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Trial registered on ANZCTR


Registration number
ACTRN12611000128998
Ethics application status
Approved
Date submitted
1/02/2011
Date registered
4/02/2011
Date last updated
10/04/2014
Type of registration
Prospectively registered

Titles & IDs
Public title
Components of an Effective Early Supported Discharge Team For Stroke: A West Australian Perspective
Scientific title
Components of an Effective Early Supported Discharge Team For Stroke: A West Australian Perspective
Secondary ID [1] 253524 0
Nil
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Stroke 261075 0
Condition category
Condition code
Physical Medicine / Rehabilitation 259222 259222 0 0
Other physical medicine / rehabilitation
Stroke 259243 259243 0 0
Ischaemic
Stroke 259244 259244 0 0
Haemorrhagic

Intervention/exposure
Study type
Observational
Patient registry
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
An Early Supported discharge (ESD) service for stroke will be evaluated according to a set of internationally determined criteria. Staff points of view regarding the criteria will also be investigated including their importance and applicability to the West Australian practice environment. Data collection will occur over a 4-6 week period involving secondary data analysis of health service and patient data from 2005 to 2010 and collection of focus group data from service staff in a mixed methods study. Quantitative data will be accessed from the ESD service database and the south metropolitan area health service.
Intervention code [1] 257953 0
Not applicable
Comparator / control treatment
Components of an effective ESD team have been agreed by Delphi consensus of 10 experts that have conducted randomised controlled trails of ESD vs convential inpatient rehabilitation. The components are divided into 4 main areas - team composition, model of working, intervention and measures of success. Staffing levels, number of disciplines, outcome measures collected and length of stay data are some of the types of comparators that will be used.
Control group
Uncontrolled

Outcomes
Primary outcome [1] 262057 0
Presence or absence of consensus components in the team including measures of number of disciplines, ratio of staff to 100 patients per year, presence of team coordinator, weekly meeting schedule, hospital base, patient eligibility criteria, liaison with inpatient staff and outcome measures collected. Rates of hospital length of stay for stroke patients, hospital readmission rates and inpatient length of stay will also be compared to the consensus guidelines.
Timepoint [1] 262057 0
Baseline
Secondary outcome [1] 273066 0
Understanding of the ESD staff's point of view regarding the importance of the consensus components for their practice context. This will be collected by focus group sessions segmentalised into managers and staff from each hospital base in the service.
Timepoint [1] 273066 0
Baseline

Eligibility
Key inclusion criteria
Quantitative Arm: Early supported discharge team that treats stroke at the case study area health service
Qualitative arm : Staff member, manager or support worker for that ESD service
Minimum age
No limit
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
An ESD team or service outside the area health service in question

Study design
Purpose
Natural history
Duration
Cross-sectional
Selection
Defined population
Timing
Both
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment postcode(s) [1] 3606 0
6160

Funding & Sponsors
Funding source category [1] 258415 0
Self funded/Unfunded
Name [1] 258415 0
Sarah Morriss
Address [1] 258415 0
c/o RITH FHHS
Fremantle hospital
PO Box 480
Fremantle WA 6959, Australia
Country [1] 258415 0
Australia
Primary sponsor type
Individual
Name
Sarah Morriss
Address
c/o RITH FHHS
Fremantle Hospital
PO Box 480
Fremantle WA 6959, Australia
Country
Australia
Secondary sponsor category [1] 257566 0
Hospital
Name [1] 257566 0
Fremantle Hospital
Address [1] 257566 0
PO Box 480
Fremantle WA 6959, Australia
Country [1] 257566 0
Australia
Other collaborator category [1] 251795 0
University
Name [1] 251795 0
Sheffield University
Address [1] 251795 0
Regent Court, 30 Regent Street
Sheffield
S1 4DA
United Kingdom
Country [1] 251795 0
United Kingdom
Other collaborator category [2] 251796 0
University
Name [2] 251796 0
Copenhagen University
Address [2] 251796 0
School of Global Health
Oster Farimagsgade 5, Building 9
PO Box 2099
DK-1353 Copenhagen K
Denmark
Country [2] 251796 0
Denmark

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 260389 0
Sheffield University, Ethics Committee
Ethics committee address [1] 260389 0
Regent Court
30 Regent Street
Sheffield S1 4DA
Ethics committee country [1] 260389 0
United Kingdom
Date submitted for ethics approval [1] 260389 0
Approval date [1] 260389 0
24/01/2011
Ethics approval number [1] 260389 0
Ethics committee name [2] 260390 0
South Metropolitan Area Health Service Human Research Ethics Comittee
Ethics committee address [2] 260390 0
South Metropolitan Area Health Service
PO Box 480 FREMANTLE WA 6959
Ethics committee country [2] 260390 0
Australia
Date submitted for ethics approval [2] 260390 0
18/01/2011
Approval date [2] 260390 0
Ethics approval number [2] 260390 0
Ethics committee name [3] 260391 0
Royal Perth Hospital Ethics Commmittee
Ethics committee address [3] 260391 0
Kirkman House
Wellington Street Campus
GPO Box X2213
PERTH WA 6847
Ethics committee country [3] 260391 0
Australia
Date submitted for ethics approval [3] 260391 0
09/02/2011
Approval date [3] 260391 0
Ethics approval number [3] 260391 0

Summary
Brief summary
This study will evaluate an early supported discharge service for stroke using a recently compiled list of components identified by experts in stroke research. In order to understand the achievement or otherwise of these components, a mixed methods approach will be used involving secondary analysis of health service data and focus group discussions of early supported discharge service staff.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 32157 0
Miss Sarah Morriss
Address 32157 0
c/o RITH, FHHS Fremantle Hospital, K block, Alma Street, Fremantle WA 6160
Country 32157 0
Australia
Phone 32157 0
+618 9431 3898
Fax 32157 0
Email 32157 0
Sarah.Morriss@health.wa.gov.au
Contact person for public queries
Name 15404 0
Miss Sarah Morriss
Address 15404 0
C/O RITH, FHHS
Fremantle Hospital
K Block
Alma Street
Fremantle WA 6160
Country 15404 0
Australia
Phone 15404 0
+61 8 9431 3898
Fax 15404 0
+61 8 9431 3899
Email 15404 0
Sarah.Morriss@health.wa.gov.au
Contact person for scientific queries
Name 6332 0
Miss Sarah Morriss
Address 6332 0
C/O RITH, FHHS
Fremantle Hospital
K Block
Alma Street
Fremantle WA 6160
Country 6332 0
Australia
Phone 6332 0
+61 8 9431 3898
Fax 6332 0
+61 8 9431 3899
Email 6332 0
Sarah.Morriss@health.wa.gov.au

No information has been provided regarding IPD availability
Summary results
Have study results been published in a peer-reviewed journal?
Other publications
Have study results been made publicly available in another format?
Results – basic reporting
Results – plain English summary