Electronic Resource
Pilot randomised clinical trial of an eHealth, self-management support intervention (iVERVE) for stroke: feasibility assessment in survivors 12-24 months post-event.
| العنوان: | Pilot randomised clinical trial of an eHealth, self-management support intervention (iVERVE) for stroke: feasibility assessment in survivors 12-24 months post-event. |
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| المؤلفون: | Kilkenny M.F., Li J.C., Kneebone I., Thijs V., Hackett M.L., Lannin N.A., Cadilhac D.A., Andrew N.E., Busingye D., Cameron J., Thrift A.G., Purvis T. |
| بيانات النشر: | BioMed Central Ltd United Kingdom 2020-12-18 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Background: Electronic communication is used in various populations to achieve health goals, but evidence in stroke is lacking. We pilot tested the feasibility and potential effectiveness of a novel personalised electronic self-management intervention to support person-centred goal attainment and secondary prevention after stroke. Method(s): A phase I, prospective, randomised controlled pilot trial (1:1 allocation) with assessor blinding, intention-to-treat analysis, and a process evaluation. Community-based survivors of stroke were recruited from participants in the Australian Stroke Clinical Registry (AuSCR) who had indicated their willingness to be contacted for research studies. Inclusion criteria include 1-2 years following hospital admission for stroke and living within 50 km of Monash University (Melbourne). Person-centred goals were set with facilitation by a clinician using a standardised template. The intervention group received electronic support messages aligned to their goals over 4 weeks. The control group received only 2-3 electronic administrative messages. Primary outcomes were study retention, goal attainment (assessed using Goal Attainment Scaling method) and satisfaction. Secondary outcomes were self-management (Health Education Impact Questionnaire: 8 domains), quality of life, mood and acceptability. Result(s): Of 340 invitations sent from AuSCR, 73 responded, 68 were eligible and 57 (84%) completed the baseline assessment. At the goal-setting stage, 54/68 (79%) were randomised (median 16 months after stroke): 25 to intervention (median age 69 years; 40% female) and 29 to control (median age 68 years; 38% female). Forty-five (83%) participants completed the outcome follow-up assessment. At follow-up, goal attainment (mean GAS-T score >= 50) in the intervention group was achieved for goals related to function, participation and environment (control: environment only). Most intervention participants provided positive feedback and reported that th |
| مصطلحات الفهرس: | Australia, cerebrovascular accident/di [Diagnosis], cerebrovascular accident/dm [Disease Management], controlled study, e-mail, feasibility study, female, goal attainment, human, length of stay, major clinical study, male, mood, Nottingham extended activities of daily living scale, open study, outcome assessment, patient satisfaction, phase 1 clinical trial, pilot study, positive feedback, prospective study, quality of life, questionnaire, randomized controlled trial, Rankin scale, register, self care, stroke survivor, telehealth, transient ischemic attack/dm [Disease Management], web-based intervention, australian stroke clinical registry, health education impact questionnaire, transient ischemic attack/di [Diagnosis], aged, article, Article |
| URL: | Pilot and Feasibility Studies LibKey Link |
| الاتاحة: | Open access content. Open access content Copyright 2020 Elsevier B.V., All rights reserved. |
| Other Numbers: | AUSHL oai:repository.monashhealth.org:1/28978 Pilot and Feasibility Studies. 6 (1) (no pagination), 2020. Article Number: 172. Date of Publication: 01 Dec 2020. 2055-5784 (electronic) https://repository.monashhealth.org/monashhealthjspui/handle/1/28978 2007167248 (Cadilhac, Andrew, Busingye, Cameron, Thrift, Purvis, Kilkenny) Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC 3168, Australia (Cadilhac, Thijs, Kilkenny) Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Heidelberg, VIC, Australia (Andrew) Department of Medicine, Peninsula Clinical School, Central Clinical School, Monash University, Frankston, VIC, Australia (Busingye) NPS MedicineWise, Sydney, NSW, Australia (Cameron) School of Nursing and Midwifery, Monash University, Clayton, VIC, Australia (Li) Faculty of Engineering, Monash University, Clayton, VIC, Australia (Kneebone) Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW, Australia (Thijs) Department of Medicine, Austin Health, Heidelberg, VIC, Australia (Hackett) The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia (Hackett) Faculty of Health and Wellbeing, The University of Central Lancashire, Preston, United Kingdom (Lannin) Department of Neurosciences, Central Clinical School, Monash University, Melbourne, VIC, Australia (Lannin) Department of Allied Health (Occupational Therapy), Alfred Health, Melbourne, VIC, Australia Cadilhac D.A.; dominique.cadilhac@monash.edu 1305122349 |
| المصدر المساهم: | MONASH HEALTH LIBRS From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1305122349 |
| قاعدة البيانات: | OAIster |
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