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MyStroke for Stroke Survivors and Caregivers

Sponsored by University of Pennsylvania

About this study

The goal of this multicenter randomized trial is to evaluate the impact of a personalized video-based stroke education platform on patient-centered and health system-centered outcomes. The main questions this study aims to address are: 1. Does a personalized, video-based educational platform improve stroke knowledge? 2. Does a personalized, video-based educational platform reduce post-discharge health system utilization? 3. Do different strategies of nudging improve engagement with educational material after hospital discharge? In order to determine the effect of this personalized stroke education strategy, researchers will compare subjects who receive standard stroke education with those who receive the personalized stroke education platform in addition to standard standard education. Patient knowledge will be assessed 90-days after discharge. Study participants will include both stroke patients and caregivers, who will: 1. Receive standard education during the stroke hospitalization 2. Complete a survey on the day of hospital discharge to assess their baseline knowledge. 3. Half of the subjects will be randomly assigned to also receive access to the personalized stroke education platform on the day of discharge. 4. All subjects will complete two follow-up study visits (7 and 90 days after discharge) in order to complete surveys.

Stroke education represents a unique opportunity to empower stroke survivors (and caregivers) to promote self-management, augment adherence, and reduce post-stroke healthcare utilization. Despite being a key quality metric for stroke centers, most patient and caregiver education is poorly retained and a common source of dissatisfaction. In fact, most survivors are unaware of the cause of their stroke, their modifiable risk factors, and how to properly respond to future stroke symptoms. Although there is no gold standard, most centers rely on a combination of bedside verbal communication and standardized printed materials. Prior work has clarified that effective and durable educational interventions benefit from engaging content, personalization, accessibility, and low cost/burden. Retentio…

Where this study is enrolling (3)

Who can participate

Inclusion criteria

  • ✓At least 18 years old
  • ✓Admitted to hospital with clinical diagnosis of acute ischemic stroke (imaging confirmation not required)
  • ✓Stroke symptom onset within 30 days of enrollment
  • ✓Being discharged to either home or an acute rehabilitation facility
  • ✓Access to internet enabled device (smartphone, tablet, computer)
  • ✓Fluent in either English or Spanish (does not need to be native or primary language)
  • ✓Willingness and ability to sign informed consent

Exclusion criteria

  • ✕Severe aphasia (score of ≥2 on NIHSS item 9)
  • ✕Ischemic stroke that is attributed to a surgical procedure
  • ✕Resides in a skilled nursing facility prior to admission
  • ✕Being discharged to skilled nursing facility or long-term acute care facility
  • ✕Unwillingness or inability to participate in remote/virtual study visits
  • ✕A terminal or advanced condition that raises the possibility the subject may not survive 90 days
  • ✕Any other illness or condition that the investigator feels would pose a hazard to the subject from participation in the study

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.