Family-Clinician Collaboration for Stroke Recovery
Recruiting in Palo Alto (17 mi)
+1 other location
Overseen byPeii Chen, PhD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Kessler Foundation
Disqualifiers: Progressive neurological, Psychiatric, others
No Placebo Group
Trial Summary
What is the purpose of this trial?Spatial neglect may occur in patients who have had a stroke. People with spatial neglect often pay much more attention to one side of the body while ignoring the other side, even though they have no difficulty seeing. The purpose of this study is to evaluate the impact on stroke recovery, including spatial neglect, of the Family-Clinician Collaboration program, where a family member of a stroke survivor actively interacts with clinical staff members providing inpatient rehabilitation services to the stroke survivor.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the Family-Clinician Collaboration Program treatment for stroke recovery?
Research suggests that involving families in stroke recovery can improve patient outcomes, as family function and communication skills are linked to better patient adjustment and reduced hospital stays. Additionally, multidisciplinary team approaches, which include family collaboration, are fundamental in delivering effective stroke care.
12345How is the Family-Clinician Collaboration Program treatment different from other stroke recovery treatments?
The Family-Clinician Collaboration Program is unique because it focuses on involving both the family and clinicians in the recovery process, aiming to enhance family functioning and caregiver capacity, which is not typically addressed in standard stroke recovery treatments. This approach helps families rebuild resources and supports community reintegration, making it distinct from treatments that focus solely on the medical or physical aspects of recovery.
678910Eligibility Criteria
This trial is for stroke survivors with spatial neglect, which means they ignore one side of their body. They must have had a right brain stroke, been independent before the stroke, and live with a family member who will join the study. Participants should understand English and follow instructions. Those with progressive neurological or significant psychiatric disorders or living more than 50 miles from West Orange, NJ cannot join.Inclusion Criteria
I was able to take care of myself before my stroke.
I had a stroke on the right side of my brain.
I have been diagnosed with moderate to severe spatial neglect.
+2 more
Exclusion Criteria
Living outside of 50-mile radius of Kessler Foundation (West Orange, NJ)
I have a worsening neurological condition.
History of a significant psychiatric disorder
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Treatment
Family members engage in frequent meetings with clinicians, set goals, learn about spatial neglect and coping strategies, and have the patient perform easy, safe treatment exercises.
4 weeks
Frequent meetings (in-person)
Follow-up
Participants are monitored for changes in spatial neglect and family caregiver wellness.
4 weeks
Participant Groups
The trial tests a Family-Clinician Collaboration Program to see if working closely with a family member during inpatient rehab helps improve recovery from stroke and spatial neglect—a condition where patients pay attention to only one side of their body.
1Treatment groups
Experimental Treatment
Group I: Family-Clinician CollaborationExperimental Treatment1 Intervention
Participants are dyads of a stroke survivor and their family member. Family members will work closely with the Clinician to understand the status and goals of the stroke survivor, and family members will integrate Family-Mediated Treatment Procedures into their time spent with the stroke survivor at home.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Kessler FoundationWest Orange, NJ
Kessler Foundation Research CenterWest Orange, NJ
Loading ...
Who Is Running the Clinical Trial?
Kessler FoundationLead Sponsor
References
The family's role in stroke rehabilitation. A review of the literature. [2019]Clinical and research attention in stroke care has been on managing the acute stage of stroke recovery and on evaluating the effectiveness of relatively short-term rehabilitation programs. However, studies suggest that stroke can diminish quality of life and the well-being of patients' families. This article reviews the literature pertaining to the effects of stroke on family functioning and discusses stroke in terms of clinical problems that make rehabilitation a family dilemma. Issues identified in the literature include the need for family assessment, education, advocacy and counseling to foster treatment compliance and social support after stroke.
Improving post-stroke recovery: the role of the multidisciplinary health care team. [2022]Stroke is a leading cause of serious, long-term disability, the effects of which may be prolonged with physical, emotional, social, and financial consequences not only for those affected but also for their family and friends. Evidence for the effectiveness of stroke unit care and the benefits of thrombolysis have transformed treatment for people after stroke. Previously viewed nihilistically, stroke is now seen as a medical emergency with clear evidence-based care pathways from hospital admission to discharge. However, stroke remains a complex clinical condition that requires health professionals to work together to bring to bear their collective knowledge and specialist skills for the benefit of stroke survivors. Multidisciplinary team working is regarded as fundamental to delivering effective care across the stroke pathway. This paper discusses the contribution of team working in improving recovery at key points in the post-stroke pathway.
