SHIFT Trial for Stroke Recovery and Social Support

This study, called the SDOH-Homecare Intervention Focus Team (SHIFT) trial, is testing if a special homecare team can help people who have had a stroke. The SHIFT team includes a community health worker, a community social worker, and a community nurse. They will visit you at home shortly after you leave the hospital to connect you with services for things like food, housing, or jobs. This study is for African American/Black or Hispanic adults aged 18-75 who have had an ischemic stroke or intracerebral hemorrhage and face at least three social challenges (social and community, education, economic, neighborhood/environment, or healthcare). The main goal is to see if the SHIFT team can improve your ability to do daily activities, as measured by the Stroke Impact Scale, compared to usual care. The study aims to enroll 275 participants, but its current recruitment status is unclear.

Study design
This is a randomized, blinded outcome study involving 275 participants. It compares the SHIFT team intervention to usual care.
What's involved
You would receive visits from the SHIFT team starting within 72 hours of hospital discharge. Your functional outcomes will be measured at baseline, 6 months, and 1 year.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 1 year after the intervention.

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NCT06397937

SDOH-Homecare Intervention Focus Team (SHIFT) Trial to Improve Stroke Outcomes

Recruiting
NAAges 18–75InterventionalPrevention
Columbia University
~275 participants
Updated 2026-04-08 on ClinicalTrials.gov
What's tested:SHIFT team intervention

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Stroke Impact Scale v3.0
Measured over baseline, 6 months and 1 year
Stroke
Social Determinants of Health
1 sites across 1 states
New York1
  • Olajide Williams, MD · PRINCIPAL_INVESTIGATOR · Columbia University

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Ischemic stroke (arterial subtypes) or primary intracerebral hemorrhage (excluding diagnosis of probable cerebral amyloid angiopathy by Boston Criteria)
African American/Black or Hispanic race-ethnicity
Age 18-75 years old
Have at least 3 SDOH barriers from within the 5 SDOH domains (Social and Community, Education, Economic, neighborhood/environment, Health Care)
Have a discharge plan to 1) home with or without home services, or 2) acute rehabilitation with plan to return home after
Pre-stroke Modified Rankin Scale score of ≤3
Residence in New York City.
English or Spanish speaking.
Can provide informed consent and engage in the initial assessment prior to stroke discharge
Lives in a household with a telephone, and has a caregiver (family member or Home Health Aide) if not fully independent on discharge. If the patient requires a family member to assist with activities of daily living or decision-making, the family member must state a willingness to be present at home visits where their assistance is needed.

Exclusion

Discharge disposition to a long-term care facility.
Diagnosis of dementia or other neurological diagnosis that affects cognition
Diagnosis of active major depression
Aphasia severe enough to preclude initial examination
Impaired level of consciousness at initial cognitive assessment
Subarachnoid hemorrhage
Diagnosis of probable cerebral amyloid angiopathy by Boston criteria
Life expectancy less than 1 year
  • Stroke Impact Scale v3.0baseline, 6 months and 1 year

    a validated measure of disability and health-related quality of life after stroke