Patient Centred Communication Intervention

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.

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Key information

Conditions

Aphasia Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Communication Disorders Language Disorders Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms Speech Disorders Stroke Vascular Diseases

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Toronto Rehabilitation Institute, E.W. Bickle Centre

Toronto, Ontario, M6K 2R7, Canada

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Patient-Centred Communication Intervention

Behavioral

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.

Primary outcomes

Stroke and Aphasia Quality of Life (SAQOL)

Time frame: Change in SAQOL from baseline to 1 month and from baseline to 3 months

The SAQOL is a 39-item tool designed to measure health-related quality of life in patients post-stroke with aphasia.

Secondary outcomes

Communication-Impairment Questionnaire (CIQ)

Time frame: Change in CIQ from baseline to 1 month and from baseline to 3 months

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.

Sponsors and collaborators

Lead sponsor

University Health Network, Toronto

Other

Collaborators

Canadian Institutes of Health Research (CIHR)

Registry information

Acronym: PCCI

Important dates

Study start: 2010
Primary completion: 2014
Study completion: 2014
First posted: Jul 31, 2012
Registry last updated: Apr 24, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed