Comparison of telehealth and in-person discharge education program on adherence of stroke patient and perceived stress of caregivers

Comparing the effect of telehealth and in person education on t adherence in stroke patients and caregivers' perceived stress

The present study is a two-group, parallel, single-blind clinical trial that will be conducted on 70 stroke patients and their family members. Sampling is by block randomization method, where blocks of four are obtained by R software, and after completing all blocks, blocks are randomly selected.

The locations are the neurology ward of Loghman and Imam Hussein hospitals. The samples assigned to two groups, receive discharge education face-to-face in a group and remotely and on a platform. The training is provided individually and in groups with family members. Only the analyst is unaware of the assignment of the two groups.

Patient inclusion criteria: Age 18 to 70 years, willingness to participate Aware and trainable No history of receiving thrombolytic drugs Family caregiver inclusion criteria: Primary caregiver (at least twice a week) Literate and able to communicate First experience caring for a stroke patient Patient exclusion criteria: Physical/mental illness affecting quality of life Participation in another educational program Hearing/vision/touch disorders or inability to speak Persian Caregiver exclusion criteria: Previous participation in a similar program Caring for another person Reported mental/neurological disorders Employment in the medical/therapeutic profession

Intervention group 1: Stroke patients and their families who receive telehealth education during discharge Intervention group 2: Stroke patients and their families who receive face-to-face education during discharge

adherence of stroke patient perceived stress of caregivers

Random block sampling will be carried out in two groups: telehealth and face-to-face learning. The random assignment sequence and block list will be obtained by the statistical consultant using R software. The number of people assigned to each group is 35. In this method, the desired blocks of four are formed. Initially, 20 blocks of four are identified and A (face-to-face learning) and B (telehealth group) are determined.The samples are then randomly assigned to groups at consecutive intervals according to blocks selected from 20 prepared blocks. For example, after randomly selecting a block such as the ABAB block, patients are randomly assigned to the face-to-face, telehealth, face-to-face, and telehealth groups. After creating the random sequence, sampling must be done by concealing the created sequence. In such a way that the assigned group for the samples is not known before the individual is assigned. This is done by placing the random sequence inside an envelope and selecting an opaque envelope. At the time of participant registration, based on the order in which the eligible samples enter the study, one of the envelopes is opened in order and the assigned group of that participant is revealed. The code of each patient will also be assigned to his or her family member. Individuals are randomly assigned to the desired group through the randomized blocks in the order in which they enter the study.

This research is single-blind due to the nature of the intervention, which is education and is presented in two ways. Both the researcher and the samples know which group they are placed in, and only the data analyst is unaware of the group assignment.

Participants data file

One year after the publication of the article

Researchers working in academic and scientific institutions

Data will be made available upon request for secondary studies.

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