Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context: a randomized controlled pilot study

Jones, K. M. et al. (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, 32(8), pp. 1086-1097. (doi: 10.1177/0269215518777565) (PMID:29843517)

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.

• Item Type: Articles
• Additional Information: This work was partially supported by the New Zealand Stroke Education Charitable Trust, Moleac Pte Ltd and the Georgia Physical Therapy Education and Research Committee.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Langhorne, Professor Peter
• Authors: Jones, K. M., Bhattacharjee, R., Krishnamurthi, R., Blanton, S., Barker-Collo, S., Theadom, A., Thrift, A. G., Wolf, S. L., Venketasubramanian, N., Parmar, P., Maujean, A., Ranta, A., Cadilhac, D., Sanya, E. O., MacKay-Lyons, M., Pandian, J. D., Arora, D., Obiako, R. O., Saposnik, G., Balalla, S., Bornstein, N. M., Langhorne, P., Norrving, B., Brown, N., Brainin, M., Taylor, D., and Feigin, V. L.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: Clinical Rehabilitation
• Publisher: SAGE Publications
• ISSN: 0269-2155
• ISSN (Online): 1477-0873
• Published Online: 30 May 2018
• Copyright Holders: Copyright © 2018 The Authors
• First Published: First published in Clinical Rehabilitation 32(8): 1086-1097
• Publisher Policy: Reproduced in accordance with the publisher copyright policy