NCT03485820

A Novel Transition Program to Reduce Disability After Stroke

COMPASS: A Novel Transition Program to Reduce Disability After Stroke

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 185 (actual)
• Sponsor: Washington University School of Medicine · Academic / Other
• Sex: All
• Age: 50 Years
• Healthy volunteers: Not accepted

Summary

This study evaluates a program designed to help individuals transition home from inpatient rehabilitation following an ischemic or hemorrhagic stroke. Half of the participants will receive a stroke education program while the other half will receive an environmental modifications program.

Detailed description

A gap in care exists at the point of transition from inpatient rehabilitation (IR) to home, when survivors encounter new environmental barriers due to the cognitive and sensorimotor sequelae of stroke. Resolving these barriers and improving independence in the community have potential to significantly improve stroke survivors' long-term morbidity. The proposed study investigates the efficacy and safety of a novel enhanced rehabilitation-transition program to reduce environmental barriers and improve daily activity performance and community participation.

Conditions

• Ischemic Stroke
• Hemorrhagic Stroke

Interventions

Type	Name	Description
BEHAVIORAL	COMPASS	The data from the baseline assessment will be used to develop an environmental modification intervention plan. Environmental modifications will be installed before discharge if possible. Problem areas addressed are participant specific (tailored), but the process to identify and address the target area is systematic. All participants will receive identical intervention components. The standardized components include assessment, identification of problematic activities (and environmental barriers), identification of three solutions (for each problem), implementation of solution set selected by the participant, training, and active practice of daily activities in one's own home and community.
BEHAVIORAL	Stroke education	The control group will experience the same effects of time and attention in the home but no effect on the outcome of interest.

Timeline

• Start date: 2018-01-09
• Primary completion: 2023-12-20
• Completion: 2024-02-28
• First posted: 2018-04-02
• Last updated: 2025-08-27
• Results posted: 2025-03-05

Locations

1 site across 1 country: United States