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StrokeEval-ARRPACNCT05795686

Evaluation of the Impact of the AVanCer Program Provided by the ARRPAC Day Center

A study testing Evaluation of program "AVanCer" in people with Stroke and Brain Injury, run by Hospices Civils de Lyon at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In France, more than 150,000 strokes occur each year. Stroke is a major risk factor for dependency, representing the leading cause of acquired non-traumatic disability in adults. Head injuries, which are also very frequent, can leave similar neuropsychiatric sequelae. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stroke, Brain Injury, Rehabilitation
What is being tested?
Evaluation of program "AVanCer"
Could I receive a placebo?
No, everyone receives an active treatment
How many people
162 participants
Where
1 siteFrance
Study dates
20 Jun 2023to 20 Apr 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For patients :
  • Male or female of legal age
  • Patient who has been selected to start the AVanCer program at the ARRPAC center
  • Patient who has agreed to participate in the PATIENT assessment component and has signed the consent form
  • Patient able to speak and understand French both orally and in writing
  • For caregivers :
Show all 13Show fewer
  • Male or female of legal age
  • Person who has agreed to participate in the CAREGIVING assessment component and has signed the consent form
  • Person able to speak and understand French both orally and in writing
  • Population of the qualitative study :
  • Voluntary patients and caregivers who participated in the quantitative part (follow-up by questionnaires)
  • Partner professionals: a sample of 10 representatives of ARRPAC partners who referred people for support during the first 12 months, from the following structures: public Medicine, Surgery, Obstetric health institution, private Medicine, Surgery, Obstetric health institution, public Follow-up and Rehabilitation Care institution, private Follow-up and Rehabilitation Care institution, medico-social institution, town professionals and user associations.
  • ARRPAC professionals: the 14 ARRPAC professionals involved in the day care centre will be interviewed in a semi-structured manner

Who cannot join

  • Pregnant women, parturient or breastfeeding mothers*
  • Persons deprived of their liberty by a judicial or administrative decision
  • Persons under psychiatric care
  • Persons admitted to a health or social establishment for purposes other than research
  • Persons of full age subject to a legal protection measure (guardian, curators)
  • Persons not affiliated to a social security scheme or beneficiaries of a similar scheme

Trial locations and contacts

1 site in 1 country.

France1 site, 1 recruiting
  • Accueil de jour ARRPAC

    Bron, 69500

    Stéphanie Fanara, 04-82-90-54-83 ext. +33, s.fanara@gcsms-arrpac.fr

    Recruiting

Other trials in France

About this study

In France, more than 150,000 strokes occur each year. Stroke is a major risk factor for dependency, representing the leading cause of acquired non-traumatic disability in adults. Head injuries, which are also very frequent, can leave similar neuropsychiatric sequelae.

These events are brutal and their physical, psychological, emotional, social and financial consequences disrupt the lives of patients and their families. Thanks to improved access to thrombolysis and thrombectomy for the management of acute stroke, the prognosis has been profoundly improved. Nevertheless, the increase in post-stroke survival and the evolution of the type of after-effects require the development of support systems dedicated to these post-stroke patients. The same issues are raised for people who have suffered a head injury with similar consequences that require specialised care.

Read more

Currently, health care is well structured for the acute phase and there is an improvement in the provision of care in specialised rehabilitation services, but the dedicated medico-social provision for people returning home remains insufficient despite the significant needs. The ARRPAC association (Accompaniment, Rehabilitation, Respite after Stroke and Cerebral Palsy) is setting up a new comprehensive medico-social support programme in Lyon (AVanCer programme, opening in June 2022) to improve the autonomy and adaptation capacities of patients and to relieve the social and psycho-affective burden of carers. This experimental day centre, which complements functional rehabilitation and recurrence prevention care, offers adults with brain injury sequelae and their carers therapeutic education programmes, adapted physical activity, social and cognitive remediation and therapeutic workshops, as well as a place for patients and their carers to exchange information and listen. To achieve its ambition, ARRPAC and the AVanCer programme must be integrated into the existing support offer, create partnerships with care structures and evaluate its added value to ensure its sustainability. In case of efficiency and demonstrated benefits for patients, carers and the health system, such a structure could be deployed in other territories.

This study evaluates the implementation of the AVanCer programme in terms of its effect on the target audience, participants' experience and implementation according to the REAIM evaluative framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance).

