Document Detail

Improving quality of life by increasing outings after stroke: study protocol for the Out-and-About trial.
MedLine Citation:
PMID:  23280270     Owner:  NLM     Status:  MEDLINE    
RATIONALE: Almost one-third of Australians need help to travel outdoors after a stroke. Ambulation training and escorted outings are recommended as best practice in Australian clinical guidelines for stroke. Yet fewer than 20% of people with stroke receive enough of these sessions in their local community to change outcomes.
AIMS: The Out-and-About trial aims to determine the efficacy and cost effectiveness of an implementation program to change team behavior and increase outings by people with stroke.
DESIGN: A two-group cluster-randomized trial will be conducted using concealed allocation, blinded assessors, and intention-to-treat analysis. Twenty community teams and their stroke clients (n = 300) will be recruited. Teams will be randomized to receive either the Out-and-About program or written guidelines only.
STUDY OUTCOMES: The primary outcome is the proportion of people with stroke receiving multiple escorted outings during therapy sessions, measured at baseline and 13 months postintervention. Secondary outcomes include number of outings and distance traveled, measured using a self-report diary at baseline and six months postbaseline, and a global positioning system after six months. Cost effectiveness will measure quality-adjusted life years and health service use, measured at baseline and six months postbaseline.
DISCUSSION: A potential outcome of this study will be evidence for a costed, transferable implementation program. If successful, the program will have international relevance and transferability. Another potential outcome will be validation of a novel and objective method of measuring outdoor travel (global positioning system) to supplement self-report methods.
Annie McCluskey; Louise Ada; Sandy Middleton; Patrick J Kelly; Stephen Goodall; Jeremy M Grimshaw; Pip Logan; Mark Longworth; A Karageorge
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of stroke : official journal of the International Stroke Society     Volume:  8     ISSN:  1747-4949     ISO Abbreviation:  Int J Stroke     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-02     Completed Date:  2013-06-07     Revised Date:  2014-06-20    
Medline Journal Info:
Nlm Unique ID:  101274068     Medline TA:  Int J Stroke     Country:  England    
Other Details:
Languages:  eng     Pagination:  54-8     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. International Journal of Stroke © 2012 World Stroke Organization.
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MeSH Terms
Cluster Analysis
Community Health Services / methods*
Geographic Information Systems
Health Services / utilization
Quality of Life
Quality-Adjusted Life Years
Rehabilitation / methods*
Self Report
Social Environment
Stroke / rehabilitation*
Treatment Outcome
Grant Support
08/14/51//Department of Health; HTA/08/14/51//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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