Evidence map›Paper›PMID 28623892›Full record

Trial reportBMC neurology2017

Improving transitions in acute stroke patients discharged to home: the Michigan stroke transitions trial (MISTT) protocol.

Mathew J Reeves, Anne K Hughes, Amanda T Woodward, Paul P Freddolino, Constantinos K Coursaris, Sarah J Swierenga, Lee H Schwamm, Michele C Fritz

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT02653170 nacompletednot on this map

The Michigan Stroke Transitions Trial (MISTT): Improving Care Transitions for Acute Stroke Patients Through a Patient-centered Home Based Case Management Program

TypeinterventionalSponsorMichigan State UniversityRan2016 to 2017Enrolled320ConditionsAcute StrokeArmsSCM, SCM and VSSP
NCT05185271 nacompletednot on this mapstarted 2021, after this paper: background citation

Adopting Dyad-focused Strategy Training to Stroke Survivors and Their Caregivers: Intervention Development and a Feasibility Study

TypeinterventionalSponsorTaipei Medical UniversityRan2021 to 2023Enrolled16ConditionsStrokeArmsDyad-focused strategy training
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Telerehabilitation services for stroke.The Cochrane database of systematic reviews · 2020
    Pooled it
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  5. Observational
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  12. Sensi-steps: Using Patient-Generated Data to Prevent Post-stroke Falls.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017
    Article
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  15. Review
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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

8 authors at 2 institutions in 1 country.

Mathew J ReevesDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, B601 West Fee Hall, East Lansing, MI, 48824, USA. reevesm@msu.edu.ORCID http://orcid.org/0000-0002-8019-6343
Anne K HughesSchool of Social Work, College of Social Science, Michigan State University, East Lansing, MI, USA.
Amanda T WoodwardSchool of Social Work, College of Social Science, Michigan State University, East Lansing, MI, USA.
Paul P FreddolinoSchool of Social Work, College of Social Science, Michigan State University, East Lansing, MI, USA.
Constantinos K CoursarisDepartment of Media and Information, College of Communication Arts and Sciences, Michigan State University, East Lansing, MI, USA.
Sarah J SwierengaUsability/Accessibility Research and Consulting, Michigan State University, East Lansing, MI, USA.
Lee H SchwammDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Michele C FritzDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, B601 West Fee Hall, East Lansing, MI, 48824, USA.
Michigan State University · USMassachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor some stroke patients and caregivers, navigating the transition between hospital discharge and returning home is associated with substantial psychosocial and health-related challenges. Currently, no evidence-based standard of care exists that addresses the concerns of stroke patients and caregivers during the transition period. Objectives of the Michigan Stroke Transitions Trial (MISTT) are to test the impact of a social worker home-based case management program, as well as an online information and support resource, on patient and caregiver outcomes after returning home.

methodsThe Michigan Stroke Transitions Trial is a randomized, pragmatic, open (un-blinded), 3-group parallel designed superiority trial conducted in 3 Michigan hospitals. Eligible participants are adult acute stroke patients discharged home directly or within 4 weeks of being discharged to a rehabilitation facility. The patient's primary caregiver is also invited to participate. Patients are randomized on the day they return home using a randomized block design. Consented patients discharged to a rehabilitation facility who do not go home within 4 weeks are dropped from the study. The 2 study interventions begin within a week of returning home and conclude 3 months later. The 3-group design compares usual care to either a home-based social worker stroke case management (SWSCM) program, or a combination of the SWSCM program plus access to an online information and support resource (MISTT website). Outcomes data are collected at 7-days and 90-days by trained telephone interviewers. Primary patient outcomes include the PROMIS global 10 score (a generic Quality of Life scale), and the Patient Activation Measure (PAM). Caregiver outcomes include the Bakas Caregiving Outcomes Scale. Final analysis will be based on 214 randomized acute stroke patients. To accommodate subjects excluded due to prolonged rehabilitation stays, as well as those lost-to-follow-up, up to 315 patients will be consented. DISCUSSION: The MISTT study will determine if a home-based case management program designed around the needs and preferences of stroke patients and caregivers, alone or in combination with a patient-centered online information and support resource can improve stroke survivor and caregiver outcomes 3 months after returning home.

trial registrationClinicalTrials.gov: NCT02653170 (Protocol ID: 135457). Registered April 9, 2015.

Indexed as

Patient DischargeAdultCaregiversHumansMichiganQuality of LifeStrokeStroke RehabilitationSurvivorsAcute strokeCaregiverCase managementRandomized controlled trialSocial workTransitional care

Identifiers

PMID28623892
PMCPMC5474297
OpenAlexW2625962487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.