OBJECTIVE: To evaluate the effectiveness of a stroke-specific follow-up care model on quality of life for stroke patients, being discharged home, and their caregivers. DESIGN: A non-randomized, controlled trial, comparing an intervention group with a control group (usual care). SUBJECTS:Stroke patients and their caregivers. METHODS: Intervention involved 5 home visits by a stroke care coordinator over a period of 18 months, using a structured assessment tool. Outcome measures were conducted at baseline (T0) and every 6 months thereafter (T6, T12 and T18) in the domains of quality of life (primary), activities of daily living, social activities, depression, anxiety and caregiver strain. RESULTS: The intervention group (n = 62) had significantly increased its social activities after 18 months, whereas the control group (n = 55) showed significantly decreased levels of social activities. In the first 6 months, levels of depression decreased significantly in caregivers of the intervention group. No differences were found for quality of life and the other outcome measures. CONCLUSION: The intervention was not effective in improving quality of life, but was effective in improving levels of social activities. The intervention may have focussed too much on screening for stroke-related problems and not as much on adequate follow-up care and referral.
RCT Entities:
OBJECTIVE: To evaluate the effectiveness of a stroke-specific follow-up care model on quality of life for strokepatients, being discharged home, and their caregivers. DESIGN: A non-randomized, controlled trial, comparing an intervention group with a control group (usual care). SUBJECTS:Strokepatients and their caregivers. METHODS: Intervention involved 5 home visits by a stroke care coordinator over a period of 18 months, using a structured assessment tool. Outcome measures were conducted at baseline (T0) and every 6 months thereafter (T6, T12 and T18) in the domains of quality of life (primary), activities of daily living, social activities, depression, anxiety and caregiver strain. RESULTS: The intervention group (n = 62) had significantly increased its social activities after 18 months, whereas the control group (n = 55) showed significantly decreased levels of social activities. In the first 6 months, levels of depression decreased significantly in caregivers of the intervention group. No differences were found for quality of life and the other outcome measures. CONCLUSION: The intervention was not effective in improving quality of life, but was effective in improving levels of social activities. The intervention may have focussed too much on screening for stroke-related problems and not as much on adequate follow-up care and referral.
Authors: Walter P Wodchis; Toni Ashton; G Ross Baker; Nicolette Sheridan; Kerry Kuluski; Ann McKillop; Fiona A Miller; John Parsons; Timothy Kenealy Journal: Int J Integr Care Date: 2018-05-09 Impact factor: 5.120
Authors: Loraine Busetto; Johanna Hoffmann; Christina Stang; Hemasse Amiri; Fatih Seker; Jan Purrucker; Peter Arthur Ringleb; Simon Nagel; Martin Bendszus; Wolfgang Wick; Christoph Gumbinger Journal: Int J Integr Care Date: 2022-02-21 Impact factor: 5.120
Authors: Annemarie P M Stiekema; Christine Resch; Mireille Donkervoort; Natska Jansen; Kitty H M Jurrius; Judith M Zadoks; Caroline M van Heugten Journal: Trials Date: 2020-11-17 Impact factor: 2.279