Ignite Creation Date:
2024-06-16 @ 11:51 AM
Last Modification Date:
2024-10-26 @ 3:31 PM
Study NCT ID:
NCT06442631
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-06-04
First Post:
2024-05-29
Brief Title:
MyStroke for Stroke Survivors and Caregivers
Sponsor:
University of Pennsylvania
Organization:
University of Pennsylvania
Study Overview
Official Title:
An Individualized Video-based Stroke Education Platform for Stroke Survivors and Caregivers
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this multicenter randomized trial is to evaluate the impact of a personalized video-based stroke education platform on patient-centered and health system-centered outcomes The main questions this study aims to address are
1 Does a personalized video-based educational platform improve stroke knowledge
2 Does a personalized video-based educational platform reduce post-discharge health system utilization
3 Do different strategies of nudging improve engagement with educational material after hospital discharge
In order to determine the effect of this personalized stroke education strategy researchers will compare subjects who receive standard stroke education with those who receive the personalized stroke education platform in addition to standard standard education Patient knowledge will be assessed 90-days after discharge Study participants will include both stroke patients and caregivers who will
1 Receive standard education during the stroke hospitalization
2 Complete a survey on the day of hospital discharge to assess their baseline knowledge
3 Half of the subjects will be randomly assigned to also receive access to the personalized stroke education platform on the day of discharge
4 All subjects will complete two follow-up study visits 7 and 90 days after discharge in order to complete surveys
1 Does a personalized video-based educational platform improve stroke knowledge
2 Does a personalized video-based educational platform reduce post-discharge health system utilization
3 Do different strategies of nudging improve engagement with educational material after hospital discharge
In order to determine the effect of this personalized stroke education strategy researchers will compare subjects who receive standard stroke education with those who receive the personalized stroke education platform in addition to standard standard education Patient knowledge will be assessed 90-days after discharge Study participants will include both stroke patients and caregivers who will
1 Receive standard education during the stroke hospitalization
2 Complete a survey on the day of hospital discharge to assess their baseline knowledge
3 Half of the subjects will be randomly assigned to also receive access to the personalized stroke education platform on the day of discharge
4 All subjects will complete two follow-up study visits 7 and 90 days after discharge in order to complete surveys
Detailed Description:
Stroke education represents a unique opportunity to empower stroke survivors and caregivers to promote self-management augment adherence and reduce post-stroke healthcare utilization Despite being a key quality metric for stroke centers most patient and caregiver education is poorly retained and a common source of dissatisfaction In fact most survivors are unaware of the cause of their stroke their modifiable risk factors and how to properly respond to future stroke symptoms Although there is no gold standard most centers rely on a combination of bedside verbal communication and standardized printed materials Prior work has clarified that effective and durable educational interventions benefit from engaging content personalization accessibility and low costburden Retention is very poor during the stroke hospitalization but this can be overcome by promoting ongoing engagement after discharge
To that end our group developed a web-based educational platform MyStroke that leverages the electronic health record to personalize video-based educational content for each stroke survivor Simple but engaging videos are curated to address each patients stroke etiology individualized risk factors prescribed stroke prevention medications and post-stroke lifestyle issues This approach transforms point-of-care stroke education and integrated nudges reveal opportunities for re-education and re-engagement after hospital discharge to achieve a durable impact In a recent single-center pilot trial MyStroke improved patient and caregiver satisfaction and improved key elements of stroke knowledge The objective of this proposal is to build upon our encouraging preliminary experience and conduct a multicenter randomized trial to evaluate the impact of MyStroke on both patient-centered stroke knowledge self-efficacy satisfaction quality of life and health system-centered outcomes medication adherence and health system utilization
Electronic nudges will leverage principles of behavioral economics ie enhanced nudges to promote ongoing engagement Our preliminary data indicate that even bland nudges promote engagement but here we propose to use both bland nudges and enhanced nudges such that platform analytics will compare the influence of different nudge types Use of technology in this context stands to bridge geographic distances connect stakeholders and increase access to information but it important to recognize the potential to exacerbate inequities for elderly patients and those with limited access to technology Issues of digital inclusivity will be evaluated to reveal opportunities for platform improvement The MyStroke platform offers a scalable solution stroke education which imposes no burden on the clinical team due to its reliance on a limited number of input fields which can be harvested from the electronic health record to individualized content for each patient
To that end our group developed a web-based educational platform MyStroke that leverages the electronic health record to personalize video-based educational content for each stroke survivor Simple but engaging videos are curated to address each patients stroke etiology individualized risk factors prescribed stroke prevention medications and post-stroke lifestyle issues This approach transforms point-of-care stroke education and integrated nudges reveal opportunities for re-education and re-engagement after hospital discharge to achieve a durable impact In a recent single-center pilot trial MyStroke improved patient and caregiver satisfaction and improved key elements of stroke knowledge The objective of this proposal is to build upon our encouraging preliminary experience and conduct a multicenter randomized trial to evaluate the impact of MyStroke on both patient-centered stroke knowledge self-efficacy satisfaction quality of life and health system-centered outcomes medication adherence and health system utilization
Electronic nudges will leverage principles of behavioral economics ie enhanced nudges to promote ongoing engagement Our preliminary data indicate that even bland nudges promote engagement but here we propose to use both bland nudges and enhanced nudges such that platform analytics will compare the influence of different nudge types Use of technology in this context stands to bridge geographic distances connect stakeholders and increase access to information but it important to recognize the potential to exacerbate inequities for elderly patients and those with limited access to technology Issues of digital inclusivity will be evaluated to reveal opportunities for platform improvement The MyStroke platform offers a scalable solution stroke education which imposes no burden on the clinical team due to its reliance on a limited number of input fields which can be harvested from the electronic health record to individualized content for each patient
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None