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Finch E, Minchell E, Cameron A, Jaques K, Lethlean J, Shah D, Moro C. What do stroke survivors want in stroke education and information provision in Australia? HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e4864-e4872. [PMID: 35768909 PMCID: PMC10084245 DOI: 10.1111/hsc.13896] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 05/10/2022] [Accepted: 06/18/2022] [Indexed: 06/15/2023]
Abstract
Despite evidence that stroke education is important and effective, low rates of stroke education are reported worldwide. Many stroke survivors and carers report that current stroke information does not meet their needs. The aim of the current study was to explore the perceptions of stroke survivors and carers towards stroke education in an Australian health context. A qualitative descriptive approach using focus groups was used to explore education received and preferred content, format and timing of education. Data were analysed inductively using qualitative content analysis to identify key categories, sub-categories and an overarching theme. Fifteen stroke survivors and four carers participated. Four categories emerged: the timing of stroke education, the content of stroke education, the format of stroke education, and reactions to stroke education. Each category contained a number of sub-categories. One overarching theme was woven through the transcripts: everyone is different and has different needs. Overall, participants generally expressed positive attitudes towards stroke education. Participants reported that education should occur at multiple timepoints and in a mixed format. All participants reported receiving stroke education in hospital, but not in the community. Stroke survivors preferred group education, while carers did not share this preference. Both stroke survivors and carers desired information about post-stroke physical changes and computer use; however, stroke survivors desired additional information spanning a variety of areas such as motivation and driving. Tailoring of stroke education for each individual is critical to ensure that education meets the needs of stroke survivors and carers from the hospital to the community.
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Affiliation(s)
- Emma Finch
- School of Health and Rehabilitation SciencesThe University of QueenslandBrisbaneQueenslandAustralia
- Speech Pathology DepartmentPrincess Alexandra Hospital, Metro South HealthWoolloongabbaQueenslandAustralia
- Centre for Functioning and Health Research, Metro South HealthWoolloongabbaQueenslandAustralia
| | - Ellie Minchell
- School of Health and Rehabilitation SciencesThe University of QueenslandBrisbaneQueenslandAustralia
| | - Ashley Cameron
- Speech Pathology DepartmentPrincess Alexandra Hospital, Metro South HealthWoolloongabbaQueenslandAustralia
- Clinical Support Services, Metro South HealthWoolloongabbaQueenslandAustralia
| | - Katherine Jaques
- Division of MedicinePrincess Alexandra Hospital, Metro South HealthWoolloongabbaQueenslandAustralia
| | - Jennifer Lethlean
- Speech Pathology DepartmentPrincess Alexandra Hospital, Metro South HealthWoolloongabbaQueenslandAustralia
| | - Darshan Shah
- Division of MedicinePrincess Alexandra Hospital, Metro South HealthWoolloongabbaQueenslandAustralia
| | - Christian Moro
- Faculty of Health Sciences and MedicineBond UniversityRobinaQueenslandAustralia
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D'Cruz K, Meikle L, White M, Herrmann A, McCallum C, Romero L. Tailoring education of adults with cognitive impairment in the inpatient hospital setting: A scoping review. Aust Occup Ther J 2020; 68:90-102. [PMID: 33029784 DOI: 10.1111/1440-1630.12698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 08/17/2020] [Accepted: 08/24/2020] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Education seeks to empower clients to attain and maintain knowledge and skills, and in the context of occupational therapy, to enable occupational participation. While education is routinely provided in the inpatient hospital setting, little is known about how education is best adapted to meet the needs of clients with cognitive impairment. The purpose of this scoping review was to determine what is currently known about approaches to educating adults with cognitive impairment in the inpatient hospital setting. METHODS Five databases were systematically searched to find studies that reported on the use of education in the inpatient hospital setting with adults with cognitive impairment. RESULTS Ten articles were retrieved from the search with duplication of authors across the articles, indicating a small group of research and researchers. Cognitive impairment was not well assessed across all the studies and none included participants with severe cognitive impairment. A number of barriers to education were identified, including time constraints, uncertainty around who should be providing education, a shortage of resources, and client-related barriers such as cognitive deficits. From the retrieved studies it was found that education should occur at multiple time points, be individually tailored, and utilise mixed modal approaches such as verbal and written methods. There was also a preference for less use of jargon, and engagement with carers and clients where possible. CONCLUSION This scoping review highlights factors impacting the provision of education tailored to the needs of clients with cognitive impairment in the inpatient setting. The findings also call to attention the need for better assessment of cognition to guide provision of tailored education, as well as future studies exploring how to best educate clients with not only mild/moderate cognitive impairment but also more severe impairments.
