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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.; Bhattacharjee, Rohit; Krishnamurthi, Rita; Blanton, Sarah; Barker-Collo, Suzanne; Theadom, Alice; Thrift, Amanda G.; Wolf, Steven L.; Venketasubramanian, Narayanaswamy and Parmar, Priya, et al. (2018) In Clinical Rehabilitation 32(8). p.1086-1097
Abstract

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,... (More)

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.

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publication status
published
subject
keywords
caregivers, DVD, education, rehabilitation, Stroke
in
Clinical Rehabilitation
volume
32
issue
8
pages
1086 - 1097
publisher
SAGE Publications Inc.
external identifiers
  • scopus:85047957752
ISSN
0269-2155
DOI
10.1177/0269215518777565
language
English
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yes
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e206ebf2-f27d-452d-90fc-8b457c457cc5
date added to LUP
2018-06-14 14:37:28
date last changed
2019-01-09 19:39:39
@article{e206ebf2-f27d-452d-90fc-8b457c457cc5,
  abstract     = {<p>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 &gt; 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.</p>},
  author       = {Jones, Kelly M. and Bhattacharjee, Rohit and Krishnamurthi, Rita and Blanton, Sarah and Barker-Collo, Suzanne and Theadom, Alice and Thrift, Amanda G. and Wolf, Steven L. and Venketasubramanian, Narayanaswamy and Parmar, Priya and Maujean, Annick and Ranta, Annemarei and Cadilhac, Dominique and Sanya, Emmanuel O. and MacKay-Lyons, Marilyn and Pandian, Jeyaraj D. and Arora, Deepti and Obiako, Reginald O. and Saposnik, Gustavo and Balalla, Shivanthi and Bornstein, Natan M. and Langhorne, Peter and Norrving, Bo and Brown, Nita and Brainin, Michael and Taylor, Denise and Feigin, Valery L.},
  issn         = {0269-2155},
  keyword      = {caregivers,DVD,education,rehabilitation,Stroke},
  language     = {eng},
  number       = {8},
  pages        = {1086--1097},
  publisher    = {SAGE Publications Inc.},
  series       = {Clinical Rehabilitation},
  title        = {Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context : a randomized controlled pilot study},
  url          = {http://dx.doi.org/10.1177/0269215518777565},
  volume       = {32},
  year         = {2018},
}