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CompletedNCT02351778Updated Jan 30, 2015

Quality of Life of Stable Stroke Survivors in Pakistan

An observational study in Cerebrovascular Disease, sponsored by Aga Khan University. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-01-30.

Sponsored by Aga Khan University · Observational

Study type
Observational
Time perspective
Cross-sectional
Enrollment
350
Ages
18 Years and older
Sex
All
01

Study summary

In study the investigators sought to

  1. Assess the quality of life experience in stable post stroke survivors in Pakistan and detail important factors influencing quality of life.
  2. Explore the association between primary care giver's quality of life and stroke survivor's quality of life.
  3. To validate the quality of life tools and experience via in depth interviews and focus group discussion with the primary care giver of stroke patients to report the quality of life of the primary care giver.
Read the detailed description

Disability caused by stroke has a detrimental impact on patients with social and physical consequences of stroke being equally devastating. Yet there are only few studies done in South Asia that explore holistically the cumulative impact of disability and quality of life on stroke survivors.

In Pakistan majority of stroke patients are cared by close family members and no inpatient rehabilitation services are available in Pakistan for stroke survivors. The amount of support from government is scarce and private systems are largely unregulated therefore the psychosocial problems in Pakistani stroke survivors are different from those experienced by stroke survivors in developed countries. It is proposed that the quality of life of stroke survivors in Pakistan will be worse as compared to stroke survivors in developed countries. However, due to existence of considerable family support even in absence of good government and environmental support systems we cannot be certain about this assumption. Since care givers provide all medical and social services to chronic stroke victims their quality of life and stress level also plays an important role in the care given to the stroke survivors.

We propose to conduct a cross-sectional study, in order to assess the quality of life in stroke survivors and its important predictors in Karachi. The domains which will be studied includes physical; in terms of severity of disability, which affects the person after stroke, social functioning; which includes the role of primary care giver and social support given to the stroke survivors, mental health; in which depression affects the life of stroke survivor badly after stroke.

Also to explore the perspective of the primary care giver for those important factors which affect the quality of life focus group discussions will be conducted in the study. This is a mixed methods observational analytical study.

02

Conditions studied

  • Cerebrovascular Disease

Keywords

  • Developing Countries
  • Quality of Life
  • Mixed Methods
  • Validation
  • Caregiver Burden
03

In context

Cerebrovascular Disorders

374 studies on the registry are indexed under Cerebrovascular Disorders; 129 are open to participants now.

This study's enrollment of 350 is below the median of 443 across 135 observational studies indexed under Cerebrovascular Disorders.

Browse Cerebrovascular Disorders studies →

Lead sponsor

Aga Khan University is the lead sponsor of 290 studies on the registry; 44 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All men and women greater than 18 years, with a chronic stable stroke, medically confirmed supported by medical reports or radiological and neurological diagnosis and with an identified primary care giver.

Inclusion criteria

  • All men and women of age greater than 18 years of age with medically confirmed diagnosis of stroke.
  • Suffered stroke (3 months till 12 months), stable non fluctuating stroke which means no acute ongoing neurologic developments (Crescendo TIA, CEA planned, intervention needed, progressing stroke, fluctuating unexplained neurologic symptoms).
  • With an identified primary care giver (This is a person who lives with the stroke patient, is familiar with the medical history and provides direct care e.g. feeding support, medication reminders, rehab. This person may be different from the legal surrogate e.g., son vs. daughter in law )

Exclusion criteria

EXCLUSION CRITERIA:

  • Post procedure stroke like CABG, angiography, post-operative.
  • Global aphasia with failure to communicate (NIHSS greater than 23).
  • Dementia with failure to communicate (Minimental state of 22)
  • With history of psychoactive substance abuse.
  • Psychiatric morbidity like schizophrenia and other manic disorders.
  • Suffering from chronic disease like terminal stage cancer and end stage renal disease.
05

Study design

Time perspective
Cross-sectional
Enrollment
350 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Quality of life of stroke survivors evaluated by stroke specific quality of life scale one month post stroke

    Stroke Specific Quality of Life Scale

    Time frame: 12 Months

Secondary outcomes

  1. Quality of life of primary care givers of stroke survivors evaluated by RAND-36

    RAND- 36 Quality of Life in Primary Caregivers

    Time frame: 12 Months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Khalid W, Rozi S, Ali TS, Azam I, Mullen MT, Illyas S, Un-Nisa Q, Soomro N, Kamal AK. Quality of life after stroke in Pakistan. BMC Neurol. 2016 Dec 3;16(1):250. doi: 10.1186/s12883-016-0774-1. PubMed 27912744 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02351778
Lead sponsor
Aga Khan University
Responsible party
Dr. Ayeesha Kamran Kamal (Associate Professor Neurology,Director Stroke Fellowship Program, Aga Khan University) — Principal investigator
First posted
Jan 30, 2015
Start date
Jan 2014
Primary completion
May 2014
Completion
Jun 2014
Last update
Jan 30, 2015

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2015. You cannot join it, but the record below documents what was studied.

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