Prestroke family interaction as a predictor of stroke outcome. [2006]The Family of Assessment Device and clinical data for 60 stroke patients were used to predict outcome at six months and one year poststroke. Ratings of behavior control and affective responsiveness of the family predicted number of days of rehospitalization during the study. Problem solving scores, family communication skills, and patient self-care ability predicted family-rated patient adjustment. Family function was a better predictor of hospital stay than baseline ratings of typical predictors of stroke outcome. Family function represents an area for potential stroke intervention that may have more relevance to efficient health care delivery and the clinical status of stroke patients than has previously been noted.
A family support organiser for stroke patients and their carers: a randomised controlled trial. [2016]Previous trials of interventions to support stroke survivors and their families in the community have had contradictory and inconclusive results. Using the MRC Framework for Complex Interventions we developed a family support organiser (FSO) service and refined outcome measures for evaluation. We tested the effects of the intervention in a randomised controlled trial.
Preliminary reliability and validity of a family caregiver conflict scale for stroke. [2022]Recovery from stroke is a challenging process for stroke survivors and their families. Assessing family conflict may be useful in guiding interventions to reduce caregiver distress. The purpose of this study was to assess preliminary reliability and validity data for a 15-item family caregiver conflict scale [FCCS] for stroke. Construct validity was assessed using subscales from the family assessment device: communication, problem solving, general family functioning, and a perceived criticism scale. Data were pooled from three studies of caregivers of stroke survivors (total N=93). Internal consistency for the FCCS was adequate (>0.70). Higher family conflict was related to more ineffective family communication, general family functioning, and higher perceived criticism (p > or =0.05). Nonspouse caregivers reported more family conflict than spouse caregivers. The FCCS appears to have adequate internal consistency and construct validity and may provide information about family conflicts around stroke recovery and direction for family-focused interventions.
Effectiveness of a Two-Tier Family-Oriented Intervention in Enhancing the Family Functioning and Care Capacity of the Family Caregivers of Stroke Survivors: Protocol for a Randomized Controlled Trial. [2021]Stroke has profound impacts on families. Often, family members, including stroke survivors and the person who takes up the role of the primary caregiver, would encounter demands on finances, rehabilitation arrangement, and even conflicts. Hence, a family-oriented intervention is expected to enable families to rebuild internal and external resources to achieve optimal rehabilitation and community reintegration.
Practical approaches to effective family intervention after brain injury. [2022]Rehabilitation professionals have become increasingly aware that traumatic brain injury has a long-term adverse impact on family members as well as on survivors. Family members often have a critical supporting role in the recovery process, and researchers have identified a relationship between caregiver well-being and survivor outcome. Drawing from the fields of family therapy, cognitive-behavioral therapy, and individual psychotherapy, this article provides information to help clinicians effectively serve families. First, historically important and widely cited publications are reviewed and their implications for practice are discussed. Recommendations for developing successful therapeutic alliances are provided along with a rationale for their importance. Descriptions of common challenges and issues faced by families are presented along with corresponding therapeutic goals. Intervention principles and strategies, selectively chosen to help family members achieve therapeutic goals, are discussed. The article concludes with a presentation of ideas to help practitioners and systems of care more effectively help family members adjust and live fulfilling lives.
Influence of stroke survivor characteristics and family conflict surrounding recovery on caregivers' mental and physical health. [2022]Stroke recovery is a dynamic process for stroke survivors, and shorter lengths of stay in healthcare settings shift the care of the survivors to family caregivers. The physical and mental sequelae after stroke and the family's response to this catastrophic event may have deleterious effects on caregivers.
Development of a stroke family support and education program. [2019]An interdisciplinary stroke family support and education program can provide families with basic information about stroke and rehabilitation in addition to providing support to families as they adapt to the crisis of stroke. The theoretical basis for such a program is discussed in this article as well as program development, implementation and evaluation. Included are program goals, content outlines and a referral process.
Stroke family caregivers' support needs change across the care continuum: a qualitative study using the timing it right framework. [2022]Family caregivers provide essential support as stroke survivors' return to community living, but it is not standard clinical practice to prepare or provide ongoing support for their care-giving role. In addition, health care professionals (HCPs) experiences with providing support to caregivers have not been explored previously. The objectives of this qualitative study were to: (1) explore the support needs over time from the perspective of caregivers, (2) explore the support needs over time from the perspective of HCPs, and (3) compare and contrast caregivers' and HCPs' perspectives.