Evidence map›Paper›PMID 38241235›Full record

ArticlePloS one2024

Priorities for developing stroke care in Ireland from the perspectives of stroke survivors, family carers and professionals involved in stroke care: A mixed methods study.

Eithne Sexton, Karen Fowler, Anne Hickey, David J Williams, Frances Horgan, Elaine Byrne, Chris Macey, Padraic Cuffe, Suzanne Timmons, Kathleen Bennett

Open access · goldAbstract readCase Reports
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. From Hospital to Home: Applying a Co-Design Approach to Determine the Key Components of an Intervention to Support Transition-To-Home After Stroke.Health expectations : an international journal of public participation in health care and health policy · 2024
    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

10 authors at 4 institutions in 1 country.

Eithne SextonSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID 0000-0002-5564-7771
Karen FowlerSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Anne HickeySchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
David J WilliamsDepartment of Geriatric and Stroke Medicine, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Frances HorganSchool of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Elaine ByrneCentre for Positive Health Science, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Chris MaceyIrish Heart Foundation, Dublin, Ireland.
Padraic CuffeIrish Heart Foundation, Dublin, Ireland.
Suzanne TimmonsCentre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland.
Kathleen BennettSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Beaumont Hospital · IEIrish Heart Foundation · IESligo University Hospital · IEUniversity College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncreasing numbers of people are living with stroke, due to population ageing and improved survival, leading to a need for evidence to inform future policy decision-making. This study aimed to engage with stakeholders in Ireland to identify priorities for stroke services development.

methodsA sequential mixed methods design was used. Phase 1 (qualitative) was exploratory, involving initial priority gathering via an online qualitative survey and interviews, with stroke survivors, family/main carers, and professionals working in stroke care. Framework analysis was used to generate a long-list of improvements to stroke services. Phase 2 involved a quantitative survey, where stakeholders selected five priority improvements from the long-list. Results were discussed in a stakeholder meeting.

resultsIn-depth interviews were completed with 18 survivors, 13 carers and 8 professionals, while 80 professionals took part in a qualitative survey (phase 1). Priority areas of care were identified and a long-list of 45 priority improvements was generated. In phase 2, 34 survivors, 19 family carers and 42 professionals completed a survey. The highest priority improvements (selected by >20% of respondents) were access to specialist neuro-rehabilitation, ongoing support for life after stroke, recruitment/retention of specialist staff, improved information and support for health system navigation, and access to specialist acute care. Stroke survivors/carers prioritised exploring ways to improve access for strokes with atypical presentation, while professionals prioritised specialist inpatient rehabilitation and early supported discharge. Neither group prioritised stroke prevention. Based on discussions in the stakeholder meeting (n = 12), it was decided that support for mental health should also be included as a priority. DISCUSSION: The development of stroke services benefits from exploring the priorities of those receiving and delivering stroke care. Findings emphasise the need for equitable access to high quality adequately-staffed services, particularly post-discharge, that are easy to navigate, with good communication, and effective information provision.

Indexed as

StrokeStroke RehabilitationAftercareCaregiversHumansIrelandPatient DischargeQualitative ResearchSurvivors

Identifiers

PMID38241235
PMCPMC10798447
OpenAlexW4391027679

What OpenQuestion holds

Textmetadata
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.