Evidence map›Paper›PMID 29743322›Full record

Trial reportBMJ open2018

Protocol for a randomised controlled trial to evaluate the effectiveness of the 'Care for Stroke' intervention in India: a smartphone-enabled, carer-supported, educational intervention for management of disabilities following stroke.

K Sureshkumar, G V S Murthy, Hannah Kuper

Open access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Information provision for stroke survivors and their carers.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Telerehabilitation services for stroke.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Article
  5. Review
  6. Article
  7. Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017.International journal of environmental research and public health · 2019
    Article
  8. 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

3 authors at 2 institutions in 2 countries.

K SureshkumarPublic Health Foundation of India, Indian institute of Public Health - Hyderabad, South Asia Centre for Disability, Inclusive Development and Research (SACDIR), Hyderabad, Telangana, India.
G V S MurthyPublic Health Foundation of India, Indian institute of Public Health - Hyderabad, South Asia Centre for Disability, Inclusive Development and Research (SACDIR), Hyderabad, Telangana, India.
Hannah KuperDepartment of Clinical Research, International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBPublic Health Foundation of India · IN

Funding

DBT-Wellcome Trust India Alliance IA/CPHE/16/1/502650Wellcome Trust
6 · The paper itself

Abstract

introductionThe rising prevalence of stroke and stroke-related disability witnessed globally over the past decades may cause an overwhelming demand for rehabilitation services. This situation is of concern for low-income and middle-income countries like India where the resources for rehabilitation are often limited. Recently, a smartphone-enabled carer-supported educational intervention for management of physical disabilities following stroke was developed in India. It was found to be feasible and acceptable, but evidence of effectiveness is lacking. Hence, as a step forward, this study intends to evaluate clinical effectiveness of the intervention through a randomised controlled trial.

methodsThe objective of the study is to evaluate whether the 'Care for Stroke' intervention is clinically and cost-effective for the reduction of dependency in activities of daily living among stroke survivors in an Indian setting. This study is designed as a randomised controlled trial comparing people who received the intervention to those receiving standard care. The trial will be pragmatic and outcome assessor-blinded. The primary outcome for the study is dependency in daily living measured by the Modified Rankin Scale (MRS). A total of 266 adult stroke survivors who fulfil the eligibility criteria will be randomised to receive either 'Care for Stroke' intervention or standard treatment and will be followed up for 6 weeks. The main analyses will compare participants allocated to the 'Care for Stroke' intervention versus those allocated to the standard treatment group on an 'intention-to-treat' basis, irrespective of whether the participants received the treatment allocated or not. The dichotomised MRS scores (0-3 and 4-6) in both the groups will be used to calculate the effect estimates with a measure of precision (95% CI) and presented in the results of the trial. ETHICS AND DISSEMINATION: The Indian Institute of Public Health-Hyderabad/Public Health Foundation of India - Independent Institutional Ethics Committee and the Ethics Committee of the London School of HygieneandTropical Medicine. Dissemination will be through peer-reviewed publications. TRIAL REGISTRATION NUMBER: Clinical Trial Registry of India CTRI/2017/07/009014.

Indexed as

CaregiversClinical ProtocolsActivities of Daily LivingHealth EducationHumansIndiaPersons with DisabilitiesProgram EvaluationResearch DesignSmartphoneSocial SupportStroke RehabilitationTelemedicineclinical trialsdisabilitymhealthrehabilitation medicinestroke

Identifiers

PMID29743322
PMCPMC5942432
OpenAlexW2801377907

What OpenQuestion holds

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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.