Evidence map›Paper›PMID 25628517›Full record

ArticleBMC nursing2015

A process evaluation of a stroke-specific follow-up care model for stroke patients and caregivers; a longitudinal study.

Manon Fens, George Beusmans, Martien Limburg, Liesbeth van Hoef, Jolanda van Haastregt, Job Metsemakers, Caroline van Heugten

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. A systematic review of causal pathways of socioeconomic inequalities in stroke.International journal of stroke : official journal of the International Stroke Society · 2026
    Pooled it
  2. Article
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  7. Design and Usability Testing of the Stroke Caregiver Support System: A Mobile-Friendly Website to Reduce Stroke Caregiver Burden.Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
    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

7 authors at 2 institutions in 1 country.

Manon FensDepartment of Patient & Care, Maastricht University Medical Centre+, Maastricht, The Netherlands ; CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
George BeusmansCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands ; Department of General Practice, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Martien LimburgDepartment of Neurology, Flevo Hospital, Almere, The Netherlands.
Liesbeth van HoefDepartment of Patient & Care, Maastricht University Medical Centre+, Maastricht, The Netherlands ; CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Jolanda van HaastregtCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands ; Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Job MetsemakersDepartment of Patient & Care, Maastricht University Medical Centre+, Maastricht, The Netherlands ; CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands ; Department of General Practice, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Caroline van HeugtenDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands ; Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neurosciences, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a need for follow-up care after stroke, but there is no consensus about the way to organise it. An intervention providing follow-up care for stroke patients and caregivers showed favourable effects on the level of social activities, but no other effects were found. The intervention consists of a maximum of five home visits to patients and caregivers during a period of 18 months post-discharge. The home visits are conducted by a stroke care coordinator (SCC) using a structured assessment tool. The objective of this study was to examine process-related factors that could have influenced the effectiveness of the intervention.

methods77 stroke patients, 59 caregivers and 4 SCCs participated in the study. Data on the organisational characteristics of and the satisfaction with the intervention were collected by means of structured assessments, interviews and self-administered questionnaires at 1, 6, 12 and 18 months of follow-up. The intervention was provided between April 2008 and June 2011.

resultsPatients received an average of 3.8 home visits (SD 1.4) and 55% of them had a follow-up period of a maximum of 18 months. There were 1074 problems identified and the SCCs initiated 363 follow-up care and referral options. Stroke patients and caregivers were very satisfied with the intervention. The SCCs were satisfied with the assessment tool, but would like to see a structured referral system.

conclusionsThe intervention was only partially performed in accordance with the protocol and was positively evaluated by patients, caregivers and SCCs. It is recommended to add a structured referral system to the intervention.

Indexed as

Follow-up careNursesProcess assessmentStroke

Identifiers

PMID25628517
PMCPMC4307745
OpenAlexW2067199873

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.