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Improving primary care after stroke: testing a new stroke service

Not Applicable
Completed
Conditions
Specialty: Primary Care, Primary sub-specialty: Stroke
UKCRC code/ Disease: Stroke/ Cerebrovascular diseases
Circulatory System
Stroke
Registration Number
ISRCTN58449011
Lead Sponsor
HS Cambridgeshire and Peterborough CCG
Brief Summary

2019 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30609920 results (added 15/08/2019) 2019 Protocol article in https://pubmed.ncbi.nlm.nih.gov/31427339/ (added 09/08/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
1042
Inclusion Criteria

1. Diagnosis of stroke
2. Has a good understanding of English
3. Has the capacity to provide written informed consent.
4. Age = 18 years
5. Gender: both males and females

Exclusion Criteria

1. Patients with a history of transient ischaemic attack (TIA) only
2. Bed-bound patients
3. People unable to provide written informed consent due to mental illness or cognitive impairment
4. Patients considered by the GP to be unsuitable for example: terminal illness
5. Living in residential care

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> Feasibility will be assessed as:<br> 1.1. The recruitment rate will be recorded as percent of eligible patients invited who consent to the study<br> 1.2. The uptake rate to the intervention will be recorded as:<br> 1.2.1. Percent of consented patients who attend the annual review by the end of the intervention (by 6 months) and<br> 1.2.2. The number of times the DPoC was contacted by 6 months<br> 1.3. Percent of fully completed baseline and follow-up questionnaires by 6 months<br>
Secondary Outcome Measures
NameTimeMethod
<br> 1. Feasibility is further assessed by recording:<br> 1.1. Reasons why people are not reviewed will be recorded in patient medical records and reviewed at 6 months<br> 1.2. Additional workload for the Practice associated with the model will be recorded based on patient medical records: The length of the reviews (mean, standard deviation; SD) and the number of times each patient is seen<br> 1.3. The overall number of referrals made by 6 months<br> 1.4. Call durations to the DPoC (mean, SD)<br> 2. Acceptability is assessed using information on barriers and facilitators about the uptake to the study, recorded during the debriefing meeting<br>
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