Evidence map›Paper›PMID 23657469›Full record

ArticleBMJ open2013

Randomised controlled trial of an education and support package for stroke patients and their carers.

Sally Eames, Tammy Hoffmann, Linda Worrall, Stephen Read, Andrew Wong

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04211662 (Effect of a Tailored Multidimensional Intervention on the Care Burden Among Family Caregivers of Stroke Survivors), which is not on this map. Cited by 41 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04211662 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of a Tailored Multidimensional Intervention on the Care Burden Among Family Caregivers of Stroke Survivors

TypeinterventionalSponsorCairo UniversityRan2019 to 2020Enrolled110ConditionsStroke, Caregiver Burden, Caregiver BurnoutArmsTailored Multidimensional Intervention. the tailored intervention will be implemented through 6 months using a multidimensional approach (skill building, psychoeducation and peer support).
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 16 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
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  8. Information provision for stroke survivors and their carers.The Cochrane database of systematic reviews · 2021
    Pooled it
  9. Telerehabilitation services for stroke.The Cochrane database of systematic reviews · 2020
    Pooled it
  10. Pooled it
  11. Hospitalized Patients' Knowledge of Care: a Systematic Review.Journal of general internal medicine · 2018
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Self management programmes for quality of life in people with stroke.The Cochrane database of systematic reviews · 2016
    Pooled it
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  16. Pooled it
  17. Trial
  18. Trial
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sally EamesBrighton Health Campus & Services, Brighton, Queensland, Australia.
Tammy Hoffmann
Linda Worrall
Stephen Read
Andrew Wong

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTailoring stroke information and providing reinforcement opportunities are two strategies proposed to enhance the effectiveness of education. This study aimed to evaluate the effects of an education package which utilised both strategies on the knowledge, health and psychosocial outcomes of stroke patients and carers.

designMultisite, randomised trial comparing usual care with an education and support package.

settingTwo acute stroke units.

participantsPatients and their carers (N=138) were randomised (control n=67, intervention n=71) of which data for 119 participants (control n=59, intervention n=60) were analysed.

interventionThe package consisted of a computer-generated, tailored written information booklet and verbal reinforcement provided prior to, and for 3 months following, discharge. OUTCOME MEASURES: Outcome measures were administered prior to hospital discharge and at 3-month follow-up by blinded assessors. The primary outcome was stroke knowledge (score range: 0-25). Secondary outcomes were: self-efficacy (1-10), anxiety and depression (0-21), ratings of importance of information (1-10), feelings of being informed (1-10), satisfaction with information (1-10), caregiver burden (carers) (0-13) and quality of life (patients) (1-5).

resultsIntervention group participants reported better: self-efficacy for accessing stroke information (adjusted mean difference (MD) of 1.0, 95% CI 0.3 to 1.7, p=0.004); feeling informed (MD 0.9, 95% CI 0.2 to 1.6, p=0.008); and satisfaction with medical (MD 2.0, 95% CI 1.1 to 2.8, p<0.001); practical (MD 1.1, 95% CI 0.3 to 1.9, p=0.008), services and benefits (MD 0.9, 95% CI 0.1 to 1.8, p=0.036) and secondary prevention information (MD 1.7, 95% CI 0.9 to 2.5, p<0.001). There was no significant effect on other outcomes.

conclusionsIntervention group participants had improved self-efficacy for accessing stroke information and satisfaction with information, but other outcomes were not significantly affected. Evaluation of a more intensive intervention in a trial with a larger sample size is required to establish the value of an educational intervention that uses tailoring and reinforcement strategies. ACTRN12608000469314.

Indexed as

Education & training (see Medical Education & Training)Rehabilitation medicineStroke < neurology

Identifiers

PMID23657469
PMCPMC3651972

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.