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Affiliation(s)
- Kate D'Cruz
- Discipline of Occupational Therapy, La Trobe University, Melbourne, Vic, Australia
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Rose TA, Wallace SJ, Leow S. Family members' experiences and preferences for receiving aphasia information during early phases in the continuum of care. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2019; 21:470-482. [PMID: 31429322 DOI: 10.1080/17549507.2019.1651396] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Purpose: This study aimed to explore family members' experiences and preferences for receiving aphasia information during the early phases of post-stroke care. Method: Sixty-five family members completed an online survey structured according to five phases for caregiver support. The majority of participants were female (73.8%, n = 48) and spouses/partners (81.5%, n = 53) to a family member with aphasia. The quantitative data were analysed using descriptive statistics. The qualitative data were analysed using inductive content analysis. Result: Experiences: The majority of family members (≥50%) did not recall receiving aphasia information in four of the five phases and were not completely satisfied with information received in any phase. Preferences: Only three family members (4.6%) reported not wanting aphasia information and this pertained to the first days of care. Family members considered it useful to receive aphasia information in a written modality and via conversations with health professionals across all five phases. Family members identified difficulties obtaining aphasia information, including health professionals providing limited or inadequate information, not being aware of the term aphasia, and difficulties accessing services across care phases. Conclusion: Findings provide insight into how health professionals can better support the information needs of family members living with aphasia.
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Affiliation(s)
- Tanya A Rose
- School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane , Australia
| | - Sarah J Wallace
- School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane , Australia
| | - Sibin Leow
- School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane , Australia
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Wang MD, Wang Y, Mao L, Xia YP, He QW, Lu ZX, Yin XX, Hu B. Acute stroke patients' knowledge of stroke at discharge in China: a cross-sectional study. Trop Med Int Health 2018; 23:1200-1206. [PMID: 30178470 DOI: 10.1111/tmi.13148] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVES A good mastery of stroke-related knowledge can be of great benefit in developing healthy behaviours. This study surveyed the knowledge about stroke and influencing factors among patients with acute ischaemic stroke (AIS) at discharge in a Chinese province. METHODS A cross-section study was conducted from November 1, 2014 to January 31, 2015. A total of 1531 AIS patients in Hubei Province completed a questionnaire at discharge. Multivariate linear regression was used to identify the influencing factors of their knowledge of stroke. RESULTS About 31.2% of the respondents did not know that stroke is caused by blockage or rupture of cerebral blood vessels and 20.3% did not realise they need immediate medical attention after onset. Approximately 50% did not know that sudden blurred vision, dizziness, headache and unconsciousness are the warning signs of stroke. Over 40% were not aware of the risk factors of the condition, such as hypertension, hyperlipidaemia, diabetes mellitus, smoking and obesity. Over 20% had no idea that they need long-term medication and strict control of blood pressure, blood lipids and blood sugar. Their knowledge levels were correlated with regions of residence (P < 0.0001), socioeconomic status (P < 0.05), physical condition (P < 0.01), previous stroke (P < 0.0001) and family members and friends having had a stroke (P < 0.01). CONCLUSIONS Most AIS patients in Hubei Province, China, had little knowledge of stroke at discharge. Further efforts should be devoted to strengthening the in-hospital education of stroke patients, especially those with a low income and those from rural areas.
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Affiliation(s)
- Meng-Die Wang
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yong Wang
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Ling Mao
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yuan-Peng Xia
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Quan-Wei He
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Zu-Xun Lu
- School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Xiao-Xv Yin
- School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Bo Hu
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.,The Stroke Quality Control Center of Hubei Province, Wuhan, China
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Carlos Patiag M, Farrar Highfield ME. RN Evaluation of Errorless Methods in Teaching Discharge Medications to Cognitively Challenged Patients. Rehabil Nurs 2017; 42:312-318. [DOI: 10.1002/rnj.294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Du HS, Ma JJ, Li M. High-quality Health Information Provision for Stroke Patients. Chin Med J (Engl) 2016; 129:2115-22. [PMID: 27569241 PMCID: PMC5009598 DOI: 10.4103/0366-6999.189065] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE High-quality information provision can allow stroke patients to effectively participate in healthcare decision-making, better manage the stroke, and make a good recovery. In this study, we reviewed information needs of stroke patients, methods for providing information to patients, and considerations needed by the information providers. DATA SOURCES The literature concerning or including information provision for patients with stroke in English was collected from PubMed published from 1990 to 2015. STUDY SELECTION We included all the relevant articles on information provision for stroke patients in English, with no limitation of study design. RESULTS Stroke is a major public health concern worldwide. High-quality and effective health information provision plays an essential role in helping patients to actively take part in decision-making and healthcare, and empowering them to effectively self-manage their long-standing chronic conditions. Different methods for providing information to patients have their relative merits and suitability, and as a result, the effective strategies taken by health professionals may include providing high-quality information, meeting patients' individual needs, using suitable methods in providing information, and maintaining active involvement of patients. CONCLUSIONS It is suggested that to enable stroke patients to access high-quality health information, greater efforts need to be made to ensure patients to receive accurate and current evidence-based information which meets their individual needs. Health professionals should use suitable information delivery methods, and actively involve stroke patients in information provision.
