SPaCIS
Research type
Research Study
Full title
Use of the Stroke Patient Concerns Inventory in Stroke Outpatients Clinics: a feasibility cluster randomised controlled trial
IRAS ID
344756
Contact name
Kulsum Patel
Contact email
Sponsor organisation
University of Central Lancashire
Duration of Study in the UK
1 years, 0 months, 31 days
Research summary
Stroke survivors experience ongoing physical, psychological and social concerns affecting quality-of-life. There is a lack of systems and tools that allow healthcare staff to identify stroke survivors’ concerns and so they are often not adequately addressed. Stroke outpatient follow-up appointments are time-limited, reducing opportunity for patients to discuss, and staff to identify, concerns.
The Patient Concerns Inventory (PCI), is used in cancer-care appointments. The PCI lists potential concerns for patients to select from before their appointment which they would like to discuss. Research shows that using the PCI increased satisfaction with appointments and improved patient quality-of-life, without lengthening appointment time. The PCI has been adapted for stroke (Stroke Patient Concerns Inventory (sPCI)) and a large study is needed to see if it is also effective. Firstly, the study design and the sPCI need to be tested in a smaller study. This study, funded by the NIHR, aims to determine if the sPCI can be used in stroke outpatient services by both staff and patients.
Four stroke services performing follow-up appointments will recruit a total of 96 participants, who are: stroke survivors within 7-months of stroke, aged 18 years and over, and attending their first follow-up appointment. Two sites will receive training in the sPCI (using it during appointments to discuss concerns and manage them appropriately), and provide their participants the sPCI to complete before their appointment (in addition to their usual practice). The remaining two sites will continue their usual practice.
Data collection will include: participants’ demographic and stroke information, and quality-of-life at baseline; completed sPCI and participants’ feedback on its use immediately after the appointment; participants’ satisfaction and empowerment within one-week of the appointment; and participants’ quality-of-life and use of health services three-months later. A selection of participants and staff will be interviewed about their experiences of the study.
REC name
Wales REC 3
REC reference
24/WA/0259
Date of REC Opinion
17 Sep 2024
REC opinion
Favourable Opinion