Being tested
Evaluation of program "AVanCer"
Keywords
Stroke, Brain injury, Rehabilitation, Autonomy, Caregivers
Medical subject headings
Stroke, Brain Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Evaluation of program "AVanCer"Other

    Evaluation of program AVanCer with quantitative and qualitative approaches

Study groups in NCT05795686
Study groupRoleWhat they receive
Patients of program "AVanCer"OtherPatients included in program "AVanCer"
Receives: Other: Evaluation of program "AVanCer"

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Goal Attainment Scaling (GAS)

    The GAS will quantify the achievement of the goals set by the patient. It will be calculated at the end of the programme (planned end or premature exit) on the basis of the objectives set when the patient was included in the programme. The objectives and the different steps to reach them are defined in consultation between the patient, the doctor and the nurse.

    It is a 5-point scale (-2, -1, 0, 1, 2); -2: level before participation, -1: less than expected; 0: expected goal achieved; +1: a little more than expected; +2: best possible outcome expected.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4)

Secondary outcomes (24)
  1. Quality of life of post-stroke patients measured by SIS (Stroke Impact Scale)

    This is a specific quality of life scale for patients post-stroke. The scale contains 64 items measuring 8 different domains (strength, hand functionality, Activities of Daily Living ADL/ Instrumental Activities of Daily Living IADL, mobility, communication, emotion, memory/thinking and social participation) and one item assessing overall recovery out of 100. The items are scored using a Likert scale with 5 response options. The score is reported out of 100 for each dimension (100 = no difficulties, 0= maximum difficulties)

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  2. Quality of life of post brain injury patients measured by QOLIBRI (Quality Of LIfe after BRain Injury)

    This is a specific quality of life scale for patients post brain injury. The scale contains 37 items measuring 6 different domains (cognitive, affective, functional, relational, physical and emotional). The items are scored using a Likert scale with 5 response options. The score is reported out of 100 (100 = best quality of life, 0 = worst quality of life)

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  3. Depression and anxiety measured by HADS (Hospital Anxiety Depression Scale)

    This is a specific depression and anxiety scale of 14 items. The scale contains 14 items of which 7 measure anxiety and 7 measure depression. The items are scored from 0 to 3, giving two scores out of 21 for each dimension; a score above 11 indicates an anxious or depressed state.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  4. Autonomy measured by modified Rankin score (mRS)

    This is a validated 6-level global assessment scale. The score is between 0 et 6, a higher score is associated to a worse outcome.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4)

  5. Walking assessment by 6 MWT (6 Minutes Walking Test)

    This is a functional walking test

    Measured: End of the program (between Month 2 and Month 4)

  6. Autonomy in health assessed by the PAM-13 (Patient Activation Measure)

    This is a test assessing skills, knowledge and knowledge, skills and confidence in managing one's health.

    The scale contains 13 items scored on a 4-point Likert scale. The total score is reported out of 100 (100 = maximum activation, 0 = no activation)

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  7. Adhesion to preventive treatment assessed by the Girerd questionnaire

    This is a specific self-questionnaire that assesses compliance in 6 items. Each item can be answered by yes or no. For each item, "Yes" scores 0 and "No" scores 1. A final score of 0 means a good observance, of 1 or 2 means a mild compliance problem, and of 3 or more means a poor compliance.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  8. Quality of life of caregivers measured by SF36 (Short Form Health Survey)

    This is a validated scale measuring health-related quality of life. Score is between 0 and 100, A higher score is associated to a better outcome.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  9. Depression and anxiety of caregivers measured by HADS (Hospital Anxiety Depression Scale)

    This is a specific depression and anxiety scale of 14 items. The scale contains 14 items of which 7 measure anxiety and 7 measure depression. The items are scored from 0 to 3, giving two scores out of 21 for each dimension; a score above 11 indicates an anxious or depressed state.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  10. Perceived burden of caregivers measured by the Zarit questionnaire

    This is a self questionnaire assessing the suffering of caregivers. Score is between 0 and 88. A higher score is associated to a worse outcome.

    Measured: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

  11. Reaching the target population evaluated by : 1- The description of the active file : description of socio-demographic characteristics

    The indicators are obtained from data collected in the user file. The socio-demographic characteristics collected are: age, gender, family status, professional status, social status

    Measured: Inclusion (Day 0)

  12. Reaching the target population evaluated by : 2-The description of medical characteristics

    The indicators are obtained from data collected in the user file. Medical characteristics are type of stroke, treatment and sequelae

    Measured: Inclusion (Day 0)

  13. Adoption : 1-Integration in the territory evaluated by the department of residence of patients

    This indicator is obtained from data collected in the user file.

