The CareFile Project: a feasibility study to examine the effects of an individualised information booklet on patients after stroke.

INTRODUCTION: patients have reported a lack of knowledge and understanding of stroke and its risk factors. Uncertainty remains about the most appropriate and effective method of educating patients after stroke.
OBJECTIVE: to assess the impact of the CareFile, an individualized information booklet, on patients' knowledge and satisfaction level after stroke.
DESIGN: randomised pilot study for a controlled trial.
SETTING: a large teaching hospital in Liverpool, UK.
METHODS: consecutive stroke patients admitted over a 9-month period, who met the inclusion criteria and consented to participate, were randomised into this study. All patients received the usual stroke information leaflets provided by the stroke unit. In addition, the intervention group received the ;CareFile', a booklet containing general information and patient-specific information on stroke. Patients in both groups completed a stroke knowledge questionnaire at baseline, and at three and six months post-stroke.
RESULTS: of the 259 admissions, 100 were eligible to participate, and 50 were randomised to each group. There was no significant difference in patient knowledge between the groups at baseline (P>0.05). However, at three (P<0.05) and six (P<0.005) months post-stroke, the intervention group had significantly better knowledge of stroke. There were no differences between the groups regarding satisfaction with the information received.
CONCLUSIONS: a simple education package, in the form of an individualized information booklet, resulted in a significant improvement in knowledge and recognition of risk factors for stroke. The CareFile should make a valuable contribution in meeting the requirements of the National Sentinel Audit and National Service Framework regarding provision of information to patients after stroke.

RCT Entities:   Population Interventions Outcomes