The YOU CALL-WE CALL randomized clinical trial: Impact of a multimodal support intervention after a mild stroke
Data(s) |
2013
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Resumo |
Background Comparison of a multimodal intervention WE CALL (study initiated phone support/information provision) versus a passive intervention YOU CALL (participant can contact a resource person) in individuals with first mild stroke. Methods and Results This study is a single-blinded randomized clinical trial. Primary outcome includes unplanned use of health services (participant diaries) for adverse events and quality of life (Euroquol-5D, Quality of Life Index). Secondary outcomes include planned use of health services (diaries), mood (Beck Depression Inventory II), and participation (Assessment of Life Habits [LIFE-H]). Blind assessments were done at baseline, 6, and 12 months. A mixed model approach for statistical analysis on an intention-to-treat basis was used where the group factor was intervention type and occasion factor time, with a significance level of 0.01. We enrolled 186 patients (WE=92; YOU=94) with a mean age of 62.5±12.5 years, and 42.5% were women. No significant differences were seen between groups at 6 months for any outcomes with both groups improving from baseline on all measures (effect sizes ranged from 0.25 to 0.7). The only significant change for both groups from 6 months to 1 year (n=139) was in the social domains of the LIFE-H (increment in score, 0.4/9±1.3 [95% confidence interval, 0.1–0.7]; effect size, 0.3). Qualitatively, the WE CALL intervention was perceived as reassuring, increased insight, and problem solving while decreasing anxiety. Only 6 of 94 (6.4%) YOU CALL participants availed themselves of the intervention. Conclusions Although the 2 groups improved equally over time, WE CALL intervention was perceived as helpful, whereas YOU CALL intervention was not used. |
Identificador | |
Publicador |
American Heart Association, Inc. |
Relação |
DOI:10.1161/CIRCOUTCOMES.113.000375 Rochette, Annie, Korner-Bitensky, Nicol, Bishop, Duane, Teasell, Robert, White, Carole L., Bravo, Gina, Cote, Robert, Green, Teri, Lebrun, Louise-Helene, Lanthier, Sylvain, Kapral, Moira, & Bayley, Mark (2013) The YOU CALL-WE CALL randomized clinical trial: Impact of a multimodal support intervention after a mild stroke. Circulation: Cardiovascular Quality and Outcomes, 6(6), pp. 674-679. |
Direitos |
© 2013 American Heart Association, Inc. |
Fonte |
Faculty of Health; Institute of Health and Biomedical Innovation; School of Nursing |
Palavras-Chave | #111099 Nursing not elsewhere classified #affect #rehabilitation #quality of life #patient participation #life support care |
Tipo |
Journal Article |