Evidence map›Paper›PMID 34857570›Full record

ArticleBMJ open2021

Nominal group technique to establish the core components of home-based rehabilitation for survivors of stroke with severe disability.

Rebecca J Fisher, Frances Riley-Bennett, Lal Russell, Claire Lee, Ruth Sturt, Marion Walker, Cath Sackley

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

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

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Exploring Health Research Priority Setting in a South African Province: A Nominal Group Technique Approach.International journal of environmental research and public health · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Association between Anemia Severity and Ischemic Stroke Incidence: A Retrospective Cohort Study.International journal of environmental research and public health · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. 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

7 authors.

Rebecca J FisherSchool of Medicine, University of Nottingham, Nottingham, UK rebecca.fisher@nottingham.ac.uk.ORCID 0000-0001-6866-6341
Frances Riley-BennettSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0003-3155-2361
Lal RussellSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0002-4376-2051
Claire LeeNottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
Ruth SturtNottingham University Hospitals NHS Trust, Nottingham, UK.
Marion WalkerSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0002-3534-591X
Cath SackleySchool of Health Sciences, University of Nottingham, Nottingham, UK.ORCID 0000-0002-8580-6622

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the UK, over 20% of patients leaving hospital after a stroke will be severely disabled. Despite this, limited clinical guidance is available to teams tasked with providing support for this complex population at home. Additionally, many areas across the UK are not commissioned to treat this patient cohort, leaving them with no specialist support on discharge.

objectivesTo establish core components of home-based rehabilitation for survivors of stroke with severe disability, based on expert panel consensus.

settingVirtual nominal group technique (vNGT) across the UK.

participantsExperts in the field of stroke rehabilitation (n=14) including researchers, clinicians and those with lived experience.

methodsTwo vNGT were completed using a freely available online platform, Microsoft Teams. The technique's five stages were completed virtually; introduction, silent idea generation, round robin, clarifications and scoring. Statements were analysed for consensus, those achieving consensus underwent content analysis to form rich overarching consensus statements.

resultsA combined total of 421 statements achieved positive consensus (>75% in agreement), which formed 11 overarching consensus statements. These outline key components of home-based rehabilitation for survivors of stroke with severe disability including the structure and members of the team, as well as the skills and knowledge required.

conclusionThe consensus statements highlight the complexity of managing patients with severe stroke disability following discharge from hospital. This study has the potential to support the provision of services for this patient group, providing a benchmark for commissioners and clinicians as well as setting expectations for stroke survivors and their carers. What remains unknown is how many services currently offer this service to patients with severe disability.

Indexed as

Persons with DisabilitiesStrokeStroke RehabilitationHumansPatient DischargeSurvivorsprimary carerehabilitation medicinestroke

Identifiers

PMID34857570
PMCPMC8640659

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.