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Affiliation(s)
- Hong-Sheng Du
- Department of Neurosurgery, Tianjin First Central Hospital, Tianjin 300192, China
| | - Jing-Jian Ma
- Department of Neurosurgery, Tianjin First Central Hospital, Tianjin 300192, China
| | - Mu Li
- Department of Neurosurgery, Tianjin First Central Hospital, Tianjin 300192, China
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Sowtali SN, Yusoff DM, Harith S, Mohamed M. Translation and validation of the Malay version of the Stroke Knowledge Test. J Arrhythm 2016; 32:112-8. [PMID: 27092192 PMCID: PMC4823569 DOI: 10.1016/j.joa.2015.10.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 10/07/2015] [Indexed: 11/25/2022] Open
Abstract
Background To date, there is a lack of published studies on assessment tools to evaluate the effectiveness of stroke education programs. Methods This study developed and validated the Malay language version of the Stroke Knowledge Test research instrument. This study involved translation, validity, and reliability phases. The instrument underwent backward and forward translation of the English version into the Malay language. Nine experts reviewed the content for consistency, clarity, difficulty, and suitability for inclusion. Perceived usefulness and utilization were obtained from experts’ opinions. Later, face validity assessment was conducted with 10 stroke patients to determine appropriateness of sentences and grammar used. A pilot study was conducted with 41 stroke patients to determine the item analysis and reliability of the translated instrument using the Kuder Richardson 20 or Cronbach’s alpha. Results The final Malay version Stroke Knowledge Test included 20 items with good content coverage, acceptable item properties, and positive expert review ratings. Psychometric investigations suggest that Malay version Stroke Knowledge Test had moderate reliability with Kuder Richardson 20 or Cronbach’s alpha of 0.58. Improvement is required for Stroke Knowledge Test items with unacceptable difficulty indices. Overall, the average rating of perceived usefulness and perceived utility of the instruments were both 72.7%, suggesting that reviewers were likely to use the instruments in their facilities. Conclusions Malay version Stroke Knowledge Test was a valid and reliable tool to assess educational needs and to evaluate stroke knowledge among participants of group-based stroke education programs in Malaysia.
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Affiliation(s)
- Siti Noorkhairina Sowtali
- Kulliyyah of Nursing, International Islamic University Malaysia, Level 2, Jalan Hospital Campus, P.O. Box 141, 25710 Kuantan, Pahang Darul Makmur, Malaysia
| | - Dariah Mohd Yusoff
- Nursing Programme, School of Health Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
| | - Sakinah Harith
- Dietetics Programme, School of Health Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
| | - Monniaty Mohamed
- Medical Department, Hospital Raja Perempuan Zainab II, 15000, Kota Bharu, Kelantan, Malaysia
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Lawson S, Rowe A, Meredith YY. Survey of Stroke Caregiver Training provided by OT, PT, and SLP across Practice Settings. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2015. [DOI: 10.3109/02703181.2015.1089970] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Chen L, Xiao LD, De Bellis A. First-time stroke survivors and caregivers’ perceptions of being engaged in rehabilitation. J Adv Nurs 2015; 72:73-84. [DOI: 10.1111/jan.12819] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Langduo Chen
- School of Nursing and Midwifery; Flinders University; Adelaide South Australia Australia
| | - Lily Dongxia Xiao
- School of Nursing and Midwifery; Flinders University; Adelaide South Australia Australia
| | - Anita De Bellis
- School of Nursing and Midwifery; Flinders University; Adelaide South Australia Australia
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Older people and decision-making following acute stroke in China: ‘hiding’ as a barrier to active involvement. AGEING & SOCIETY 2015. [DOI: 10.1017/s0144686x15000549] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
ABSTRACTDecision-making among older patients with stroke, their families and professionals has been extensively studied in a Western context, but there has been little prior work in China. The study reported here explored how decision-making took place between older people with stroke, their family carers and professionals in an acute care context in mainland China using a constructivist grounded theory approach. Data were collected through semi-structured interviews, participant observation and documentary analysis. Constant comparative analysis of the data was carried out. This paper focuses on the key social process of ‘hiding’ and its dynamic relationship with the core category ‘keeping the peace’. In order to meet the traditional Chinese cultural value of ‘maintaining harmony’, both family carers and professionals hid essential information from older stroke survivors who, as a consequence, were effectively precluded from playing an active role in major decisions. In understanding ‘hiding’, the paper draws upon both Chinese cultural values and ‘awareness context theory’ and in so doing questions the relevance to the Chinese context of key Western notions such as involvement in health-care decision-making. A better understanding of the experiences of decision-making processes between older people with stroke, their family carers and professionals in China will help professionals to provide the best possible support and care whilst promoting informed decision-making amongst all concerned.
