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 BalallaNatan M. Bornstein, Peter Langhorne, Bo Norrving, Nita Brown, Michael Brainin, Denise Taylor, Valery L. Feigin

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2 Citations (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

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