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All Outputs (20)

Getting the message across; a realist study of the role of communication and information exchange processes in delivering stroke Early Supported Discharge services in England (2024)
Journal Article
Chouliara, N., Cameron, T., Byrne, A., & Fisher, R. (2024). Getting the message across; a realist study of the role of communication and information exchange processes in delivering stroke Early Supported Discharge services in England. PLoS ONE, 19(3), Article e0298140. https://doi.org/10.1371/journal.pone.0298140

Background: Stroke early supported discharge (ESD) involves the co-ordinated transfer of care from hospital to home. The quality of communication processes between professionals delivering ESD and external stakeholders may have a role to play in stre... Read More about Getting the message across; a realist study of the role of communication and information exchange processes in delivering stroke Early Supported Discharge services in England.

Getting the message across: a realist study of the role of communication and information exchange processes in delivering Stroke Early Supported Discharge services in England (2024)
Journal Article
Chouliara, N., Cameron, T., Byrne, A., & Fisher, R. (2024). Getting the message across: a realist study of the role of communication and information exchange processes in delivering Stroke Early Supported Discharge services in England. PLoS ONE, 19(3), Article e0298140. https://doi.org/10.1371/journal.pone.0298140

Background Stroke early supported discharge (ESD) involves the co-ordinated transfer of care from hospital to home. The quality of communication processes between professionals delivering ESD and external stakeholders may have a role to play in stre... Read More about Getting the message across: a realist study of the role of communication and information exchange processes in delivering Stroke Early Supported Discharge services in England.

A qualitative study exploring how stroke survivors’ expectations and understanding of stroke Early Supported Discharge shaped their experience and engagement with the service (2022)
Journal Article
Cameron, T. M., Koller, K., Byrne, A., Chouliara, N., Robinson, T., Langhorne, P., …Fisher, R. J. (in press). A qualitative study exploring how stroke survivors’ expectations and understanding of stroke Early Supported Discharge shaped their experience and engagement with the service. Disability and Rehabilitation, 45(16), 2604-2611. https://doi.org/10.1080/09638288.2022.2102251

Purpose To explore how stroke survivors’ expectations and understanding of Early Supported Discharge (ESD) helped them make sense of their experiences, and shaped their engagement with the service. Methods Data were collected as part of a study... Read More about A qualitative study exploring how stroke survivors’ expectations and understanding of stroke Early Supported Discharge shaped their experience and engagement with the service.

A Biopsychosocial Intervention for Stroke Carers (BISC): development and description of the intervention (2022)
Journal Article
Kontou, E., Thomas, S. A., Cobley, C., Fisher, R., Golding-Day, M. R., & Walker, M. F. (2022). A Biopsychosocial Intervention for Stroke Carers (BISC): development and description of the intervention. Health Psychology and Behavioral Medicine, 10(1), 92-103. https://doi.org/10.1080/21642850.2021.2016412

Objective: Family members of stroke survivors are often not supported for their caring role, with many reporting adjustment difficulties. This paper describes the development and content of a group-based intervention for informal carers of stroke sur... Read More about A Biopsychosocial Intervention for Stroke Carers (BISC): development and description of the intervention.

Nominal group technique to establish the core components of home-based rehabilitation for survivors of stroke with severe disability (2021)
Journal Article
Fisher, R. J., Riley-Bennett, F., Russell, L., Lee, C., Sturt, R., Walker, M., & Sackley, C. (2021). Nominal group technique to establish the core components of home-based rehabilitation for survivors of stroke with severe disability. BMJ Open, 11(12), Article e052593. https://doi.org/10.1136/bmjopen-2021-052593

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

Large-scale implementation of stroke early supported discharge: the WISE realist mixed-methods study (2021)
Journal Article
Fisher, R. J., Chouliara, N., Byrne, A., Cameron, T., Lewis, S., Langhorne, P., …Walker, M. F. (in press). Large-scale implementation of stroke early supported discharge: the WISE realist mixed-methods study. Health Services and Delivery Research, 9(22), 1-150. https://doi.org/10.3310/hsdr09220

Background In England, the provision of early supported discharge is recommended as part of an evidence-based stroke care pathway. Objectives To investigate the effectiveness of early supported discharge services when implemented at scale in pra... Read More about Large-scale implementation of stroke early supported discharge: the WISE realist mixed-methods study.

Evaluating stroke early supported discharge using cost-consequence analysis (2021)
Journal Article
Byrne, A., Chouliara, N., Cameron, T., Geue, C., Lewis, S., Robinson, T., …Fisher, R. J. (2022). Evaluating stroke early supported discharge using cost-consequence analysis. Disability and Rehabilitation, 44(23), 7127-7133. https://doi.org/10.1080/09638288.2021.1983043

Purpose: To evaluate different stroke Early Supported Discharge (ESD) services in different geographical settings using cost-consequence analysis (CCA), which presents information about costs and outcomes in the form of a balance sheet. ESD is a mult... Read More about Evaluating stroke early supported discharge using cost-consequence analysis.

