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

Research output: Contribution to journalArticle

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.

Details

Authors
  • 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 Balalla
  • Natan M. Bornstein
  • Peter Langhorne
  • Nita Brown
  • Michael Brainin
  • Denise Taylor
  • Valery L. Feigin
Organisations
External organisations
  • Auckland University of Technology
  • Emory University
  • University of Auckland
  • Monash University
  • Raffles Hospital
  • University of Queensland
  • University of Otago
  • Dalhousie University
  • Ahmadu Bello University
  • University of Glasgow
  • University of Ilorin
  • Christian Medical College & Hospital
  • St. Michael's Hospital
  • University of Toronto
  • Shaare Zedek Medical Center
  • Stroke Foundation of New Zealand
  • Danube University Krems
  • Karl Landsteiner University of Health Sciences
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Physiotherapy

Keywords

  • caregivers, DVD, education, rehabilitation, Stroke
Original languageEnglish
JournalClinical Rehabilitation
StateE-pub ahead of print - 2018 May 1
Publication categoryResearch
Peer-reviewedYes