International consensus recommendations for outcome measurement in post-stroke arm rehabilitation trials.

European Journal of Physical and Rehabilitation Medicine
Julie Duncan MillarM Ali

Abstract

Existing randomized controlled trials (RCTs) of arm rehabilitation interventions after stroke use a wide range of outcome measures, limiting ability to pool data to determine efficacy. Published recommendations also lack stroke survivor, carer and clinician involvement specifically about perceived relevance and importance of outcomes and measures. To generate international consensus recommendations for selection of outcome measures for use in future stroke RCTs in arm rehabilitation, considering outcomes important to stroke survivors, carers and clinicians. The recommendations are the Standardizing Measurement in Arm Rehabilitation Trials (SMART) Toolbox. Two-round international e-Delphi Survey and consensus meeting. Online and University. Fifty-five researchers and clinicians with expertise in stroke upper limb rehabilitation from 18 countries (e-Delphi); N.=13 researchers and clinicians, N.=2 stroke survivors, N.=1 carer (consensus meeting). Using systematically identified outcome measures from published RCTs, we conducted a two-round international e-Delphi Survey with researchers and clinicians to identify the most important measures for inclusion in the toolbox. Measures that achieved ≥60% consensus were categorized using t...Continue Reading

References

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Feb 7, 2012·Stroke; a Journal of Cerebral Circulation·Jeffrey L SaverUNKNOWN National Institute of Neurological Disorders and Stroke (NINDS) Stroke Common Data Element Working Group
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