An intervention to support stroke survivors and their carers in the longer term: results of a cluster randomised controlled feasibility trial (LoTS2Care)
dc.contributor.author | Forster, A | |
dc.contributor.author | Ozer, S | |
dc.contributor.author | Brindle, R | |
dc.contributor.author | Barnard, L | |
dc.contributor.author | Hardicre, N | |
dc.contributor.author | Crocker, TF | |
dc.contributor.author | Chenery, M | |
dc.contributor.author | Moreau, L | |
dc.contributor.author | Wright, A | |
dc.contributor.author | Burton, L-J | |
dc.contributor.author | Hartley, S | |
dc.contributor.author | Hulme, C | |
dc.contributor.author | Dawkins, B | |
dc.contributor.author | Holloway, I | |
dc.contributor.author | House, A | |
dc.contributor.author | Hewison, J | |
dc.contributor.author | Farrin, A | |
dc.contributor.author | LoTS2Care Programme Team | |
dc.date.accessioned | 2023-04-19T10:54:49Z | |
dc.date.issued | 2023-03-15 | |
dc.date.updated | 2023-04-19T10:37:11Z | |
dc.description.abstract | BACKGROUND: To address the limited provision of longer-term stroke care, we conducted a programme of research (LoTS2Care) to develop and test an intervention to form part of a replicable longer-term care strategy. New Start, a programme of facilitated self-management, was developed to be delivered at 6 months post-stroke by trained facilitators. Here, we report the findings from the final workstream of this programme, which aimed to evaluate the feasibility and acceptability of implementing a future definitive cluster randomised controlled trial of the developed intervention (New Start) to support stroke survivors and their carers in the longer term. METHODS: A feasibility cluster randomised controlled trial was conducted in English and Welsh NHS stroke services. Stroke services (clusters) were randomised on a 1:1 basis to implement New Start or continue with usual care only. Community-dwelling stroke survivors between 4 and 6 months post-stroke were invited to participate in the trial by post. Outcome measures were collected via post at 3, 6 and 9 months after recruitment. Recruitment and follow-up rates, delivery and uptake of the intervention, data collection feasibility (including postal outcome measures of health and disability, mental well-being at 3, 6, and 9 months post-recruitment) and safety were assessed. RESULTS: Ten stroke services were recruited. A total of 1127 stroke survivors were screened for participation, and 269 were registered (New Start, n = 145; usual care, n = 124). Retention was high with 239 (89%) stroke survivors being available for follow-up at 9 months, and high return rates of postal questionnaires were achieved (80.3% at 9 months). Intervention training was successfully delivered, and New Start was offered to 95.2% of trial participants in the intervention arm. Uptake was variable, however, ranging from 11.8 to 75.0%. There were no safety concerns. CONCLUSIONS: Stroke service recruitment and longer-term stroke survivor postal recruitment and outcome data collection are feasible; however, refinement of intervention targeting and delivery is required prior to undertaking a definitive trial. | en_GB |
dc.description.sponsorship | National Institute for Health and Care Research (NIHR) | en_GB |
dc.format.extent | 40- | |
dc.format.medium | Electronic | |
dc.identifier.citation | Vol. 9, article 40 | en_GB |
dc.identifier.doi | https://doi.org/10.1186/s40814-023-01258-6 | |
dc.identifier.grantnumber | RP-PG-0611–20010 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/132943 | |
dc.identifier | ORCID: 0000-0003-2077-0419 (Hulme, Claire) | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/36922866 | en_GB |
dc.rights | © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | en_GB |
dc.subject | Activities of daily living | en_GB |
dc.subject | Cluster randomised controlled trial | en_GB |
dc.subject | Community | en_GB |
dc.subject | Feasibility trial | en_GB |
dc.subject | Health services research | en_GB |
dc.subject | Longer term | en_GB |
dc.subject | Quality of life | en_GB |
dc.subject | Stroke | en_GB |
dc.subject | Supported self-management | en_GB |
dc.title | An intervention to support stroke survivors and their carers in the longer term: results of a cluster randomised controlled feasibility trial (LoTS2Care) | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-04-19T10:54:49Z | |
exeter.article-number | 40 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available from BMC via the DOI in this record. | en_GB |
dc.description | Any data requests should be sent to the corresponding author and would be subject to review by a subgroup of the trial team, which will include the data guarantor, Professor Farrin. All data-sharing activities would require a data-sharing agreement. | en_GB |
dc.identifier.eissn | 2055-5784 | |
dc.identifier.journal | Pilot and Feasibility Studies | en_GB |
dc.relation.ispartof | Pilot Feasibility Stud, 9(1) | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2023-02-09 | |
dc.rights.license | CC BY | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-02-09 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-04-19T10:45:55Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-04-19T10:54:50Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-03-15 |
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to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this
licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco
mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.