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| ID | Type | Description | Link |
|---|---|---|---|
| 5161 | Other Identifier | Clinical Trials Ontario |
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| Name | Class |
|---|---|
| March of Dimes, Canada | OTHER |
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
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The goal of this clinical trial is to learn if a home visit by a trained volunteer can improve stroke recovery after a stroke survivor is discharged home from the hospital. The main questions it aims to answer are:
Researchers will compare between a group who will receive the volunteer support and a group who will not to see if the additional support can improve stroke recovery.
Participants will:
Acute stroke often leads to adult disability in Canada, and about 108,707 Canadians experience a stroke each year. While most people survive stroke (80 percent) and return home, some survivors are left with ongoing challenges that require them to seek help in the community. These challenges can lead to stress for the individual and their caregiver. Research on volunteer-supported home-to-hospital programs has shown positive outcomes. However, despite the growing evidence that supports volunteer engagement in care transitions, we have yet to determine the impact of a complex psychosocial volunteer-delivered care transition intervention for stroke survivors. This study will assess whether a volunteer-delivered transitional care intervention, designed by Bruyère Health Research Institute in partnership with March of Dimes Canada (MODC), for adults discharged home from a stroke rehabilitation unit following an acute stroke can improve coping compared to usual care. MODC will implement the volunteer-support transition program across two Ontario regions for stroke rehabilitation sites. Those allocated to the intervention group will receive an initial visit from the Volunteer Coordinator and then weekly one-on-one visits by a trained volunteer for eight weeks. The volunteer may assist the study participant with instrumental daily living activities and psychosocial and informational support. Those not receiving the intervention will receive educational material at 4- and 8-week time points in addition to their usual care. All study participants will complete validated patient-reported outcome measures at 3- and 6-months post-hospital discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: DASH group | Experimental | Participants will receive the DASH intervention + Usual Care + Educational Resources |
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| Group B: Usual care group | No Intervention | Participants will receive the Usual Care + Educational Resources |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Discharge Assistance and Supports at Home (DASH) | Behavioral | One-on-one weekly visits in the stroke survivor participants' residence by a trained volunteer for approximately 8 weeks (about 2 months). Volunteer support could span three types: i) instrumental activities of daily living assistance (e.g., assistance with meal preparation, light house duties, and transportation), ii) psychosocial support (e.g., befriending visits), and iii) informational supports (signposting to other community services). |
| Measure | Description | Time Frame |
|---|---|---|
| Coping at Time 1 as assessed by Post-Discharge Coping Difficulty Scale (PDCDS) | Coping will be assessed using the Post-Discharge Coping Difficulty Scale (PDCDS), a 10-item patient-reported outcome measure evaluating perceived difficulty coping following hospital discharge. Each item is scored on a scale from 0 to 10. Item scores are summed to yield a total score ranging from 0 to 100, with higher scores indicating greater difficulty coping. | Measured at 3 months post-hospital discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Change in coping as assessed by Post-Discharge Coping Difficulty Scale (PDCDS) | Coping will be assessed using the Post-Discharge Coping Difficulty Scale (PDCDS), a 10-item patient-reported measure. Each item is scored from 0 to 10, with total scores ranging from 0 to 100. Change in total score will be calculated between time points. Higher scores indicate greater difficulty coping. | Measured at 3 months and 6 months post-hospital discharge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michelle LA Nelson, MA, PhD, FAHA, FWSO | Contact | 647-938-4425 | mla.nelson@uottawa.ca | |
| Research Coordinator | Contact | TMoni@bruyere.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bruyère Health Élisabeth-Bruyère Hospital | Ottawa | Ontario | Canada | |||
| Hennick Bridgepoint Hospital |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 24, 2026 |
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| Change in quality of life as assessed by Stroke-Specific Quality of Life (SS-QOL) | Quality of life will be assessed using the Stroke-Specific Quality of Life (SS-QOL) scale, a 49-item patient-reported measure evaluating multiple domains of health-related quality of life in stroke survivors. Each item is scored on a 5-point Likert scale (1 to 5). Domain scores are calculated as the average of items within each domain, and the overall score is calculated as the average of all domain scores or as the sum of all 49 items (ranging 49 to 245). Higher scores indicate better quality of life. | Measured at 3 months and 6 months post-hospital discharge |
| Change in symptoms of depression as assessed by Patient Health Questionnaire-9 (PHQ-9) | Depressive symptoms will be assessed using the Patient Health Questionnaire-9 (PHQ-9), a 9-item patient-reported measure. Each item is scored from 0 to 3, resulting in a total score ranging from 0 to 27, with higher scores indicating greater severity of depressive symptoms. | Measured at 3 months and 6 months post-hospital discharge |
| Change in social isolation and loneliness indicators as assessed by UCLA Loneliness Scale (Version 3) | Social isolation and loneliness will be assessed using the UCLA Loneliness Scale (Version 3), a 20-item patient-reported measure evaluating subjective feelings of loneliness and social isolation. Each item is scored on a 4-point scale. Total scores range from 20 to 80, with higher scores indicating greater loneliness. | Measured at 3 months and 6 months post-hospital discharge |
| Toronto |
| Ontario |
| Canada |
| Providence Healthcare (Unity Health Toronto) | Toronto | Ontario | Canada |
| Sunnybrook Health Sciences Centre | Toronto | Ontario | Canada |
| Toronto Rehabilitation Institute (UHN) | Toronto | Ontario | Canada |
| West Park Healthcare Centre (UHN) | Toronto | Ontario | Canada |
| Apr 29, 2026 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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