Early-phase Telecare Programs for Minor Stroke

Launched by HOSPICES CIVILS DE LYON · Mar 5, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at how well two telecare programs work for people who have had a minor stroke. A minor stroke means that the symptoms are less severe, and many patients are sent home quickly from the hospital. However, many of these patients struggle to get back to their everyday activities, which can lead to feelings of sadness or difficulty returning to work. The trial aims to see if early support through remote rehabilitation can help these patients improve their cognitive abilities and manage their challenges better.

To participate in the trial, you must be between 18 and 65 years old, have had your first minor stroke, and be living at home. You also need to have some concerns about your thinking abilities but not have significant cognitive impairment. If you qualify, you will take part in a six-week program that includes weekly sessions with a therapist and some self-guided exercises. The goal is to assess whether these programs can effectively support recovery after a minor stroke and help patients regain their confidence in daily life.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Man or woman, aged between 18 and 65 years old
• • Hospitalization for a first stroke
• • Minor stroke: NIHSS score \< 5 on discharge from neurovascular unit
• • Post-stroke delay \< 8 weeks
• • Living at home (not institutionalized)
• • Affiliated with social security or benefiting from such a scheme
• • French language
• • Presence of a cognitive complaint (FACT-Cog "perceived cognitive impairments" subscale score \< 55) and absence of major cognitive impairment
• • Signature of informed consent
• Exclusion Criteria:
• • History of stroke
• • Uncorrected hearing or visual impairment
• • Neurological pathology other than stroke or disabling psychiatric disorder
• • Unstabilized epilepsy
• • Undergoing cognitive rehabilitation in another context or having integrated a post-stroke therapeutic education program
• • Living in a white zone that does not allow for remote rehabilitation
• • Unable to connect to the Internet
• • Pregnant, parturient or breast-feeding women\* (interview data)
• • Persons deprived of their liberty by judicial or administrative decision
• • Persons admitted to a health or social institution for purposes other than research
• • Adults under legal protection (guardianship, curatorship)
• • Taking part in other interventional research involving a period of exclusion still in progress at pre-inclusion