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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

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    MAUJEAN161240.pdf (436.3Kb)
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    Author(s)
    Jones, Kelly M
    Bhattacharjee, Rohit
    Krishnamurthi, Rita
    Blanton, Sarah
    Barker-Collo, Suzanne
    Theadom, Alice
    Thrift, Amanda G
    Wolf, Steven L
    Venketasubramanian, Narayanaswamy
    Parmar, Priya
    Maujean, Annick
    Ranta, Annemarei
    Cadilhac, Dominique
    Sanya, Emmanuel O
    MacKay-Lyons, Marilyn
    Pandian, Jeyaraj D
    Arora, Deepti
    Obiako, Reginald O
    Saposnik, Gustavo
    Balalla, Shivanthi
    Bornstein, Natan M
    Langhorne, Peter
    Norrving, Bo
    Brown, Nita
    Brainin, Michael
    Taylor, Denise
    Feigin, Valery L
    Griffith University Author(s)
    Maujean, Annick A.
    Year published
    2018
    Metadata
    Show full item record
    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 ...
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    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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    Journal Title
    Clinical Rehabilitation
    Volume
    32
    Issue
    8
    DOI
    https://doi.org/10.1177/0269215518777565
    Copyright Statement
    MAUJEAN, Francoise, Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context: a randomized controlled pilot study, Clinical Rehabilitation, Vol 32, Issue 8, 2018. Copyright 2018 The Authors. Reprinted by permission of SAGE Publications.
    Subject
    Medical and Health Sciences
    Publication URI
    http://hdl.handle.net/10072/386234
    Collection
    • Journal articles

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