Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial
Introduction Many stroke survivors have unmet psychosocial needs during the recovery phase following a stroke. There is emerging evidence that peer support interventions may play a valuable role in managing stroke. However, evidence regarding the effectiveness of peer support interventions on the ps...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e062531.full |
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| author | Ying Wu Janita Pak Chun Chau Xiaojuan Wan Limei Xu Weijuan Gong |
| author_facet | Ying Wu Janita Pak Chun Chau Xiaojuan Wan Limei Xu Weijuan Gong |
| author_sort | Ying Wu |
| collection | DOAJ |
| description | Introduction Many stroke survivors have unmet psychosocial needs during the recovery phase following a stroke. There is emerging evidence that peer support interventions may play a valuable role in managing stroke. However, evidence regarding the effectiveness of peer support interventions on the psychosocial outcomes of stroke survivors is uncertain. This study aims to develop a nurse-led peer support intervention for stroke survivors based on the Person–Environment–Occupation–Performance Model and evaluate its effects on the psychosocial outcomes of stroke survivors.Methods and analysis This is an assessor-blinded two-arm randomised controlled trial. A convenience sample of 120 stroke survivors will be recruited from two community centres and one rehabilitation unit in Yangzhou, a medium-sized city in eastern China, with 60 participants each in the intervention and control groups. The participants allocated to the intervention group will receive the nurse-led peer support intervention, which includes 6 weekly peer support sessions facilitated by a nurse and at least one peer facilitator. Participants randomised to the control group will receive the same dose of interpersonal interaction as intervention participants, including weekly individual face-to-face session for 6 weeks. The primary outcomes are social participation and participation self-efficacy. The secondary outcomes are psychosocial distress, social support, stigma towards disease, self-efficacy in managing chronic conditions and quality of life. Data will be collected at baseline, immediately after the intervention and 3 months after the intervention. A process evaluation will be conducted qualitatively and quantitively to examine the mechanism by which the intervention impacts the psychosocial outcomes of stroke survivors. All outcomes will be analysed following the intention to treat principle. Generalised Estimation Equation models will be used to assess the intervention effect.Ethics and dissemination This protocol was approved by the Joint Chinese University of Hong Kong-New Territories East Cluster Clinical Research Ethics Committee (CREC Ref. No.: 2021.196-T). All participants will be required to provide written informed consent. Results of the study will be disseminated through publication in peer-reviewed journals and presentation at local or international conferences.Trial registration number ChiCTR2100050853. |
| format | Article |
| id | doaj-art-ab2c9171f98245fcbbbb596ae44f4904 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ab2c9171f98245fcbbbb596ae44f49042025-01-24T21:05:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-062531Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trialYing Wu0Janita Pak Chun Chau1Xiaojuan Wan2Limei Xu3Weijuan Gong4Department of Medical Oncology, Changzheng Hospital, Naval Medical University, Shanghai, People`s Republic of ChinaThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong KongOutpatient Pharmacy, Wenfeng Community Health Service Centre, Yangzhou, ChinaDepartment of Medicine, Yangzhou University, Yangzhou, ChinaIntroduction Many stroke survivors have unmet psychosocial needs during the recovery phase following a stroke. There is emerging evidence that peer support interventions may play a valuable role in managing stroke. However, evidence regarding the effectiveness of peer support interventions on the psychosocial outcomes of stroke survivors is uncertain. This study aims to develop a nurse-led peer support intervention for stroke survivors based on the Person–Environment–Occupation–Performance Model and evaluate its effects on the psychosocial outcomes of stroke survivors.Methods and analysis This is an assessor-blinded two-arm randomised controlled trial. A convenience sample of 120 stroke survivors will be recruited from two community centres and one rehabilitation unit in Yangzhou, a medium-sized city in eastern China, with 60 participants each in the intervention and control groups. The participants allocated to the intervention group will receive the nurse-led peer support intervention, which includes 6 weekly peer support sessions facilitated by a nurse and at least one peer facilitator. Participants randomised to the control group will receive the same dose of interpersonal interaction as intervention participants, including weekly individual face-to-face session for 6 weeks. The primary outcomes are social participation and participation self-efficacy. The secondary outcomes are psychosocial distress, social support, stigma towards disease, self-efficacy in managing chronic conditions and quality of life. Data will be collected at baseline, immediately after the intervention and 3 months after the intervention. A process evaluation will be conducted qualitatively and quantitively to examine the mechanism by which the intervention impacts the psychosocial outcomes of stroke survivors. All outcomes will be analysed following the intention to treat principle. Generalised Estimation Equation models will be used to assess the intervention effect.Ethics and dissemination This protocol was approved by the Joint Chinese University of Hong Kong-New Territories East Cluster Clinical Research Ethics Committee (CREC Ref. No.: 2021.196-T). All participants will be required to provide written informed consent. Results of the study will be disseminated through publication in peer-reviewed journals and presentation at local or international conferences.Trial registration number ChiCTR2100050853.https://bmjopen.bmj.com/content/12/6/e062531.full |
| spellingShingle | Ying Wu Janita Pak Chun Chau Xiaojuan Wan Limei Xu Weijuan Gong Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial BMJ Open |
| title | Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial |
| title_full | Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial |
| title_fullStr | Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial |
| title_full_unstemmed | Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial |
| title_short | Effects of a nurse-led peer support intervention for stroke survivors: protocol for a randomised controlled trial |
| title_sort | effects of a nurse led peer support intervention for stroke survivors protocol for a randomised controlled trial |
| url | https://bmjopen.bmj.com/content/12/6/e062531.full |
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