    Measured: Inclusion (Day 0)

  14. Adoption : 2-Link with partners assessed by way of patient referral

    This indicator is obtained from data collected in the user file. The type of practioner who referred the patient is collected

    Measured: Inclusion (Day 0)

  15. Adoption : 3-Perception of the structure by professionals

    The perception of the structure will be assessed through semi-structured interviews conducted by the research team. The questions focus on the professional's feelings about their participation in the facility and are 30 minutes long

    Measured: Through study completion, an average of 22 years

  16. Adoption : 4-Active patient file : number of inclusions per week

    This indicator is obtained from data collected in the user file.

    Measured: Through study completion, an average of 22 years

  17. Implementation 1-Number of patients present compared to the number of patients planned per activity

    This indicator is obtained from data collected in the user file.

    Measured: Through study completion, an average of 22 years

  18. Implementation : 2-Follow-up of programs (number of patients per programs)

    The follow-up of programs will be described, for each program, by the number of patients per program over time

    Measured: Through study completion, an average of 22 years

  19. Implementation : 3-Deployment of therapeutic workshops : description of workshops

    Description of workshops in terms of type of activity , rhythm

    Measured: End of study (Month 22)

  20. Maintenance: 1-Over time at the organisational level by monitoring team meetings

    Integration into the medico-social offer in the long term via the partnerships established and maintenance of the activities initiated during the program by the patients measured 6 months after the end of the program

    Measured: End of the program (between Month 2 and Month 4) ; End of study (Month 22)

  21. Maintenance : 2-Evaluation of the sustainability of activities since the end of the program

    One question will focus on the continuation of activities and the description of these activities

    Measured: 6 months after end of program (between Month 8 and Month 10)

  22. Cost

    Average cost to produce all the support provided by the programme by modelling the pathways

    Measured: End of study (Month 22)

  23. Assessment of transferability

    Assessment of transferability using the ASTAIRE grid (Analysis of transferability and support for the adaptation of health promotion interventions) : it contains 4 categories of criteria: description of the population (descriptive criteria of the population), environment (environmental factors likely to influence the effects), implementation conditions (elements of implementation of the intervention, particularly with reference to aspects of planning and partnerships) and support for transfer (elements that make it possible to support the transfer of the intervention and contribute in particular to its adaptation to the new context.

    Measured: End of study (Month 22)

  24. Knowledge of the disease and treatments:

    • Knowledge of the disease and treatments: using a knowledge of the disease and treatments questionnaire

    Measured: clusion (Day 0) ; End of the program (between Month 2 and Month 4) ; 6 months after the end of the program (between Month 8 and Month 10)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Apr 2023
  2. Study start20 Jun 2023
  3. Primary completion20 Apr 2026 (estimated)
  4. Study completion20 Apr 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
* Quantitative approach by monitoring the structure's operating indicators * Qualitative approach by semi-structured interviews with professionals of the structure For patients: * At inclusion:collection of socio-demographic and medical data,Quality of life (QoL) questionnaires,anxiety and depression,autonomy in health,adherence to treatment * At end of the program:QoL questionnaires,anxiety and depression,autonomy,autonomy in health,adherence to treatment,satisfaction,semi-structured interviews * 6 months post-program:data on retention and re-hospitalization,QoL questionnaires,anxiety and depression,autonomy in health,adherence to treatment For caregivers: * At inclusion:collection of socio-demographic data,QoL questionnaires,anxiety and depression,perceived burden * At the end of the program:QoL questionnaires,anxiety and depression,perceived burden,semi-structured interviews * 6 months post-program:data about new support,QoL questionnaires,anxiety and depression,perceived burden
Masking
None (open label)
Enrolment
162 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05795686
Sponsor's protocol ID
69HCL22_0638
Acronym
Eval-ARRPAC
Status last verified
Jun 2024
First submitted
7 Feb 2023
Last updated
26 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Evaluation of program "AVanCer" in people with Stroke and Brain Injury, run by Hospices Civils de Lyon at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Julie Haesebaert, MD (06-51-42-97-43 ext. +33, julie.haesebaert01@chu-lyon.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Goal Attainment Scaling (GAS) (time frame: Inclusion (Day 0) ; End of the program (between Month 2 and Month 4)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2024.

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