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
Professor MARION WALKER firstname.lastname@example.org
Professor of Stroke Rehabilitation
Anthony B. Ward
Alan L. Shields
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|
|Peer Reviewed||Peer Reviewed|
|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|
|Keywords||Stroke, Long-term Care, Stroke Rehabilitation, Continuity of Patient Care, Assessment of Health Care, Needs, Referral and Consultation, Quality of Life|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0|
93 Poststroke Checklist GSCAP Stroke and Cerebrovascular Diseases 2013.pdf
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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