Meeting unmet needs following minor stroke: the SUN randomised controlled trial protocol
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Foster, Michele
Cruwys, Tegan
Fleming, Jennifer
Aitken, Philip
Jaques, Katherine
Williams, Ian
Shah, Darshan
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Abstract
BACKGROUND: Whilst there are comprehensive guidelines for the rehabilitation of people with severe impairments from stroke, there has been less attention on the health and rehabilitation needs of people with minor stroke. Our study will assess whether a new multi-component service pathway using an integrated model based around primary care will reduce unmet need following minor stroke compared with usual care 1 and 3 months post-hospital discharge. METHODS: One hundred ten patients with minor stroke will be recruited within a parallel, randomised controlled trial design comparing a new service pathway and usual care. The new service pathway will comprise a self-management kit, customised General Practitioner checklist, and a series of minor stroke educational topics. Participants will complete assessments pre-hospital discharge and 1 and 3 months later. The primary outcome measure will be the Survey of Unmet Needs and Service Usage. Secondary outcome measures will include assessments of ability, adjustment and participation; social group connectedness; return to work; health-related quality of life; and perceptions of the new service pathway (intervention group only). Mixed model repeated measures will be used to analyse within and between group differences at each time point. Return to work will be analysed using Chi square tests. Perceptions of the new service pathway will be analysed qualitatively. DISSEMINATION OF RESULTS: The project will produce an evidence-based, multicomponent service pathway for minor stroke patients, applicable to other health services nationally and internationally. Dissemination will include publications and presentations. TRIAL REGISTRATION: Prospectively registered - Australian New Zealand Clinical Trials Registry (ACTRN12619000133134p) 30 January 2019.
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BMC Health Services Research
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19
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1
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© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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Subject
Nursing
Health services and systems
Public health
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Minor stroke
Non-disabling stroke
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Finch, E; Foster, M; Cruwys, T; Fleming, J; Aitken, P; Jaques, K; Williams, I; Shah, D, Meeting unmet needs following minor stroke: the SUN randomised controlled trial protocol, BMC Health Services Research, 2019, 19 (1), pp. 894:1-894:7