Actively Recruiting
Evaluating the Clinical Effectiveness and Implementation Outcomes of Nurse-Led Stroke Transitional Care Model in Tanzania
Led by Shandong University · Updated on 2026-01-06
130
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This observational study evaluates the effects of a nurse-led stroke transitional care program on stroke survivors, their caregivers, and healthcare providers. The goal is to see if this program improves discharge preparedness, disease self-management, and quality of life for stroke survivors. Participants are stroke survivors and their caregivers who are already receiving this program as part of their medical care. The research is sponsored by Shandong University and focuses on stroke patients in Tanzania. Participants receive usual care plus the nurse-led stroke transitional care, which includes face-to-face and telephone sessions. During hospitalization, two nurse champions conduct five face-to-face sessions, including individual and group sessions with patients and caregivers. After discharge, two nurse researchers provide seven follow-up phone call sessions over three months. Face-to-face sessions last 40-60 minutes, and phone calls last 20-30 minutes. Stroke survivors and their caregivers are followed for six months to assess the quality of transitional care and various clinical outcomes. Researchers measure self-efficacy, quality of life, discharge preparedness, resilience, depression, anxiety, care satisfaction, mortality, readmission rates, and length of hospital stay. These assessments occur at specific times from admission through six months after discharge to monitor the program's impact and participant well-being.
CONDITIONS
Brief Title
Evaluating the Effect of Nurse-Led Stroke Transitional Care in Tanzania
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Clinical nurses and physicians with six months of working experience in stroke care
- Clinical nurses and physicians with a minimum of diploma in their professions
- Stroke survivors aged 18 years and above
- Stroke survivors admitted in stroke units
- Stroke survivors with primary stroke diagnosis confirmed by brain CT or MRI
- Stroke survivors undergoing usual discharge process
- Stroke survivors living with family caregivers
- Stroke survivors with mobile phones
- Stroke survivors who can read and write
- Stroke survivors able to communicate
- Stroke survivors with National Institutes of Health Stroke Scale (NIHSS) less than 6
- Stroke survivors with Modified Barthel Index (MBI) greater than 9
- Stroke survivors with Modified Rankin Scale (mRS) less than 5
- Stroke survivors with Montreal Cognitive Assessment Test (MoCA) greater than 14
- Stroke survivors expected to stay in the ward for 3 to 5 days
- Stroke survivors expected to survive for 3 months
- Family caregivers with mobile phones
- Family caregivers who can read and write
- Family caregivers able to communicate
- Family caregivers living with the patient after stroke
You will not qualify if you...
- Healthcare providers who will be on leave during the study period
- Stroke survivors with previous stroke not admitted in stroke units
- Stroke survivors discharged against medical advice
- Stroke survivors with end-stage organ failure
- Stroke survivors without family caregivers
- Stroke survivors who cannot read or write
- Stroke survivors without mobile phones
- Family caregivers without accessible mobile phones
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 3 to 5 days
Participants receive usual care plus nurse-led stroke transitional care during hospitalization including face-to-face sessions with nurse champions.
5 face-to-face sessions during hospitalization
Duration - 3 months
After hospitalization, participants receive nurse-led follow-up care via phone calls to support recovery and transition.
7 telephone call sessions on day 3, week 1, week 3, week 5, week 7, week 9, and week 11
Trial Site Locations
Total: 1 location
1
Muhimbili University of Health and Allied Sciences
Dar es Salaam, Tanzania, 65001
Actively Recruiting
Research Team
N
Nyagwaswa Michael, Masters
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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