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Rose T, Worrall L, Hickson L, Hoffmann T. Do People With Aphasia Want Written Stroke and Aphasia Information? A Verbal Survey Exploring Preferences for When and How to Provide Stroke and Aphasia Information. Top Stroke Rehabil 2015; 17:79-98. [DOI: 10.1310/tsr1702-79] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Lee DCA, McDermott F, Hoffmann T, Haines TP. 'They will tell me if there is a problem': limited discussion between health professionals, older adults and their caregivers on falls prevention during and after hospitalization. HEALTH EDUCATION RESEARCH 2013; 28:1051-1066. [PMID: 24045410 DOI: 10.1093/her/cyt091] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The objectives of this study were to describe the sources of falls prevention information provided to older adults during and after hospitalization, identify and explore reasons why discussion about falls prevention may not take place. Six participant groups were interviewed using semi-structured interviews or focus groups: (i) older patients (n = 16); (ii) caregivers (n = 8); (iii) allied health and nursing professionals (n = 33); (iv) doctors from acute wards (n = 8); (v) doctors from subacute wards (n = 10) and (vi) general practitioners (n = 9). Participants were recruited from three Australian hospitals that provided acute and subacute in-patient services to the older adults. General practitioners were recruited from the community of Melbourne. Findings showed provision of falls prevention information was dependent on setting of the ward and which health professionals the older adult encountered during and after hospitalization. Medical practitioners were reactive in providing information, whereas older adults and their caregivers were passive in seeking falls prevention information. Several barriers in information provision and information seeking were identified. There is great potential to improve the consistency of falls prevention information provision to older adults during hospitalization and in preparation for discharge to assist with prevention of falls in this high risk period.
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Affiliation(s)
- Den-Ching A Lee
- Allied Health Research Unit, Kingston Centre, Monash Health, Cnr Heatherton Road and Warrigal Road, Cheltenham, Victoria 3192, Australia, Social work Department, Faculty of Medicine, Nursing and Health Sciences, Monash University (Caulfield Campus), 900 Dandenong Road, Caulfield East, Victoria 3145, Australia, Social work Department, Monash Medical Centre, Monash Health, 246 Clayton Road, Clayton, Victoria 3168, Australia, Centre for Research in Evidence-Based Practice, Bond University, 14 University Drive, Robina, Queensland 4226, Australia and Physiotherapy Department, Faculty of Medicine, Nursing and Health Sciences, Monash University (Peninsula Campus), McMahons Road, Frankston, Victoria 3199, Australia
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Eames S, Hoffmann T, Worrall L, Read S, Wong A. Randomised controlled trial of an education and support package for stroke patients and their carers. BMJ Open 2013; 3:bmjopen-2012-002538. [PMID: 23657469 PMCID: PMC3651972 DOI: 10.1136/bmjopen-2012-002538] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE Tailoring stroke information and providing reinforcement opportunities are two strategies proposed to enhance the effectiveness of education. This study aimed to evaluate the effects of an education package which utilised both strategies on the knowledge, health and psychosocial outcomes of stroke patients and carers. DESIGN Multisite, randomised trial comparing usual care with an education and support package. SETTING Two acute stroke units. PARTICIPANTS Patients and their carers (N=138) were randomised (control n=67, intervention n=71) of which data for 119 participants (control n=59, intervention n=60) were analysed. INTERVENTION The package consisted of a computer-generated, tailored written information booklet and verbal reinforcement provided prior to, and for 3 months following, discharge. OUTCOME MEASURES Outcome measures were administered prior to hospital discharge and at 3-month follow-up by blinded assessors. The primary outcome was stroke knowledge (score range: 0-25). Secondary outcomes were: self-efficacy (1-10), anxiety and depression (0-21), ratings of importance of information (1-10), feelings of being informed (1-10), satisfaction with information (1-10), caregiver burden (carers) (0-13) and quality of life (patients) (1-5). RESULTS Intervention group participants reported better: self-efficacy for accessing stroke information (adjusted mean difference (MD) of 1.0, 95% CI 0.3 to 1.7, p=0.004); feeling informed (MD 0.9, 95% CI 0.2 to 1.6, p=0.008); and satisfaction with medical (MD 2.0, 95% CI 1.1 to 2.8, p<0.001); practical (MD 1.1, 95% CI 0.3 to 1.9, p=0.008), services and benefits (MD 0.9, 95% CI 0.1 to 1.8, p=0.036) and secondary prevention information (MD 1.7, 95% CI 0.9 to 2.5, p<0.001). There was no significant effect on other outcomes. CONCLUSIONS Intervention group participants had improved self-efficacy for accessing stroke information and satisfaction with information, but other outcomes were not significantly affected. Evaluation of a more intensive intervention in a trial with a larger sample size is required to establish the value of an educational intervention that uses tailoring and reinforcement strategies. ACTRN12608000469314.
