Randomised controlled trial of an education and support package for stroke patients and their carers

Eames, Sally, Hoffmann, Tammy, Worrall, Linda, Read, Stephen and Wong, Andrew (2013) Randomised controlled trial of an education and support package for stroke patients and their carers. BMJ Open, 3 5: . doi:10.1136/bmjopen-2012-002538


Author Eames, Sally
Hoffmann, Tammy
Worrall, Linda
Read, Stephen
Wong, Andrew
Title Randomised controlled trial of an education and support package for stroke patients and their carers
Journal name BMJ Open   Check publisher's open access policy
ISSN 2044-6055
Publication date 2013
Year available 2013
Sub-type Article (original research)
DOI 10.1136/bmjopen-2012-002538
Open Access Status DOI
Volume 3
Issue 5
Total pages 10
Place of publication London, United Kingdom
Publisher B M J Group
Collection year 2014
Language eng
Subject 2700 Medicine
Formatted abstract
Objective Tailoring stroke information and providing reinforcement opportunities are two strategies proposed to enhance the effectiveness of education. This study aimed to evaluate the effects of an education package which utilised both strategies on the knowledge, health and psychosocial outcomes of stroke patients and carers.

Design Multisite, randomised trial comparing usual care with an education and support package.

Setting Two acute stroke units.

Participants
Patients and their carers (N=138) were randomised (control n=67, intervention n=71) of which data for 119 participants (control n=59, intervention n=60) were analysed.

Intervention
The package consisted of a computer-generated, tailored written information booklet and verbal reinforcement provided prior to, and for 3 months following, discharge.

Outcome measures Outcome measures were administered prior to hospital discharge and at 3-month follow-up by blinded assessors. The primary outcome was stroke knowledge (score range: 0–25). Secondary outcomes were: self-efficacy (1–10), anxiety and depression (0–21), ratings of importance of information (1–10), feelings of being informed (1–10), satisfaction with information (1–10), caregiver burden (carers) (0–13) and quality of life (patients) (1–5).

Results Intervention group participants reported better: self-efficacy for accessing stroke information (adjusted mean difference (MD) of 1.0, 95% CI 0.3 to 1.7, p=0.004); feeling informed (MD 0.9, 95% CI 0.2 to 1.6, p=0.008); and satisfaction with medical (MD 2.0, 95% CI 1.1 to 2.8, p<0.001); practical (MD 1.1, 95% CI 0.3 to 1.9, p=0.008), services and benefits (MD 0.9, 95% CI 0.1 to 1.8, p=0.036) and secondary prevention information (MD 1.7, 95% CI 0.9 to 2.5, p<0.001). There was no significant effect on other outcomes.

Conclusions Intervention group participants had improved self-efficacy for accessing stroke information and satisfaction with information, but other outcomes were not significantly affected. Evaluation of a more intensive intervention in a trial with a larger sample size is required to establish the value of an educational intervention that uses tailoring and reinforcement strategies.
Keyword Education And Training
Health and psychological effects
Patients And Carers
Rehabilitation Medicine
Stroke
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
 
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