Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context

a randomized controlled pilot study

Kelly M. Jones, Rohit Bhattacharjee, Rita Krishnamurthi, Sarah Blanton, Suzanne Barker-Collo, Alice Theadom, Amanda G. Thrift, Steven L. Wolf, Narayanaswamy Venketasubramanian, Priya Parmar, Annick Maujean, Annemarei Ranta, Dominique Cadilhac, Emmanuel O. Sanya, Marilyn MacKay-Lyons, Jeyaraj D. Pandian, Deepti Arora, Reginald O. Obiako, Gustavo Saposnik, Shivanthi Balalla & 7 others Natan M. Bornstein, Peter Langhorne, Bo Norrving, Nita Brown, Michael Brainin, Denise Taylor, Valery L. Feigin

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Objective: To assess the feasibility of conducting a randomized controlled trial of an instructional and educational stroke DVD and determine the feasibility and preliminary efficacy of this intervention in a multinational context. Design: Non-funded, pilot randomized controlled trial of intervention versus usual care. Setting: International, multicentre, community-based. Participants: Community-living adults up to three years post stroke with moderate to severe disability and their nominated informal caregivers. Interventions: Intervention patients viewed and practised rehabilitation techniques demonstrated in the DVD over six weeks. Main measures: Trial feasibility by number of active recruitment sites, recruitment efficiency, randomization and follow-up. Intervention feasibility by patient and caregiver impressions. Preliminary efficacy by the quality of life – 5-level EuroQol-5D (EQ-5D) health status measure, General Health Questionnaire and Centre for Epidemiological Studies–Depression at two months. Results: In total, 14 recruitment sites were established across eight countries. Recruitment was achieved at nine (64%) sites. Over 16 months, 66 participants were recruited (mean (SD) age = 63.5 (12.47) years) and randomized to intervention (n = 34) and control (n = 32) groups. In total, 54 (82%) completed a follow-up assessment. Patient and/or caregiver comments about the benefits and barriers to accessing the intervention were mixed. There were no significant between-group differences in outcomes at two months (P > 0.05). Conclusion: Conducting a multinational trial of a stroke DVD requires full funding. The intervention was acceptable to some patients and their caregivers, yet a generalized education approach did not fully meet their needs and/or expectations. A more individualized method may be required to meet peoples’ changing needs during stroke recovery.

Original languageEnglish
Pages (from-to)1086-1097
Number of pages12
JournalClinical Rehabilitation
Volume32
Issue number8
DOIs
Publication statusPublished - 1 Aug 2018

Keywords

  • caregivers
  • DVD
  • education
  • rehabilitation
  • Stroke

Cite this

Jones, Kelly M. ; Bhattacharjee, Rohit ; Krishnamurthi, Rita ; Blanton, Sarah ; Barker-Collo, Suzanne ; Theadom, Alice ; Thrift, Amanda G. ; Wolf, Steven L. ; Venketasubramanian, Narayanaswamy ; Parmar, Priya ; Maujean, Annick ; Ranta, Annemarei ; Cadilhac, Dominique ; Sanya, Emmanuel O. ; MacKay-Lyons, Marilyn ; Pandian, Jeyaraj D. ; Arora, Deepti ; Obiako, Reginald O. ; Saposnik, Gustavo ; Balalla, Shivanthi ; Bornstein, Natan M. ; Langhorne, Peter ; Norrving, Bo ; Brown, Nita ; Brainin, Michael ; Taylor, Denise ; Feigin, Valery L. / Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context : a randomized controlled pilot study. In: Clinical Rehabilitation. 2018 ; Vol. 32, No. 8. pp. 1086-1097.
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abstract = "Objective: To assess the feasibility of conducting a randomized controlled trial of an instructional and educational stroke DVD and determine the feasibility and preliminary efficacy of this intervention in a multinational context. Design: Non-funded, pilot randomized controlled trial of intervention versus usual care. Setting: International, multicentre, community-based. Participants: Community-living adults up to three years post stroke with moderate to severe disability and their nominated informal caregivers. Interventions: Intervention patients viewed and practised rehabilitation techniques demonstrated in the DVD over six weeks. Main measures: Trial feasibility by number of active recruitment sites, recruitment efficiency, randomization and follow-up. Intervention feasibility by patient and caregiver impressions. Preliminary efficacy by the quality of life – 5-level EuroQol-5D (EQ-5D) health status measure, General Health Questionnaire and Centre for Epidemiological Studies–Depression at two months. Results: In total, 14 recruitment sites were established across eight countries. Recruitment was achieved at nine (64{\%}) sites. Over 16 months, 66 participants were recruited (mean (SD) age = 63.5 (12.47) years) and randomized to intervention (n = 34) and control (n = 32) groups. In total, 54 (82{\%}) completed a follow-up assessment. Patient and/or caregiver comments about the benefits and barriers to accessing the intervention were mixed. There were no significant between-group differences in outcomes at two months (P > 0.05). Conclusion: Conducting a multinational trial of a stroke DVD requires full funding. The intervention was acceptable to some patients and their caregivers, yet a generalized education approach did not fully meet their needs and/or expectations. A more individualized method may be required to meet peoples’ changing needs during stroke recovery.",
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Jones, KM, Bhattacharjee, R, Krishnamurthi, R, Blanton, S, Barker-Collo, S, Theadom, A, Thrift, AG, Wolf, SL, Venketasubramanian, N, Parmar, P, Maujean, A, Ranta, A, Cadilhac, D, Sanya, EO, MacKay-Lyons, M, Pandian, JD, Arora, D, Obiako, RO, Saposnik, G, Balalla, S, Bornstein, NM, Langhorne, P, Norrving, B, Brown, N, Brainin, M, Taylor, D & Feigin, VL 2018, 'Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context: a randomized controlled pilot study', Clinical Rehabilitation, vol. 32, no. 8, pp. 1086-1097. https://doi.org/10.1177/0269215518777565

Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context : a randomized controlled pilot study. / Jones, Kelly M.; Bhattacharjee, Rohit; Krishnamurthi, Rita; Blanton, Sarah; Barker-Collo, Suzanne; Theadom, Alice; Thrift, Amanda G.; Wolf, Steven L.; Venketasubramanian, Narayanaswamy; Parmar, Priya; Maujean, Annick; Ranta, Annemarei; Cadilhac, Dominique; Sanya, Emmanuel O.; MacKay-Lyons, Marilyn; Pandian, Jeyaraj D.; Arora, Deepti; Obiako, Reginald O.; Saposnik, Gustavo; Balalla, Shivanthi; Bornstein, Natan M.; Langhorne, Peter; Norrving, Bo; Brown, Nita; Brainin, Michael; Taylor, Denise; Feigin, Valery L.

In: Clinical Rehabilitation, Vol. 32, No. 8, 01.08.2018, p. 1086-1097.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context

T2 - a randomized controlled pilot study

AU - Jones, Kelly M.

AU - Bhattacharjee, Rohit

AU - Krishnamurthi, Rita

AU - Blanton, Sarah

AU - Barker-Collo, Suzanne

AU - Theadom, Alice

AU - Thrift, Amanda G.

AU - Wolf, Steven L.

AU - Venketasubramanian, Narayanaswamy

AU - Parmar, Priya

AU - Maujean, Annick

AU - Ranta, Annemarei

AU - Cadilhac, Dominique

AU - Sanya, Emmanuel O.

AU - MacKay-Lyons, Marilyn

AU - Pandian, Jeyaraj D.

AU - Arora, Deepti

AU - Obiako, Reginald O.

AU - Saposnik, Gustavo

AU - Balalla, Shivanthi

AU - Bornstein, Natan M.

AU - Langhorne, Peter

AU - Norrving, Bo

AU - Brown, Nita

AU - Brainin, Michael

AU - Taylor, Denise

AU - Feigin, Valery L.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Objective: To assess the feasibility of conducting a randomized controlled trial of an instructional and educational stroke DVD and determine the feasibility and preliminary efficacy of this intervention in a multinational context. Design: Non-funded, pilot randomized controlled trial of intervention versus usual care. Setting: International, multicentre, community-based. Participants: Community-living adults up to three years post stroke with moderate to severe disability and their nominated informal caregivers. Interventions: Intervention patients viewed and practised rehabilitation techniques demonstrated in the DVD over six weeks. Main measures: Trial feasibility by number of active recruitment sites, recruitment efficiency, randomization and follow-up. Intervention feasibility by patient and caregiver impressions. Preliminary efficacy by the quality of life – 5-level EuroQol-5D (EQ-5D) health status measure, General Health Questionnaire and Centre for Epidemiological Studies–Depression at two months. Results: In total, 14 recruitment sites were established across eight countries. Recruitment was achieved at nine (64%) sites. Over 16 months, 66 participants were recruited (mean (SD) age = 63.5 (12.47) years) and randomized to intervention (n = 34) and control (n = 32) groups. In total, 54 (82%) completed a follow-up assessment. Patient and/or caregiver comments about the benefits and barriers to accessing the intervention were mixed. There were no significant between-group differences in outcomes at two months (P > 0.05). Conclusion: Conducting a multinational trial of a stroke DVD requires full funding. The intervention was acceptable to some patients and their caregivers, yet a generalized education approach did not fully meet their needs and/or expectations. A more individualized method may be required to meet peoples’ changing needs during stroke recovery.

AB - Objective: To assess the feasibility of conducting a randomized controlled trial of an instructional and educational stroke DVD and determine the feasibility and preliminary efficacy of this intervention in a multinational context. Design: Non-funded, pilot randomized controlled trial of intervention versus usual care. Setting: International, multicentre, community-based. Participants: Community-living adults up to three years post stroke with moderate to severe disability and their nominated informal caregivers. Interventions: Intervention patients viewed and practised rehabilitation techniques demonstrated in the DVD over six weeks. Main measures: Trial feasibility by number of active recruitment sites, recruitment efficiency, randomization and follow-up. Intervention feasibility by patient and caregiver impressions. Preliminary efficacy by the quality of life – 5-level EuroQol-5D (EQ-5D) health status measure, General Health Questionnaire and Centre for Epidemiological Studies–Depression at two months. Results: In total, 14 recruitment sites were established across eight countries. Recruitment was achieved at nine (64%) sites. Over 16 months, 66 participants were recruited (mean (SD) age = 63.5 (12.47) years) and randomized to intervention (n = 34) and control (n = 32) groups. In total, 54 (82%) completed a follow-up assessment. Patient and/or caregiver comments about the benefits and barriers to accessing the intervention were mixed. There were no significant between-group differences in outcomes at two months (P > 0.05). Conclusion: Conducting a multinational trial of a stroke DVD requires full funding. The intervention was acceptable to some patients and their caregivers, yet a generalized education approach did not fully meet their needs and/or expectations. A more individualized method may be required to meet peoples’ changing needs during stroke recovery.

KW - caregivers

KW - DVD

KW - education

KW - rehabilitation

KW - Stroke

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