Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context : a randomized controlled pilot study

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Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context : a randomized controlled pilot study

Jones, Kelly M. (author): Auckland University of Technology

Bhattacharjee, Rohit (author): Auckland University of Technology

Krishnamurthi, Rita (author): Auckland University of Technology

Blanton, Sarah (author): Emory University

Barker-Collo, Suzanne (author): University of Auckland

Theadom, Alice (author): Auckland University of Technology

Thrift, Amanda G. (author): Monash University

Wolf, Steven L. (author): Emory University

Venketasubramanian, Narayanaswamy (author): Raffles Hospital

Parmar, Priya (author): Auckland University of Technology

Maujean, Annick (author): University of Queensland

Ranta, Annemarei (author): University of Otago

Cadilhac, Dominique (author): Monash University

Sanya, Emmanuel O. (author): University of Ilorin

MacKay-Lyons, Marilyn (author): Dalhousie University

Pandian, Jeyaraj D. (author): Christian Medical College & Hospital

Arora, Deepti (author): Christian Medical College & Hospital

Obiako, Reginald O. (author): Ahmadu Bello University

Saposnik, Gustavo (author): University of Toronto,Saint Michael's Hospital

Balalla, Shivanthi (author): Auckland University of Technology

Bornstein, Natan M. (author): Shaare Zedek Medical Center

Langhorne, Peter (author): University of Glasgow

Norrving, Bo (author): Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine

Brown, Nita (author): Stroke Foundation of New Zealand

Brainin, Michael (author): Karl Landsteiner University of Health Sciences,Danube University Krems

Taylor, Denise (author): Auckland University of Technology

Feigin, Valery L. (author): Auckland University of Technology

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(creator_code:org_t)

2018-05-30
2018
English.
In: Clinical Rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 32:8, s. 1086-1097

Related links:: http://dx.doi.org/10...; show more...; https://research-rep...; https://lup.lub.lu.s...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Objective: To assess the feasibility of conducting a randomized controlled trial of an instructional and educational stroke DVD and determine the feasibility and preliminary efficacy of this intervention in a multinational context. Design: Non-funded, pilot randomized controlled trial of intervention versus usual care. Setting: International, multicentre, community-based. Participants: Community-living adults up to three years post stroke with moderate to severe disability and their nominated informal caregivers. Interventions: Intervention patients viewed and practised rehabilitation techniques demonstrated in the DVD over six weeks. Main measures: Trial feasibility by number of active recruitment sites, recruitment efficiency, randomization and follow-up. Intervention feasibility by patient and caregiver impressions. Preliminary efficacy by the quality of life – 5-level EuroQol-5D (EQ-5D) health status measure, General Health Questionnaire and Centre for Epidemiological Studies–Depression at two months. Results: In total, 14 recruitment sites were established across eight countries. Recruitment was achieved at nine (64%) sites. Over 16 months, 66 participants were recruited (mean (SD) age = 63.5 (12.47) years) and randomized to intervention (n = 34) and control (n = 32) groups. In total, 54 (82%) completed a follow-up assessment. Patient and/or caregiver comments about the benefits and barriers to accessing the intervention were mixed. There were no significant between-group differences in outcomes at two months (P > 0.05). Conclusion: Conducting a multinational trial of a stroke DVD requires full funding. The intervention was acceptable to some patients and their caregivers, yet a generalized education approach did not fully meet their needs and/or expectations. A more individualized method may be required to meet peoples’ changing needs during stroke recovery.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)

Keyword

caregivers
DVD
education
rehabilitation
Stroke

Publication and Content Type

art (subject category)
ref (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Physiotherapy

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