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Affiliation(s)
- Sally Eames
- Brighton Health Campus & Services, Brighton, Queensland, Australia
| | - Tammy Hoffmann
- Centre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia and School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Linda Worrall
- Communication Disability Centre and the CCRE in Aphasia Rehabilitation, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia
| | - Stephen Read
- Neurology Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Andrew Wong
- Neurology Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
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Rose TA, Worrall LE, Hickson LM, Hoffmann TC. Guiding principles for printed education materials: design preferences of people with aphasia. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2012; 14:11-23. [PMID: 22136650 DOI: 10.3109/17549507.2011.631583] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The objectives of this study were to obtain the preferences of people with aphasia for the design of stroke and aphasia printed education materials (PEMs) and to compare these preferences with recommendations in the literature for developing written information for other populations. A face-to-face quantitative questionnaire was completed with 40 adults with aphasia post-stroke. The questionnaire explored preferences for: (1) the representation of numbers, (2) font size and type, (3) line spacing, (4) document length, and (5) graphic type. Most preferences (62.4%, n = 146) were for numbers expressed as figures rather than words. The largest proportion of participants selected 14 point (28.2%, n = 11) and Verdana ref (33.3%, n = 13) as the easiest font size and type to read, and a preference for 1.5 line spacing (41.0%, n = 16) was identified. Preference for document length was not related to the participant's reading ability or aphasia severity. Most participants (95.0%, n = 38) considered graphics to be helpful, with photographs more frequently reported as a helpful graphic type. The identified preferences support many of the formatting recommendations found within the literature. This research provides guiding principles for developing PEMs in preferred formats for people with aphasia.
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Affiliation(s)
- Tanya A Rose
- Centre for Clinical Research Excellence in Aphasia Rehabilitation, The University of Queensland, Brisbane, QLD, 4072, Australia.
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Hafsteinsdóttir TB, Vergunst M, Lindeman E, Schuurmans M. Educational needs of patients with a stroke and their caregivers: a systematic review of the literature. PATIENT EDUCATION AND COUNSELING 2011; 85:14-25. [PMID: 20869189 DOI: 10.1016/j.pec.2010.07.046] [Citation(s) in RCA: 114] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2009] [Revised: 07/28/2010] [Accepted: 07/29/2010] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To systematically review the research on stroke patients' and caregivers' educational needs. METHODS A search of the literature prior to and including the year January 2009 was conducted using Medline, CINAHL, EMBASE, PsychINFO and the Cochrane Library, yielding 959 articles. Of these, 21 studies were included in the review. RESULTS Stroke patients and caregivers reported many and diverse educational needs, which often were not met. The educational needs of stroke patients and caregivers concerned knowledge about the clinical aspects of stroke, prevention, treatment and functional recovery. The most commonly reported needs of caregivers involved patients' moving and lifting, exercises, psychological changes and nutritional issues. Patients and caregivers wanted information that was tailored to their situation. CONCLUSION Patients and caregivers have many unmet educational needs. The findings call for improved education of patients and caregivers on various issues that are specific to the various recovery phases after stroke. PRACTICE IMPLICATIONS The findings of this review can be used to develop educational interventions for stroke patients and caregivers. Further research is needed to investigate the feasibility and effects of educational interventions and whether they meet the educational needs of patients and caregivers.
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Affiliation(s)
- Thóra B Hafsteinsdóttir
- Department of Rehabilitation, Nursing Science and Sport medicine, Rudolf Magnus Institute of Neuroscience, University Medical Center, Utrecht, The Netherlands.
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