Patient Centred Communication Intervention

Stroke Clinical Trial

— PCCI  

Official title:

Patient Centred Communication Intervention

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01654029
• Other study ID #: PCCI 93790
• Status: Completed
• Phase: N/A
• First received: July 20, 2012
• Last updated: April 23, 2014
• Start date: September 2010
• Est. completion date: April 2014

Study information

• Verified date: April 2014
• Source: University Health Network, Toronto
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Canadian Institutes of Health Research
• Study type: Interventional

Clinical Trial Summary

The most frequent consequence of a stroke is a communication impairment. When patients cannot articulate their needs, frustration and agitation are frequent responses, often resulting in poor optimization of post-stroke function. Staff's lack of knowledge of communication strategies exacerbates the problem. A key component of patient-centred care is the ability of staff to communicate in such a way that allows them to understand the patient's needs. Members of our team developed the patient-centred communication intervention (PCCI) targeting registered and unregulated staff caring for complex continuing care (CCC) patients with communication impairments post stroke. The purpose of the study is to examine if the PCCI results in improved patients' quality of life and in improved staff attitudes and skills in caring for patients with communication impairments.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 120
• Est. completion date: April 2014
• Est. primary completion date: April 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Patients:

Inclusion Criteria

• diagnosis of stroke related to cerebral infarct

• presence of a communication impairment

• ability to speak and understand English before the stroke

• ability to consent

Exclusion Criteria:

• global aphasia or severe Wernicke's aphasia

Staff:

Inclusion Criteria

• directly involved in providing care

• employed full or part-time

• ability to consent

• ability to speak and write English

• work with patients who have communication impairments

Exclusion Criteria

• unwilling to provide informed consent

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Aphasia
• Stroke

Intervention

Behavioral:
• Patient-Centred Communication Intervention
The intervention consists of three parts: 1) development of individualized communication care plans; 2) staff attendance at a workshop focused on communication and behavioral management strategies; and 3) implementation of a staff support system.

Locations

Country	Name	City	State
Canada	Toronto Rehabilitation Institute, E.W. Bickle Centre	Toronto	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
University Health Network, Toronto	Canadian Institutes of Health Research (CIHR)

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Stroke and Aphasia Quality of Life (SAQOL)	The SAQOL is a 39-item tool designed to measure health-related quality of life in patients post-stroke with aphasia.	Change in SAQOL from baseline to 1 month and from baseline to 3 months	No
Secondary	Communication-Impairment Questionnaire (CIQ)	The Communication Impairment Questionnaire is an 8-item self-report scale. It is used to measure the attitudes of nurses toward patients with communication impairments.	Change in CIQ from baseline to 1 month and from baseline to 3 months	No