Document Detail


A community-based exercise and education scheme for stroke survivors: a randomized controlled trial and economic evaluation.
MedLine Citation:
PMID:  20026571     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The evaluation of a community-based exercise and education scheme for stroke survivors.
DESIGN: A single blind parallel group randomized controlled trial.
SETTING: Leisure and community centres in the south-west of England.Subjects: Stroke survivors (median (IQR) time post stroke 10.3 (5.4-17.1) months). 243 participants were randomized to standard care (124) or the intervention (119).
INTERVENTION: Exercise and education schemes held twice weekly for eight weeks, facilitated by volunteers and qualified exercise instructors (supported by a physiotherapist), each with nine participants plus carers or family members.
METHOD: Participants were assessed by a blinded independent assessor at two weeks before the start of the scheme, nine weeks and six months. One-year follow-up was by postal assessment.
MAIN MEASURES: Primary outcomes: Subjective Index of Physical and Social Outcome (SIPSO); Frenchay Activities Index; Rivermead Mobility Index. NHS, social care and personal costs. Secondary outcomes included WHOQoL-Bref.
ANALYSIS: Intention-to-treat basis, using non-parametric analysis to investigate change from baseline. Economic costs were compared in a cost-consequences analysis.
RESULTS: There were significant between-group changes in SIPSO physical at nine weeks (median (95% confidence interval (CI)), 1 (0, 2): P = 0.022) and at one year (0 (-1, 2): P = 0.024). (WHOQol-Bref psychological (6.2 (-0.1, 9.1): P = 0.011) at six months. Mean cost per patient was higher in the intervention group. The difference, excluding inpatient care, was pound296 (95% CI: - pound321 to pound913).
CONCLUSION: The community scheme for stroke survivors was a low-cost intervention successful in improving physical integration, maintained at one year, when compared with standard care.
Authors:
Rachel Harrington; Gordon Taylor; Sandra Hollinghurst; Mary Reed; Hazel Kay; Victorine A Wood
Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2009-12-21
Journal Detail:
Title:  Clinical rehabilitation     Volume:  24     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-07     Completed Date:  2010-04-20     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  3-15     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Caregivers / economics,  psychology
Community Health Centers / economics*
Community Networks / economics*
Cost-Benefit Analysis
Exercise Therapy / economics,  methods*
Female
Great Britain
Humans
Interpersonal Relations
Male
Patient Education as Topic / economics,  methods*
Patient Satisfaction
Quality of Life
Social Support
State Medicine / economics
Statistics, Nonparametric
Stroke / economics,  rehabilitation*
Treatment Outcome
Volunteers
Grant Support
ID/Acronym/Agency:
G0800800//Medical Research Council

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


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