Evidence map›Paper›PMID 32202130›Full record

Observational studyClinical rehabilitation2020

Six-month reviews for stroke survivors: a study of the modified Greater Manchester Stroke Assessment Tool with care home residents.

Emma Patchwood, Kate Woodward-Nutt, Katy Rothwell, Catherine Perry, Pippa Tyrrell, Audrey Bowen

Abstract readObservational Study
In one paragraph

Observational study in Clinical rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

6 authors.

Emma PatchwoodDivision of Neuroscience and Experimental Psychology, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester and Manchester Academic Health Science Centre (MAHSC), Manchester, UK.ORCID https://orcid.org/0000-0002-4198-5761
Kate Woodward-NuttResearch & Innovation, Northern Care Alliance NHS Group, Salford, UK.
Katy RothwellStroke Support, Stroke Association, London, UK.
Catherine PerryApplied Research Collaboration for Greater Manchester and Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.
Pippa TyrrellStroke Medicine, University of Manchester, UK (Honorary Professor).
Audrey BowenDivision of Neuroscience and Experimental Psychology, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester and Manchester Academic Health Science Centre (MAHSC), Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the feasibility of using a stroke-specific toolkit for six-month post-stroke reviews in care homes to identify unmet needs and actions.

designAn observational study including qualitative interviews to explore the process and outcome of reviews.

settingUK care homes.

participantsStroke survivors, family members, care home staff (review participants) and external staff involved in conducting reviews (assessors).

interventionsModified Greater Manchester Stroke Assessment Tool (GM-SAT).

resultsThe observational study provided data on 74 stroke survivors across 51 care homes. In total, out of 74, 45 (61%) had unmet needs identified. Common unmet needs related to blood pressure, mobility, medicine management and mood. We conducted 25 qualitative interviews, including 13 review participants and 12 assessors. Three overarching qualitative themes covered acceptability of conducting reviews in care homes, process and outcomes of reviews, and acceptability of modified GM-SAT review toolkit. The modified GM-SAT review was positively valued, but stroke survivors had poor recall of the review event including the actions agreed. Care home staff sometimes assisted with reviews and highlighted their need for training to support day-to-day needs of stroke survivors. Assessors highlighted a need for clearer guidance on the use of the toolkit and suggested further modifications to enhance it. They also identified organizational barriers and facilitators to implementing reviews and communicating planned actions to GPs and other agencies.

conclusionThe modified GM-SAT provides a feasible means of conducting six-month reviews for stroke survivors in care homes and helps identify important needs. Further modifications have enhanced acceptability. Full implementation into practice requires staff training and organizational changes.

Indexed as

Quality Assurance, Health CareStroke RehabilitationAdultAgedAged, 80 and overFemaleHumansMaleOutcome and Process Assessment, Health CarePatient SatisfactionStrokeSurvivorsTime FactorsUnited Kingdomcare homepost-stroke reviewsStrokeunmet needs

Identifiers

PMID32202130
PMCPMC7227127

What OpenQuestion holds

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LicenceCC BY-NC
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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.