Development of a poststroke checklist to standardize follow-up care for stroke survivors

Philp, Ian; Brainin, Michael; Walker, Marion F.; Ward, Anthony B.; Gillard, Patrick; Shields, Alan L.; Norrving, Bo

Abstract

Background: Long-termcare for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process.
Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC.
Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.

Citation

Philp, I., Brainin, M., Walker, M. F., Ward, A. B., Gillard, P., Shields, A. L., & Norrving, B. (2013). Development of a poststroke checklist to standardize follow-up care for stroke survivors. Journal of Stroke and Cerebrovascular Diseases, 22(7), Article e173-e180. https://doi.org/10.1016/j.jstrokecerebrovasdis.2012.10.016

• Journal Article Type: Article
• Acceptance Date: Oct 31, 2012
• Online Publication Date: Dec 21, 2012
• Publication Date: Oct 1, 2013
• Deposit Date: Oct 24, 2016
• Publicly Available Date: Oct 24, 2016
• Journal: Journal of Stroke and Cerebrovascular Diseases
• Print ISSN: 1052-3057
• Electronic ISSN: 1532-8511
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 7
• Article Number: e173-e180
• DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2012.10.016
• Keywords: Stroke, Long-term Care, Stroke Rehabilitation, Continuity of Patient Care, Assessment of Health Care, Needs, Referral and Consultation, Quality of Life
• Public URL: https://nottingham-repository.worktribe.com/output/1001179
• Publisher URL: http://www.sciencedirect.com/science/article/pii/S1052305712003606
• Contract Date: Oct 24, 2016