1. The Stroke and Carer Optimal Health Program (SCOHP) to enhance psychosocial health: study protocol for a randomized controlled trial
- Author
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Catherine Brasier, David R. Thompson, Susan L. Rossell, Graeme Gonzales, Casey L O'Brien, Janette Cameron, Nicola T. Lautenschlager, Y Hsueh, Gaye Moore, Rachel Haselden, Simon R. Knowles, Chantal F. Ski, and David J. Castle
- Subjects
psychosocial ,Health Knowledge, Attitudes, Practice ,Time Factors ,Cost effectiveness ,health care facilities, manpower, and services ,Cost-Benefit Analysis ,Psychological intervention ,Medicine (miscellaneous) ,law.invention ,Study Protocol ,0302 clinical medicine ,Randomized controlled trial ,Dyad ,Cost of Illness ,law ,Patient-Centered Care ,Surveys and Questionnaires ,Adaptation, Psychological ,Pharmacology (medical) ,030212 general & internal medicine ,Prospective Studies ,Stroke ,health care economics and organizations ,Randomised controlled trial ,Health Care Costs ,stroke ,Self Efficacy ,humanities ,Distress ,Mental Health ,Treatment Outcome ,Caregivers ,Carer ,Research Design ,Collaborative therapy ,Psychosocial ,dyad ,medicine.medical_specialty ,Victoria ,03 medical and health sciences ,Patient Education as Topic ,medicine ,carer ,Humans ,Social determinants of health ,cardiovascular diseases ,Psychiatry ,cost-effectiveness ,business.industry ,Recovery of Function ,social sciences ,medicine.disease ,Mental health ,collaborative therapy ,Quality of Life ,Cost-effectiveness ,business ,human activities ,randomised controlled trial ,030217 neurology & neurosurgery ,Program Evaluation - Abstract
Background: Stroke is a leading cause of disability and distress, and often profoundly affects the quality of life of stroke survivors and their carers. With the support of carers, many stroke survivors are returning to live in the community despite the presence of disability and ongoing challenges. The sudden and catastrophic changes caused by stroke affects the mental, emotional and social health of both stroke survivors and carers. The aim of this study is to evaluate a Stroke and Carer Optimal Health Program (SCOHP) that adopts a person-centred approach and engages collaborative therapy to educate, support and improve the psychosocial health of stroke survivors and their carers. Methods: This study is a prospective randomised controlled trial. It will include a total of 168 stroke survivors and carers randomly allocated into an intervention group (SCOHP) or a control group (usual care). Participants randomised to the intervention group will receive nine (8 + 1 booster) sessions guided by a structured workbook. The primary outcome measures for stroke survivors and carers will be health-related quality of life (AQoL-6D and EQ-5D) and self-efficacy (GSE). Secondary outcome measures will include: anxiety and depression (HADS); coping (Brief COPE); work and social adjustment (WSAS); carer strain (MCSI); carer satisfaction (CASI); and treatment evaluation (TEI-SF and CEQ). Process evaluation and a health economic cost analysis will also be conducted. Discussion: We believe that this is an innovative intervention that engages the stroke survivor and carer and will be significant in improving the psychosocial health, increasing independence and reducing treatment-related costs in this vulnerable patient-carer dyad. In addition, we expect that the intervention will assist carers and stroke survivors to negotiate the complexity of health services across the trajectory of care and provide practical skills to improve self-management. Trial registration:ACTRN12615001046594. Registered on 7 October 2015.
- Published
- 2016