What is the impact of large scale implementation of stroke Early Supported Discharge?

Not Applicable

Completed

• Conditions: Stroke; Circulatory System; Stroke, not specified as haemorrhage or infarction

• Registration Number: ISRCTN15568163
• Lead Sponsor: niversity of Nottingham

Brief Summary

2019 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/31196123 protocol (added 17/06/2019) 2020 Results article in https://pubmed.ncbi.nlm.nih.gov/32674640/ results (added 20/07/2020) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33472788/ results (added 22/01/2021) 2023 Results article in https://doi.org/10.1186/s12913-023-09290-1 (added 29/03/2023) 2021 Results article in https://doi.org/10.3310/hsdr09220 (added 06/08/2024)

Detailed Description

Not available

Study Timeline

• Study Start: 2018-07-25
• Study Completion: 2020-12-14
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 147

Inclusion Criteria

1. Staff participants:
1.1. Adults (over the age of 18 years)
1.2. NHS staff participants involved in delivery of the ESD service (i.e. consultants, occupational therapists, rehabilitation assistants, physiotherapists, social workers, nursing staff, psychologists and administrators)
1.3. Stroke service commissioners (i.e. members of a Clinical Commissioning Group (CCG) involved in the commissioning of ESD services)

2. Patient participants:
2.1. All stroke patients who are admitted to ESD services and fit the eligibility criteria used by the hospital and community-based staff. Eligibility criteria are likely to include the patient wishing to return home, that they are medically stable and that they can transfer independently or with the assistance of one person. It is highly unlikely that stroke patients with mental capacity issues and those unable to consent, will be eligible or referred to an ESD service.
2.2. Having sustained first or recurrent stroke
2.3. Medically stable
2.4. Ability to give informed consent
2.5. Aged between 16 and 100 years old
2.6. In the services’ caseload at the time of recruitment

Exclusion Criteria

1. Staff participants:
1.1. Communication problems (e.g.aphasia) that prevents participation in the interviews.

2. Patient participants:
2.1. Stroke patients who are not eligible for Early Supported Discharge (ESD)
2.2. Patients who do not have adequate understanding of the English language to participate in the interviews (translators may not be available in community-based services)

Study & Design

• Study Type: Observational
• Study Design: Not specified