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dc.creatorDennis, Martinen
dc.creatorO'Rourke, Suzanneen
dc.creatorSlattery, Jimen
dc.creatorStaniforth, Trishen
dc.creatorWarlow, Charlesen
dc.creatorMcLean, Sheilaen
dc.date.accessioned2015-05-05T19:01:31Zen
dc.date.available2015-05-05T19:01:31Zen
dc.date.created1997-04-12en
dc.date.issued1997-04-12en
dc.identifier10.1136/bmj.314.7087.1071en
dc.identifier.bibliographicCitationBMJ (British Medical Journal). 1997 Apr 12; 314(7087): 1071-1077.en
dc.identifier.issn0959-8138en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Evaluation+of+a+Stroke+Family+Care+Worker:+Results+of+a+Randomised+controlled+Trial&title=BMJ+&volume=314&issue=7087&pages=1071-1077&date=1997&au=Dennis,+Martinen
dc.identifier.urihttp://dx.doi.org/10.1136/bmj.314.7087.1071en
dc.identifier.urihttp://hdl.handle.net/10822/752739en
dc.description.abstractOBJECTIVE: To examine the effect of contact with a stroke family care worker on the physical, social, and psychological status of stroke patients and their carers. DESIGN: Randomised controlled trial with broad entry criteria and blinded outcome assessment six months after randomisation. SETTING: A well organised stroke service in an Edinburgh teaching hospital. SUBJECTS: 417 patients with an acute stroke in the previous 30 days randomly allocated to be contacted by a stroke family care worker (210) or to receive standard care (207). The patients represented 67% of all stroke patients assessed at the hospital during the study period. MAIN OUTCOME MEASURES: Patient completed Barthel index, Frenchay activities index, general health questionnaire, hospital anxiety and depression scale, social adjustment scale, mental adjustment to stroke scale, and patient satisfaction questionnaire; carer completed Frenchay activities index, general health questionnaire, hospital anxiety and depression scale, social adjustment scale, caregiving bassles scale, and carer satisfaction questionnaire. RESULTS: The groups were balanced for all important baseline variables. There were no significant differences in physical outcomes in patients or carers, though patients in the treatment group were possibly more helpless less well adjusted socially, and more depressed, whereas carers in the treatment group were possibly less hassled and anxious. However, both patients and carers in the group contacted by the stroke family care worker expressed significantly greater satisfaction with certain aspects of their care, in particular those related to communication and support. CONCLUSIONS: The introduction of a stroke family care worker improved patients' and their carers' satisfaction with services and may have had some effect on psychological and social outcomes but did not improve measures of patients' physical wellbeing.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/97279443en
dc.subjectBrainen
dc.subjectBrain Pathologyen
dc.subjectCommunicationen
dc.subjectConsenten
dc.subjectDisclosureen
dc.subjectEvaluationen
dc.subjectHealthen
dc.subjectHealth Servicesen
dc.subjectHealth Services Researchen
dc.subjectHuman Experimentationen
dc.subjectInformed Consenten
dc.subjectOutcome Assessmenten
dc.subjectPatient Satisfactionen
dc.subjectPatientsen
dc.subjectRandom Selectionen
dc.subjectResearchen
dc.subjectResearch Designen
dc.subjectResearch Subjectsen
dc.subjectSocial Workersen
dc.subjectTreatment Outcomeen
dc.titleEvaluation of a Stroke Family Care Worker: Results of a Randomised Controlled Trialen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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