Evidence map›Paper›PMID 32641334›Full record

ArticleBMJ open2020

Improving Primary Care After Stroke (IPCAS) randomised controlled trial: protocol for a multidimensional process evaluation.

Maria Raisa Jessica Ryc Aquino, Ricky Mullis, Elizabeth Kreit, Vicki Johnson, Julie Grant, Lisa Lim, Stephen Sutton, Jonathan Mant

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03353519 (Improving Primary Care After Stroke), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT03353519 nacompletednot on this map

Improving Primary Care After Stroke (IPCAS): A Randomised Controlled Trial to Evaluate a New Model of Care for Stroke Survivors Living in the Community

TypeinterventionalSponsorUniversity of CambridgeRan2018 to 2020Enrolled1,041ConditionsStrokeArmsPrimary care model
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

8 authors.

Maria Raisa Jessica Ryc AquinoDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK ra532@medschl.cam.ac.uk.ORCID 0000-0002-3989-1221
Ricky MullisDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Elizabeth KreitDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Vicki JohnsonLeicester Diabetes Centre, University Hospital Leicester NHS Trust, Leicester, UK.
Julie GrantDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Lisa LimDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Stephen SuttonDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Jonathan MantDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Funding

Department of Health PTC-RP-PG-0213-20001
6 · The paper itself

Abstract

introductionPrimary care interventions are often multicomponent, with several targets (eg, patients and healthcare professionals). Improving Primary Care After Stroke (IPCAS) is a novel primary care-based model of long-term stroke care involving a review of stroke-related needs, a self-management programme, a direct point of contact in general practice, enhanced communication between care services, and a directory of national and local community services, currently being evaluated in a cluster randomised controlled trial (RCT). Informed by Medical Research Council guidance for complex interventions and the Behaviour Change Consortium fidelity framework, this protocol outlines the process evaluation of IPCAS within this RCT. The process evaluation aimed to explore how the intervention was delivered in context and how participants engaged with the intervention. METHODS AND ANALYSIS: Mixed methods will be used: (1) design: intervention content will be compared with 'usual care'; (2) training: intervention training sessions will be audio/video-recorded where feasible; (3) delivery: healthcare professional self-reports, audio recordings of intervention delivery and observations of My Life After Stroke course (10% of reviews and sessions) will be coded separately; semistructured interviews will be conducted with a purposive sample of healthcare professionals; (4) receipt and (5) enactment: where available, structured stroke review records will be analysed quantitatively; semistructured interviews will be conducted with a purposive sample of study participants. Self-reports, observations and audio/video recordings will be coded and scored using specifically developed checklists. Semistructured interviews will be analysed thematically. Data will be analysed iteratively, independent of primary endpoint analysis. ETHICS AND DISSEMINATION: Favourable ethical opinion was gained from Yorkshire & The Humber-Bradford Leeds NHS Research Ethics Committee (19 December 2017, 17/YH/0441). Study results will be published in a peer-reviewed journal and presented at relevant conferences. TRIAL REGISTRATION NUMBER: NCT03353519; Pre-results.

Indexed as

Self-ManagementStrokeHumansPrimary Health CareRandomized Controlled Trials as TopicResearch DesignReview Literature as TopicSelf Reportintervention fidelityprimary careprocess evaluationprotocolrandomised controlled trialstroke

Identifiers

PMID32641334
PMCPMC7348649

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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.