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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

Authors

Ian Philp

Michael Brainin

Anthony B. Ward

Patrick Gillard

Alan L. Shields

Bo Norrving



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.

Journal Article Type Article
Publication Date Oct 1, 2013
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
APA6 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), doi:10.1016/j.jstrokecerebrovasdis.2012.10.016
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
Publisher URL http://www.sciencedirect.com/science/article/pii/S1052305712003606
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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