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Development of a Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors

Philp, Ian; Brainin, Michael; Walker, Marion F.; Ward, Anthony B.; Gillard, Patrick; Shields, Alan L. and Norrving, Bo LU (2013) In Journal of Stroke & Cerebrovascular Diseases 22(7). p.173-180
Abstract
Background: Long-term care for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a... (More)
Background: Long-term care for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process. Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Stroke, long-term care, stroke rehabilitation, continuity of patient, care, assessment of health care needs, referral and consultation, quality of life
in
Journal of Stroke & Cerebrovascular Diseases
volume
22
issue
7
pages
173 - 180
publisher
Elsevier
external identifiers
  • wos:000325874200027
  • scopus:84886075751
ISSN
1532-8511
DOI
10.1016/j.jstrokecerebrovasdis.2012.10.016
language
English
LU publication?
yes
id
65a3ad81-b858-4488-8d21-37f63084ecc9 (old id 4160080)
date added to LUP
2013-12-02 11:45:28
date last changed
2019-06-25 01:10:25
@article{65a3ad81-b858-4488-8d21-37f63084ecc9,
  abstract     = {Background: Long-term care for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process. Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.},
  author       = {Philp, Ian and Brainin, Michael and Walker, Marion F. and Ward, Anthony B. and Gillard, Patrick and Shields, Alan L. and Norrving, Bo},
  issn         = {1532-8511},
  keyword      = {Stroke,long-term care,stroke rehabilitation,continuity of patient,care,assessment of health care needs,referral and consultation,quality of life},
  language     = {eng},
  number       = {7},
  pages        = {173--180},
  publisher    = {Elsevier},
  series       = {Journal of Stroke & Cerebrovascular Diseases},
  title        = {Development of a Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors},
  url          = {http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2012.10.016},
  volume       = {22},
  year         = {2013},
}