Abstract:
OBJECTIVE:To describe the content and delivery of the adapted London Stroke Carers Training Course intervention evaluated in the Training Caregivers after Stroke (TRACS) trial. SETTING:The London Stroke Carers Training Course is a structured training programme for caregivers of inpatients who are likely to return home after their stroke. The course was delivered by members of the multidisciplinary team while the patient was in the stroke unit with one recommended 'follow through' session after discharge home. INTERVENTION:The intervention consists of 14 training components (six mandatory) that were identified as important knowledge/skills that caregivers would need to be able to care for the stroke patient after discharge home. Following national training days, the London Stroke Carers Training Course was disseminated to intervention sites by the cascade method of implementation. RESULTS:The intervention was adapted for implementation across a range of stroke units. Training days were well attended (median 2.5 and 2.0 attendees per centre for the first and second days, respectively) and the feedback positive, demonstrating 'face validity' for the intervention. However cascading of this training to other members of the multidisciplinary team was not consistent, with 7/18 centres recording no cascade training. CONCLUSION:The adapted London Stroke Carers Training Course provided a training programme that could be delivered in a standardised, structured way in a variety of stroke unit settings throughout the UK. The intervention was well received by stroke unit staff, however, the cascade method of implementation was not as effective as we would have wished.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Forster A,Dickerson J,Melbourn A,Steadman J,Wittink M,Young J,Kalra L,Farrin A,TRACS trial collaboration.doi
10.1177/0269215514543334subject
Has Abstractpub_date
2015-03-01 00:00:00pages
211-20issue
3eissn
0269-2155issn
1477-0873pii
0269215514543334journal_volume
29pub_type
杂志文章abstract:OBJECTIVE:To evaluate a minimal dose intervention of six 1-hour sessions of task-oriented circuit gait training including a caregiver over a 12-week period to persons post stroke in the South African public health sector. DESIGN:Stratified, single blinded, randomized controlled trial with three intervention groups. P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518763969
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:First, to investigate the effects of a telerehabilitation intervention on health status and activity level of patients with Chronic Obstructive Pulmonary Disease (COPD), compared to usual care. Second, to investigate how patients comply with the intervention and whether compliance is related to treatment outc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513512495
更新日期:2014-06-01 00:00:00
abstract:PURPOSE:To provide clinical practitioners with a framework for teaching patients Time Pressure Management, a cognitive strategy that aims to reduce disabilities arising from mental slowness due to acquired brain injury. Time Pressure Management provides patients with compensatory strategies to deal with time pressure i...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215508097855
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the immediate effects of individually designed functional in-shoe ankle-foot orthoses (AFO) made of soft and hard cast on balance, standing, and gait parameters in hemiparetic patients. DESIGN:Crossover design with randomized order of the intervention. SETTING:A rehabilitation centre for adults ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215506cr951oa
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:To explore how technologies are used and experienced in rehabilitation. DESIGN:A qualitative study using a grounded theory approach within a randomized controlled trial investigating the effectiveness of tailored, affordable technologies to improve mobility and physical activity. SETTINGS:Aged care and neur...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518771820
更新日期:2018-09-01 00:00:00
abstract::This editorial considers how healthcare systems should approach the problems associated with ongoing, persistent symptoms and limitations on a person's ability to undertake activities. It starts from the premise, established in the first editorial, that the current reliance on the biomedical model of health and illnes...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515601175
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To examine the internal consistency and test-retest reliability of the Energy Conservation Strategies Survey (ECSS), a tool that was specifically designed to determine if people with multiple sclerosis who attended the six-week energy conservation course actually implemented the strategies taught to them. DE...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1191/0269215505cr789oa
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To identify the nature and extent of perceived unmet needs of people with spinal cord injury (SCI) living in the community and to determine their preferences regarding multidisciplinary outreach service delivery. DESIGN:Structured telephone interviews. SETTING:Spinal Injuries Unit, Queensland, Australia. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215501cr453oa
更新日期:2001-12-01 00:00:00
abstract::As in other areas of rehabilitation, relatively small numbers and diversity--both of condition and of patients' goals--hinder the assimilation of robust evidence for the effectiveness of rehabilitation. Patients with spinal cord injury (SCI) tend to be gathered together in a small number of regional services, each wit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/026921599674943310
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:To establish the feasibility of a randomized, placebo-controlled trial to investigate the effect of a specific immunotherapy bacterial lysate OM-89 (Uro-Vaxom®) in reducing the frequency of urinary tract infections in people with neurogenic bladder dysfunction. DESIGN:A parallel-group, double-blind, randomiz...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946065
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the central haemodynamic responses during position changes from supine to sitting and during 30 min of standing between able-bodied and spinal cord-injured subjects. Also to assess the effects of the physiologic muscle pump in both groups during 30 min of standing. DESIGN:A repeated measure desig...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215502cr570oa
