Development of a poststroke checklist to standardize follow-up care for stroke survivors

Philp, Ian and Brainin, Michael and Walker, Marion F. and Ward, Anthony B. and Gillard, Patrick and Shields, Alan L. and Norrving, Bo (2013) Development of a poststroke checklist to standardize follow-up care for stroke survivors. Journal of Stroke and Cerebrovascular Diseases, 22 (7). e173-e180. ISSN 1532-8511

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Abstract

Background: Long-termcare for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process.

Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC.

Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.

Item Type: Article
Keywords: Stroke, Long-term Care, Stroke Rehabilitation, Continuity of Patient Care, Assessment of Health Care, Needs, Referral and Consultation, Quality of Life
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rehabilitation and Ageing
Identification Number: 10.1016/j.jstrokecerebrovasdis.2012.10.016
Depositing User: Walker, Professor Marion F
Date Deposited: 24 Oct 2016 07:49
Last Modified: 13 Oct 2017 22:40
URI: http://eprints.nottingham.ac.uk/id/eprint/37756

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