Effect of stroke early supported discharge on length of hospital stay: analysis from a national stroke registry (2021)
Journal Article
Fisher, R. J., Byrne, A., Chouliara, N., Lewis, S., Paley, L., Hoffman, A., …Walker, M. (2021). Effect of stroke early supported discharge on length of hospital stay: analysis from a national stroke registry. BMJ Open, 11(1), Article e043480. https://doi.org/10.1136/bmjopen-2020-043480

Objective: The first observational study to investigate the impact of early supported discharge (ESD) on length of hospital stay in real-world conditions. Design: Using historical prospective Sentinel Stroke National Audit Programme (SSNAP) data (... Read More about Effect of stroke early supported discharge on length of hospital stay: analysis from a national stroke registry.

Effectiveness of Stroke Early Supported Discharge: Analysis From a National Stroke Registry (2020)
Journal Article
Fisher, R. J., Byrne, A., Chouliara, N., Lewis, S., Paley, L., Hoffman, A., …Walker, M. F. (2020). Effectiveness of Stroke Early Supported Discharge: Analysis From a National Stroke Registry. Circulation: Cardiovascular Quality and Outcomes, 13(8), Article e006395. https://doi.org/10.1161/circoutcomes.119.006395

Background Implementation of stroke early supported discharge (ESD) services has been recommended in many countries’ clinical guidelines, based on clinical trial evidence. This is the first observational study to investigate the effectiveness of ESD... Read More about Effectiveness of Stroke Early Supported Discharge: Analysis From a National Stroke Registry.

Biopsychosocial intervention for stroke carers (BISC): results of a feasibility randomised controlled trial and nested qualitative interview study (2020)
Journal Article
Walker, M. F., Birchall, S., Cobley, C., Condon, L., Fisher, R., Fletcher-Smith, J., …Whitehead, P. J. (2020). Biopsychosocial intervention for stroke carers (BISC): results of a feasibility randomised controlled trial and nested qualitative interview study. Clinical Rehabilitation, 34(10), 1268-1281. https://doi.org/10.1177/0269215520937039

Objective: To determine the feasibility of recruiting to and delivering a biopsychosocial intervention for carers of stroke survivors. Design: Feasibility randomised controlled study with nested qualitative interview study. Setting: The interventio... Read More about Biopsychosocial intervention for stroke carers (BISC): results of a feasibility randomised controlled trial and nested qualitative interview study.

The unmet needs of stroke survivors and stroke caregivers: a systematic narrative review (2020)
Journal Article
Azah, N., Aziz, A., Fisher, R. J., Ahmad, K., & Walker, M. F. (2020). The unmet needs of stroke survivors and stroke caregivers: a systematic narrative review. Journal of Stroke and Cerebrovascular Diseases, 29(8), https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104875

Introduction: Facilitating stroke survivors and their caregivers to lead a fulfilling life after stroke requires service providers to think about their different needs. Poor post stroke care may lead to unmet needs in stroke survivors and stroke care... Read More about The unmet needs of stroke survivors and stroke caregivers: a systematic narrative review.

How do patients spend their time in stroke rehabilitation units in England? The REVIHR study (2019)
Journal Article
Chouliara, N., Fisher, R., Crosbie, B., Guo, B., Sprigg, N., & Walker, M. (2021). How do patients spend their time in stroke rehabilitation units in England? The REVIHR study. Disability and Rehabilitation, 43(16), 2312-2319. https://doi.org/10.1080/09638288.2019.1697764

Aim: To examine how patients spend their time in stroke rehabilitation units in England. Methods: We recruited 144 patients within a month after stroke from four stroke rehabilitation units and observed their activity type, interactions and locati... Read More about How do patients spend their time in stroke rehabilitation units in England? The REVIHR study.

What is the impact of large-scale implementation of stroke Early Supported Discharge?: a mixed methods realist evaluation study protocol (2019)
Journal Article
Fisher, R., Chouliara, N., Byrne, A., Lewis, S., Langhorne, P., Robinson, T., …Walker, M. (2019). What is the impact of large-scale implementation of stroke Early Supported Discharge?: a mixed methods realist evaluation study protocol. Implementation Science, 14, Article 61. https://doi.org/10.1186/s13012-019-0908-0

Background Stroke Early Supported Discharge (ESD) is a service innovation that facilitates discharge from hospital and delivery of specialist rehabilitation in patients’ homes. There is currently widespread implementation of ESD services in many cou... Read More about What is the impact of large-scale implementation of stroke Early Supported Discharge?: a mixed methods realist evaluation study protocol.

