The YOU CALL-WE CALL randomized clinical trial impact of a multimodal support intervention after a mild stroke

Annie Rochette, Nicol Korner-Bitensky, Duane Bishop, Robert Teasell, Carole L. White, Gina Bravo, Robert Côté, Teri Green, Louise Hélène Lebrun, Sylvain Lanthier, Moira Kapral, Mark Bayley

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Background-Comparison of a multimodal intervention WE CALL (study initiated phone support/information provision) versus a passive intervention YOU CALL (participant can contact a resource person) in individuals with first mild stroke. Methods and Results-This study is a single-blinded randomized clinical trial. Primary outcome includes unplanned use of health services (participant diaries) for adverse events and quality of life (Euroquol-5D, Quality of Life Index). Secondary outcomes include planned use of health services (diaries), mood (Beck Depression Inventory II), and participation (Assessment of Life Habits [LIFE-H]). Blind assessments were done at baseline, 6, and 12 months. A mixed model approach for statistical analysis on an intention-to-treat basis was used where the group factor was intervention type and occasion factor time, with a significance level of 0.01. We enrolled 186 patients (WE=92; YOU=94) with a mean age of 62.5±12.5 years, and 42.5% were women. No significant differences were seen between groups at 6 months for any outcomes with both groups improving from baseline on all measures (effect sizes ranged from 0.25 to 0.7). The only significant change for both groups from 6 months to 1 year (n=139) was in the social domains of the LIFE-H (increment in score, 0.4/9±1.3 [95% confidence interval, 0.1-0.7]; effect size, 0.3). Qualitatively, the WE CALL intervention was perceived as reassuring, increased insight, and problem solving while decreasing anxiety. Only 6 of 94 (6.4%) YOU CALL participants availed themselves of the intervention. Conclusions-Although the 2 groups improved equally over time, WE CALL intervention was perceived as helpful, whereas YOU CALL intervention was not used.

Original languageEnglish (US)
Pages (from-to)674-679
Number of pages6
JournalCirculation: Cardiovascular Quality and Outcomes
Volume6
Issue number6
DOIs
StatePublished - Nov 1 2013

Keywords

  • Affect
  • Life support care
  • Patient participation
  • Quality of life
  • Rehabilitation
  • Secondary prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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