Development of a poststroke checklist to standardize follow-up care for stroke survivors

Background: Long-termcare for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals ident...

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Main Authors: Philp, Ian, Brainin, Michael, Walker, Marion F., Ward, Anthony B., Gillard, Patrick, Shields, Alan L., Norrving, Bo
Format: Article
Published: W.B. Saunders 2013
Subjects:
Online Access:https://eprints.nottingham.ac.uk/37756/
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author Philp, Ian
Brainin, Michael
Walker, Marion F.
Ward, Anthony B.
Gillard, Patrick
Shields, Alan L.
Norrving, Bo
author_facet Philp, Ian
Brainin, Michael
Walker, Marion F.
Ward, Anthony B.
Gillard, Patrick
Shields, Alan L.
Norrving, Bo
author_sort Philp, Ian
building Nottingham Research Data Repository
collection Online Access
description Background: Long-termcare for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process. Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.
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spelling nottingham-377562020-05-04T20:18:45Z https://eprints.nottingham.ac.uk/37756/ Development of a poststroke checklist to standardize follow-up care for stroke survivors Philp, Ian Brainin, Michael Walker, Marion F. Ward, Anthony B. Gillard, Patrick Shields, Alan L. Norrving, Bo Background: Long-termcare for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process. Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment. W.B. Saunders 2013-10 Article PeerReviewed Philp, Ian, Brainin, Michael, Walker, Marion F., Ward, Anthony B., Gillard, Patrick, Shields, Alan L. and Norrving, Bo (2013) Development of a poststroke checklist to standardize follow-up care for stroke survivors. Journal of Stroke and Cerebrovascular Diseases, 22 (7). e173-e180. ISSN 1532-8511 Stroke Long-term Care Stroke Rehabilitation Continuity of Patient Care Assessment of Health Care Needs Referral and Consultation Quality of Life http://www.sciencedirect.com/science/article/pii/S1052305712003606 doi:10.1016/j.jstrokecerebrovasdis.2012.10.016 doi:10.1016/j.jstrokecerebrovasdis.2012.10.016
spellingShingle Stroke
Long-term Care
Stroke Rehabilitation
Continuity of Patient Care
Assessment of Health Care
Needs
Referral and Consultation
Quality of Life
Philp, Ian
Brainin, Michael
Walker, Marion F.
Ward, Anthony B.
Gillard, Patrick
Shields, Alan L.
Norrving, Bo
Development of a poststroke checklist to standardize follow-up care for stroke survivors
title Development of a poststroke checklist to standardize follow-up care for stroke survivors
title_full Development of a poststroke checklist to standardize follow-up care for stroke survivors
title_fullStr Development of a poststroke checklist to standardize follow-up care for stroke survivors
title_full_unstemmed Development of a poststroke checklist to standardize follow-up care for stroke survivors
title_short Development of a poststroke checklist to standardize follow-up care for stroke survivors
title_sort development of a poststroke checklist to standardize follow-up care for stroke survivors
topic Stroke
Long-term Care
Stroke Rehabilitation
Continuity of Patient Care
Assessment of Health Care
Needs
Referral and Consultation
Quality of Life
url https://eprints.nottingham.ac.uk/37756/
https://eprints.nottingham.ac.uk/37756/
https://eprints.nottingham.ac.uk/37756/