Implementation in rehabilitation: a roadmap for practitioners and researchers (2019)
Journal Article
Morris, J. H., Bernhardsson, S., Bird, M., Connell, L., Lynch, E., Jarvis, K., …Fisher, R. (2019). Implementation in rehabilitation: a roadmap for practitioners and researchers. Disability and Rehabilitation, 40(22), 3265-3274. https://doi.org/10.1080/09638288.2019.1587013

Purpose: Despite growth in rehabilitation research, implementing research findings into rehabilitation practice has been slow. This creates inequities for patients and is an ethical issue. However, methods to investigate and facilitate evidence imple... Read More about Implementation in rehabilitation: a roadmap for practitioners and researchers.

How to do health services research in stroke: a focus on performance measurement and quality improvement (2018)
Journal Article
Cadilhac, D. A., Fisher, R. J., & Bernhardt, J. (2018). How to do health services research in stroke: a focus on performance measurement and quality improvement. International Journal of Stroke, 13(2), https://doi.org/10.1177/1747493017750924

The objective of this ‘How to’ research series article is to provide guidance on getting started in Health Services Research. The purpose of health services research is to contribute knowledge that can be used to help improve health systems and clini... Read More about How to do health services research in stroke: a focus on performance measurement and quality improvement.

Biopsychosocial Intervention for Stroke Carers (BISC): protocol for a feasibility randomized controlled trial (2017)
Journal Article
Walker, M. F., Thomas, S. A., Whitehead, P. J., Condon, L., Fisher, R. J., Kontou, E., …Cobley, C. (in press). Biopsychosocial Intervention for Stroke Carers (BISC): protocol for a feasibility randomized controlled trial. BMJ Open, 7, Article e018309. https://doi.org/10.1136/bmjopen-2017-018309

Introduction Reducing length of hospital stay for stroke survivors often creates a shift in the responsibility of care towards informal carers. Adjustment to the caregiving process is experienced by many carers as overwhelming, complex and demand... Read More about Biopsychosocial Intervention for Stroke Carers (BISC): protocol for a feasibility randomized controlled trial.

Biomarkers of stroke recovery: consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable (2017)
Journal Article
Boyd, L. A., Hayward, K. S., Ward, N. S., Stinear, C. M., Rosso, C., Fisher, R. J., …Cramer, S. C. (2017). Biomarkers of stroke recovery: consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. International Journal of Stroke, 12(5), https://doi.org/10.1177/1747493017714176

The most difficult clinical questions in stroke rehabilitation are ‘‘What is this patient’s potential for recovery?’’ and ‘‘What is the best rehabilitation strategy for this person, given her/his clinical profile?’’ Without answers to these questions... Read More about Biomarkers of stroke recovery: consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable.

Is stroke early supported discharge still effective in practice? A prospective comparative study (2016)
Journal Article
Fisher, R. J., Cobley, C., Potgieter, I., Moody, A., Nouri, F., Gaynor, C., …Walker, M. F. (2016). Is stroke early supported discharge still effective in practice? A prospective comparative study. Clinical Rehabilitation, 30(3), https://doi.org/10.1177/0269215515578697

Objective: Randomised controlled trials have shown the benefits of Early Supported Discharge (ESD) of stroke survivors. Our aim was to evaluate whether ESD is still beneficial when operating in the complex context of frontline healthcare provision.... Read More about Is stroke early supported discharge still effective in practice? A prospective comparative study.

An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’ hospital discharge (2014)
Journal Article
Waring, J., Marshall, F., Bishop, S., Sahota, O., Walker, M. F., Currie, G., …Avery, T. J. (2014). An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’ hospital discharge. Health Services and Delivery Research, 2(29), https://doi.org/10.3310/hsdr02290

Background Hospital discharge is a vulnerable stage in the patient pathway. Research highlights communication failures and the problems of co-ordination as resulting in delayed, poorly timed and unsafe discharges. The complexity of hospital discha... Read More about An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’ hospital discharge.

Implementing evidence-based stroke Early Supported Discharge services: a qualitative study of challenges, facilitators and impact (2013)
Journal Article
Chouliara, N., Fisher, R. J., Kerr, M., & Walker, M. F. (2014). Implementing evidence-based stroke Early Supported Discharge services: a qualitative study of challenges, facilitators and impact. Clinical Rehabilitation, 28(4), https://doi.org/10.1177/0269215513502212

Objectives: To explore the perspectives of healthcare professionals and commissioners working with a stroke Early Supported Discharge service in relation to: (1) the factors that facilitate or impede the implementation of the service, and (2) the imp... Read More about Implementing evidence-based stroke Early Supported Discharge services: a qualitative study of challenges, facilitators and impact.