Evidence map›Paper›PMID 33397316›Full record

ArticleBMC neurology2021

Promoting community reintegration using narratives and skills building for young adults with stroke: a protocol for a randomised controlled trial.

Suzanne Hoi Shan Lo, Janita Pak Chun Chau, Kai Chow Choi, Edward Wai Ching Shum, Jonas Hon Ming Yeung, Siu Hung Li

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

Article in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04560140 (Promoting Community Reintegration Using Narratives and Skills Building for Young Adults With Stroke), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04560140 narecruitingnot on this map

Promoting Community Reintegration Using Narratives and Skills Building for Young Adults With Stroke

TypeinterventionalSponsorChinese University of Hong KongRan2021 to 2028Enrolled208ConditionsStrokeArmsNarrative and Skills-building Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Suzanne Hoi Shan LoThe Nethersole School of Nursing, Faculty of Medicine, Chung Chi College, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China. suzannelo@cuhk.edu.hk.
Janita Pak Chun ChauThe Nethersole School of Nursing, Faculty of Medicine, Chung Chi College, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Kai Chow ChoiThe Nethersole School of Nursing, Faculty of Medicine, Chung Chi College, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Edward Wai Ching ShumNew Territories East Cluster, Hospital Authority, Hong Kong SAR, China.
Jonas Hon Ming YeungDepartment of Medicine, Alice Ho Miu Ling Nethersole Hospital, Hospital Authority, Hong Kong SAR, China.
Siu Hung LiDepartment of Medicine, North District Hospital, Hospital Authority, Hong Kong SAR, China.

Funding

Early Career Scheme, University Grants Committee 24608019
6 · The paper itself

Abstract

backgroundStroke in adults aged between 18 and 64 years old is increasing significantly worldwide. Studies have reported that this group of young stroke survivors encounters enormous difficulties reintegrating into their social roles. Individualised discussions with healthcare professionals and learning from other survivors are imperative for them to reconstruct their identities after stroke. There is also great demand for community support during their chronic stage of recovery to help them rebuild life skills to promote reintegration. METHODS/

designThis is a randomised controlled trial to investigate the effects of a 24-week Narrative and Skills-building Intervention (NSI) on young stroke survivors' community reintegration and psychosocial outcomes. A total of 208 adults aged 18-64 years old with a first-ever or recurrent ischaemic or haemorrhagic stroke and have been discharged home will be recruited and randomly assigned to receive usual care or usual care with NSI. The NSI is grounded in Narrative Theory and Bandura's principles of Self-efficacy and Outcome Expectation, consisting of successive eight individual sessions over six months delivered by a trained facilitator (a registered nurse). Participants will be facilitated to narrate their survival experiences and rebuild core life skills. Videos of peer young stroke survivors' experiences of recovery will be provided. Outcomes including community reintegration, depressive symptoms, health-related quality of life, self-efficacy, outcome expectation and satisfaction with performance of self-management behaviours will be measured before (T0) and immediately after NSI (T1), then six (T2) and 12 months after NSI (T3). Generalised estimating equations models will be used to compare the differential changes in outcomes across time between the two groups. Focus group interviews will be conducted with the facilitator at T1 and with the participants in the intervention group at T1 and T3. DISCUSSION: This study will evaluate the short and long-term effects of a theory-based NSI on young stroke survivors' community reintegration and establish a new model of community reintegration after stroke to inform future research. The results will also provide valuable evidence to develop clinical guidelines for young stroke survivors' community reintegration.

trial registrationClinicalTrials.gov identifier: NCT04560140 , registered on 23 September, 2020.

Indexed as

AdolescentAdultFemaleHumansMaleMiddle AgedNarrative TherapyRandomized Controlled Trials as TopicStroke RehabilitationYoung AdultNarrationRandomised controlled trialSelf-managementSocial participationStroke

Identifiers

PMID33397316
PMCPMC7783975

What OpenQuestion holds

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LicenceCC BY
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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.