessment of Patient Reported Health Status Questions Via Four Different Methods of Administration, in Stroke Survivors. A Randomised Controlled Trial. A Non-inferiority Study of the Response Rate for Four Alternative Methods of Administration of 15 Patient Reported Health Status Questions in Stroke Survivors.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03177161
• Other study ID #: IRAS 222226
• Status: Completed
• Phase: N/A
• Start date: August 12, 2017
• Est. completion date: April 1, 2018

Study information

• Verified date: July 2018
• Source: Aneurin Bevan University Health Board
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A Patient Reported Outcome Measure (PROM) is a questionnaire that asks patients for their views on their own health or the impact of healthcare they have received on their health and quality of life (RCN, 2011). The benefit of PROMS is that they gather information from the patient's perspective, which offers great potential to improve the quality and outcomes of health services (Department of Health 2011).

There is a PROM (the PROMIS-10 Global Health) and a number of extra questions that are recommended for use in people who have had a stroke by the International Consortium for Health Outcomes Measurement, but the best way of delivering these questions for stroke survivors is unknown.

At present, the NHS in England, Scotland and Wales are required to offer every stroke survivors a 6 month post stroke follow-up appointment. Currently, the information collected at the 6 month review is not from the patient's perspective and the best method of collecting this information has not been established. The Sentinel Stroke National Audit Programme (SSNAP) which is led by the Royal College of Physicians in London promote the 6 month follow-up assessment. SSNAP recognise that currently 4 different methods of 6 month follow-up appointment occur. The current methods in use are face-to-face assessment, telephone interview, online questionnaire or postal questionnaire.

The aim of this research is to understand if there is a difference between these 4 methods of delivering these questions in people who have had a stroke.

As part of the 6 month review this research study will assess the response rate for 15 Patient Reported Health Status questions across the 4 recognised methods of delivery;

• Face-to-Face

• Telephone

• Online

• Post

To conduct this research study a sample of 808 stroke survivors will be asked to take part in the research. From these 808 people, 202 participants will be randomly assigned to each method of administration (Face-to-Face Interview, Telephone Interview, Postal Questionnaire and Online Questionnaire).

The questionnaires received by the research team will not record any personally identifiable information. The data will then be utilised by the researchers for statistical analysis in order to identify, which method of the 4 methods of administration, under investigation, is the most acceptable for stroke survivors. The conclusions of this research will inform the roll-out of the most appropriate method of delivering the 6 month stroke follow-up review for stroke survivors.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 472
• Est. completion date: April 1, 2018
• Est. primary completion date: January 15, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Clinically confirmed diagnosis of stroke either Cerebral Infarct (ICD I63), Cerebrovascular Haemorrhage (ICD161) or Stroke, not specified as haemorrhage or infarction (ICD I64).

• Patients over 18 years old (= 18 years old)

• Had a diagnosis of stroke within the last 4-8 months (Stroke diagnosis = 4months to = 8 months)

Exclusion Criteria:

• Diagnosis of a Transient Ischaemic Attack (ICD G45)

• Diagnosis of a Subarachnoid Haemorrhage (ICD I60)

Related Conditions & MeSH terms

• Cerebral Hemorrhage
• Cerebral Infarction
• Hemorrhage
• Infarction
• Stroke
• Stroke Hemorrhagic
• Stroke of Uncertain Pathology
• Stroke, Ischemic

Intervention

Other:
• 15 Patient Reported Health Status Questions
The PROMIS-10 Global Health, three single item questions (ambulation, toileting, and dressing) that have been borrowed from the RiksStroke (The National Quality Register for Stroke - Sweden) and two further questions on feeding and communication have been included from the ICHOM Standard Set for Stroke.

Locations

Country	Name	City	State
United Kingdom	Nevill Hall Hospital	Abergavenny	Monmouthshire
United Kingdom	Prince Charles Hospital	Merthyr Tydfil
United Kingdom	Royal Gwent Hospital	Newport	Gwent
United Kingdom	Ysbyty Ystrad Fawr	Ystrad Mynach	Caerphilly

Sponsors (2)

Lead Sponsor	Collaborator
Dr Jonathan Hewitt	Stroke Implementation Group (Wales)

Country where clinical trial is conducted

United Kingdom, 

References & Publications (1)

Smith A, Pennington A, Carter B, Gething S, Price M, White J, Dewar R, Hewitt J. Acceptability of the method of administration of a patient-reported outcome measure (PROM) with stroke survivors, a randomised controlled trial protocol. Trials. 2018 Jul 3;19(1):349. doi: 10.1186/s13063-018-2694-4. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total response rate for all 4 methods of delivery	As defined by response rate. This will be measured by the number of individuals that return the questionnaire for each of the four allocation groups.	120 to 240 days post index event
Secondary	Total response rate across the four different methods of administration for 15 Patient Reported Health Status questions with people with communication issues (e.g. aphasia)		120 to 240 days post index event
Secondary	Total response rate across the four different methods of administration for 15 Patient Reported Health Status questions by stroke severity (as defined by NIHSS on admission)		120 to 240 days post index event
Secondary	Total response rate across the four different methods of administration for 15 Patient Reported Health Status questions by stroke type (as defined by ICD classification)		120 to 240 days post index event