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:This systematic review aimed to investigate the effects of interventions intended for retraining leg somatosensory function on somatosensory impairment, and secondary outcomes of balance and gait, after stroke. DATA SOURCES:Databases searched from inception to 16 January 2019 included Cochrane Library, PubMe...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519836461
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of sit-to-stand training in individuals with stroke. DESIGN:Randomized controlled trial. SETTING:Rehabilitation medical centre. PARTICIPANTS:Thirty-two subjects with stroke were randomly assigned to the control and experimental groups (n = 16 for each group). INTERVENTIONS:S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360751
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN:Prospective cohort study. SETTING:Rehabilitation centres and nursing homes. SUBJECTS:One hundred and eight left hemisphere stroke patients with apraxia, hospitalized in rehabilitation cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071257
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness and safety of Baduanjin training on the cognitive function in stroke survivors with cognitive impairment. DESIGN:A randomized, two-arm parallel controlled trial with allocation concealment and assessors blinding. SETTING:Community centre of Fuzhou city, China. SUBJECTS:A to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520930256
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:To review peer-reviewed literature relating to postoperative physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy in improving clinical outcome and recovery. DATA SOURCES:MEDLINE, EMBASE, CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References and citations o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518766229
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of early cycling training on balance and motor abilities of stroke patients in their subacute stage. DESIGN:Randomized clinical trial. SETTING:Inpatient rehabilitation. SUBJECTS:Twenty-four patients who had had a first stroke were randomly assigned to a cycling training group (N=1...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215505cr960oa
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515624479
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE::To compare disability between two patient groups using short validated tools based on International Classification of Functioning, Disability and Health (ICF). DESIGN::Cross-sectional study. SETTING::University hospital specialist outpatient clinic. SUBJECTS::A total of 94 patients with traumatic brain in...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518785945
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVES:A systematic review and meta analysis using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach. The aim was to evaluate the efficacy of Botulinum Toxin type A for limb spasticity on improving activity restriction and quality of life outcomes. DATA SOURCES:Pubmed, Cinahl, A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215515593609
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN:Randomized controlled pilot study. SETTING:Inpatient rehabilitation centers. PARTICIPANTS:Thirty hemiplegic stroke patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516642606
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To systematically examine the research literature on the effectiveness of constraint-induced movement therapy on improving arm function in children with cerebral palsy, and to assess the association between the study effect size and the characteristics of the patients and intervention protocol. DATA SOURCES:...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215514544982
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility of a randomized controlled trial to evaluate music therapy as a home-based intervention for arm hemiparesis in stroke. DESIGN:A pilot feasibility randomized controlled trial, with cross-over design. Randomization by statistician using computer-generated, random numbers concealed in ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517717060
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To compare the well-being of stroke patients' relatives with that of a reference group, and to identify variables related to the well-being of the relatives. DESIGN:Cross-sectional study. SETTING:Outpatient hospital department and patients' and relatives' own homes. SUBJECTS:Fifty-four patients one year af...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr627oa
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To test the effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease. DESIGN:Randomized controlled trial. SETTING:Pulmonary outpatient department. SUBJECTS:Thirty patients randomly assigned to a rehabilitation (3 men, 9 ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508096174
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To discuss the importance of integrating health literacy into rehabilitation practice. BACKGROUND:The effectiveness of rehabilitation interventions and clients' long-term health might depend on various factors, including health literacy. Health literacy is defined as the ability to access, understand, evalua...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215509360752
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To assess the process of hospital-based stroke rehabilitation. DESIGN:A criterion-based process audit, combined with surveys of patient and staff opinions and basic outcome measures. SETTING:All wards and units treating stroke patients in a health care district, including an acute and a community National H...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599674794965
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:To assess the concurrent validity of a smart walker-integrated gait analysis system with the GAITRite® system for measuring spatiotemporal gait parameters in potential users of the smart walker. DESIGN:Criterion standard validation study. SETTING:Research laboratory in a geriatric hospital. PARTICIPANTS:Tw...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519852143
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. DATA SOURCES:PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215516671013
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To gain a better understanding about the nature of fear of falling, this study analyzed associations between psychological and physical aspects related to fear of falling and falls efficacy in hip/pelvic fracture patients. DESIGN:Baseline data of a randomized controlled trial. SETTING:Geriatric inpatient re...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519891233
更新日期:2020-03-01 00:00:00