An interventional study of Telecare consultation and Usual face-to-face consultation in Stroke, sponsored by The Hong Kong Polytechnic University. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.
Sponsored by The Hong Kong Polytechnic University · Not applicable, Interventional, and Health services research
Since 2017, Hong Kong has provided post-acute stroke services in clinics operated by stroke advanced practice nurses (APNs). Currently, the applicability of the clinics has been further limited by the emergence of the coronavirus (COVID-19) pandemic due to restrictions on visits to the clinics and tightened social distancing requirements. Telecare consultations may be a viable option for contributing more flexible, interactive, and cost-efficient care models to support stroke survivors over the longer run. The present study takes advantage of this opportunity by utilizing implementation science to simultaneously implement and evaluate a telecare model of care in a nurse-led post-acute stroke clinic.
7,287 studies on the registry are indexed under Stroke; 2,006 are open to participants now.
This study's enrollment of 196 is above the median of 50 across 5,370 interventional studies indexed under Stroke.
Browse Stroke studies →The Hong Kong Polytechnic University is the lead sponsor of 659 studies on the registry; 250 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive three tertiary stroke care consultations provided by stroke nurses via telecare in 3 months.
Procedure: Telecare consultation
Participants will receive three usual face-to-face consultations provided by stroke nurses in 3 months
Procedure: Usual face-to-face consultation
Using Zoom to communicate with patients
Face-to-face communication with patients
Chang in Degree of disability after stroke
Simplified modified Rankin scale will be used to measure the degree of disability for stroke patients. The scale has three questions to identify whether the patient has a score from 0 to 5, with higher scores representing higher degree of disability.
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Incidence of the recurrence of stroke
The percentage of participants who re-admitted to hospital because of recurrent stroke
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Change of Quality of life, which measures an individual perception oftheir position in life. It includes physical and mental health.
Quality of life will be measured using the Hong Kong version of EuroQol 5-dimension. The scale has five subdomains, which include mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. Since the scale has 5 items, each digit in the five digit codes refers to the status of each dimension, ranging from 1 for no problem, to 5 for sever problem. A higher scores indicate better quality of life.
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Change of Post-stroke depression
Post-stroke depression will be measured using the Chinese version of the Geriatric Depression scale. This scale has a minimum score of 0 and a maximum score of 15. Lower scores represent lower depression level.
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Change of Medication adherence
Medication adherence will be determined using the Adherence to Refills and Medications Scale. The scale produces an overall adherence score of 10-40, with lower scores indicating better adherence.
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Change of Social participation
Social participation will be measured using the 11-item Reintegration to Normal Living index. This scale is used to measure whether the patient has participated in several social activities before and after occurrence of stroke. The scale yields total score from 0-22, with higher scores indicating poorer social participation.
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Number of attendances at a general practitioners' office, emergency department, hospital, and general out-patient clinic
To measure the utilization of healthcare services by stroke patient before and after the intervention
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Cost effectiveness of the program
Cost and quality-adjusted life years will be collected at baseline, three months when the program is completed, and three months after the program is completed. Incremental cost-effectiveness ratios between the groups will be calculated by dividing the difference in cost by the difference in quality-adjusted life years.
Time frame: baseline, three months when the program is completed, three months after the program is completed.
Plan to share: No
This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.
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The Hong Kong Polytechnic University