Screening and patient-tailored care for emotional and cognitive problems compared to care as usual in patients discharged home after ischemic stroke (ECO-stroke): a protocol for a multicenter, patient-blinded, cluster randomized controlled trial.

BMC Health Services Research
Jos P L SlendersVincent I H Kwa

Abstract

Ischemic stroke patients with a good outcome in terms of motor functioning and communication are likely to be discharged home without further rehabilitation. A significant number of these patients experience cognitive and emotional problems resulting in lower quality of life and decreased participation in society. This paper presents the protocol of a study examining the clinical effectiveness, cost-effectiveness and implementation of an intervention focused on screening and patient-tailored care for cognitive and emotional problems as compared to usual care in patients discharged home after ischemic stroke. A multicenter, patient-blinded, cluster randomized controlled trial will be performed. Centers will be randomized (1:1) to the intervention group or the usual care group. Patients (> 18 years old) with a neurological confirmed diagnosis of ischemic stroke who can be discharged home without follow-up treatment at an outpatient rehabilitation clinic will be included. In the intervention group, patients will receive a short, individualized, semi-structured consultation by specialized nurses in addition to usual care. This consultation includes 1) screening for cognitive and emotional problems, 2) screening for restrictions in ...Continue Reading

References

Jul 1, 1989·Stroke; a Journal of Cerebral Circulation·T BrottV Hertzberg
Apr 1, 1996·Journal of Clinical Epidemiology·A Donner, N Klar
Apr 1, 1997·Stroke; a Journal of Cerebral Circulation·P W DuncanD Matchar
Jun 27, 1998·Behaviour Research and Therapy·R J Bosscher, J H Smit
Apr 3, 2002·Clinical Rehabilitation·M McKinneyJ R F Gladman
May 9, 2003·Journal of Neurology·Han BoterGabriël J E Rinkel
Nov 27, 2004·Psychosomatic Medicine·Thomas A GlassJames Ware
Apr 9, 2005·Journal of the American Geriatrics Society·Ziad S NasreddineHoward Chertkow
Jan 18, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jacques JoubertStephen M Davis
Jun 16, 2007·Health and Quality of Life Outcomes·Claire A G WolfsJohan L Severens
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Dorothy F EdwardsAlexander W Dromerick
Jun 23, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Ron D HaysDavid Cella
Mar 17, 2010·Scandinavian Journal of Caring Sciences·Ingrid MuusKarin C Ringsberg
Dec 1, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Marieke E VerbraakVincent I H Kwa
Oct 5, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·E J van Dijk, F-E de Leeuw
Jun 14, 2012·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·R E Mark
Sep 8, 2012·Neurology·Narges RadmanJean-Marie Annoni
Dec 12, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Alex PollockLester Firkins
Jan 21, 2014·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Sean D SullivanWen-Yi Shau
Mar 29, 2014·Stroke; a Journal of Cerebral Circulation·Robert G HollowayUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Clinical Cardiology
May 28, 2014·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G M MoranT Marshall
Mar 21, 2015·BMJ : British Medical Journal·Graham F MooreJanis Baird
Sep 28, 2015·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Clazien BouwmansLeona Hakkaart-van Roijen
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Jun 17, 2016·Topics in Stroke Rehabilitation·Madeleine HarrisonAmanda Jones
Oct 26, 2016·Stroke; a Journal of Cerebral Circulation·Christine GravenLynette Joubert
Jan 6, 2017·Disability and Rehabilitation·Joris A de GraafJohanna M A Visser-Meily
Apr 27, 2017·Neuropsychological Rehabilitation·Jet van der KempJohanna M A Visser-Meily

❮ Previous
Next ❯

Citations

Sep 4, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Terence J QuinnHugh S Markus

❮ Previous
Next ❯

Software Mentioned

PROMIS Global
USER
Participation
SASC
MAX Qualitative Data Analysis ( QDA )
R
Randomizer

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.