Improving follow up care for people after minor stroke, V4
Research type
Research Study
Full title
A feasibility study investigating an early, personalised follow-up programme for people after minor stroke.
IRAS ID
321584
Contact name
Paresh Malhotra
Contact email
Sponsor organisation
Imperial College Healthcare NHS Trust
Clinicaltrials.gov Identifier
Clinicaltrials.gov Identifier
NA, NA
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Background to the research:
There are 1.2 million stroke survivors in the UK, a quarter to a third will have experienced a so-called ‘minor stroke’. This typically involves a short hospital stay or an outpatient appointment. It is often incorrectly assumed that the person has made a full recovery. Despite the increased risk of having another stroke, high unmet information needs regarding how to reduce the risk of further stroke are reported. In addition, after return home, hidden effects from the stroke such as changes to thinking and memory, mood and fatigue may be experienced. These can impact return to work and previous important life roles.Research questions:
This study aims to explore whether an early, personalised follow-up programme for people after minor stroke could be delivered within the NHS. Feasibility outcomes will be supplemented by qualitative data obtained from those in the intervention and control group to understand in greater detail the acceptability, experience and perceived benefits of both follow-up approaches.How the research will be done:
This NIHR funded, single-centre, mixed methods, feasibility study will recruit participants with minor stroke from the hyperacute stroke unit and rapid assessment clinic. Participants will be randomised to the new, early, follow-up programme plus usual care or usual care only. The intervention group will receive two follow-up appointments, the first two-weeks and the second six-weeks after discharge. Information needs, focusing on reducing the risk of further stroke will be addressed and support, signposting and onward referrals for hidden effects of stroke will be provided. The follow-up programme will be informed by a psychological theory of motivation which considers a person’s unique personality, social environment and supports. It aims to build competence, a sense of mastery and motivation to manage life after stroke. Final measurement will be at twelve to fourteen-weeks.REC name
London - Hampstead Research Ethics Committee
REC reference
23/LO/0424
Date of REC Opinion
24 May 2023
REC opinion
Further Information Favourable Opinion