Compass 3: A Novel Transition Program to Reduce Disability After Stroke

Part of paid clinical trials in Columbia, Missouri.

Sponsor
Washington University School of Medicine
Study ID
NCT07069660
Status
Recruiting
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Conditions

Eligibility Criteria

Sex
ALL
Age
55 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • COMPASS — BEHAVIORAL
    The data from the baseline assessment will be used to develop an environmental modification intervention plan. Environmental modifications will be installed before discharge if possible. Problem areas addressed are participant specific (tailored), but the process to identify and address the target area is systematic. All participants will receive identical intervention components. The standardized components include assessment, identification of problematic activities (and environmental barriers), identification of solutions for each problem, implementation of solution set selected by the participant, training, and active practice of daily activities in one's own home and community.
  • Education Program — BEHAVIORAL
    The control group will experience the same effects of time and attention in the home but no effect on the outcome of interest.

Study Details

This study evaluates a program designed to help individuals transition from inpatient rehabilitation to home following an ischemic or hemorrhagic stroke. Half of the participants will receive a stroke education program while the other half will receive an environmental modifications program.

Key Dates

Start date
Sep 29, 2025
Status verified
Feb 2026
Primary completion
Mar 31, 2030
Completion
Mar 31, 2030

Study Design

Enrollment
520 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: COMPASS intervention
    COMPASS is a complex intervention that combines 2 evidence-based treatment strategies at a new point of care (transition from inpatient rehabilitation). The objective of home visits by an occupational therapy (OT) practitioner is to remediate barriers in the home and community that influence daily activities and community participation.
  • Sham Comparator: Education Program
    A research team member will deliver the program in accordance with "Evidence-Based Educational Guidelines for Stroke Survivors after Discharge Home." Topics may include stroke symptoms, risk factors and preventing stroke recurrence.

Primary Outcome Measure

Admission to SNF (skilled nursing facility) [ Time Frame: From enrollment to 12 months post-discharge from inpatient rehabilitation facility ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
University of MissouriColumbiaMissouri65211
Rachel Wolpert, PhD
[email protected]
573-884-2418
Rachel Wolpert, PhD (PRINCIPAL_INVESTIGATOR)
Washington University in St. LouisSt LouisMissouri63110
Susan Stark
[email protected]
314-935-2500

Find similar trials in Columbia, MO

By condition
Stroke
By specialty
NeurologyBrain disorders
By research site
University of Missouri· Columbia, MOWashington University in St. Louis· St Louis, MO

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