Clinical Effectiveness of Self-Management Education Post-Mild Stroke
| Status: | Completed |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - 90 |
| Updated: | 4/29/2016 |
| Start Date: | January 2013 |
| End Date: | January 2016 |
Individuals who have a mild stroke have a 44% risk of dying from a second stroke within 10
years which is in large part due to the cyclical relationship of chronic disease, poor
health, and mild stroke which has gone largely unnoticed in the United States.
Self-management intervention has been proven to be an effective intervention to increase
healthy behaviors, improve overall health status, decrease healthcare utilization/cost,
decrease depressive symptoms, and improve participation in people with a variety of chronic
conditions; however, it has never be used with individuals with mild stroke. The critical
next step and goal of this study is to evaluate if self-management intervention will improve
health outcomes for persons with mild stroke. The overall hypothesis of this study is that
self-management intervention will improve outcomes in the mild-stroke population.
years which is in large part due to the cyclical relationship of chronic disease, poor
health, and mild stroke which has gone largely unnoticed in the United States.
Self-management intervention has been proven to be an effective intervention to increase
healthy behaviors, improve overall health status, decrease healthcare utilization/cost,
decrease depressive symptoms, and improve participation in people with a variety of chronic
conditions; however, it has never be used with individuals with mild stroke. The critical
next step and goal of this study is to evaluate if self-management intervention will improve
health outcomes for persons with mild stroke. The overall hypothesis of this study is that
self-management intervention will improve outcomes in the mild-stroke population.
Inclusion Criteria:
- a mild stroke as NIHSS total scores 0-5
- 18-90 years of age
- English speaking
- identified as having at least one other chronic condition besides stroke
Exclusion Criteria:
- severe aphasia (NIHSS aphasia score=2)
- moderate to severe cognitive impairment (MOCA < 21)
- history of dementia
- hemorrhagic stroke
- neurological diagnoses other than stroke
- major psychiatric illness (A diagnosis of bipolar disorder, obsessive compulsive
disorder, panic disorder, schizophrenia, post-traumatic stress disorder, and
borderline personality disorder)
- a score of no-higher than 20 on the PHQ-9 indicating significant depressive symptoms
- terminal illness
We found this trial at
1
site
St. Louis, Missouri 63108
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