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From QASC to QASCIP: successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pre-test/post-test study design
Conclusions We obtained unprecedented statewide scale-up and spread to all NSW stroke services of a nurse-led intervention previously proven to improve long-term patient outcomes. As clinical leaders search for strategies to improve quality of care, our initiative is replicable and feasible in other acute care settings.
Source: BMJ Open - May 5, 2016 Category: Journals (General) Authors: Middleton, S., Lydtin, A., Comerford, D., Cadilhac, D. A., McElduff, P., Dale, S., Hill, K., Longworth, M., Ward, J., Cheung, N. W., D'Este, C., on behalf of the QASCIP Working Group and Steering Committee, on behalf of the QASCIP Working Group and Steeri Tags: Open access, Health policy, Health services research, Neurology, Nursing Source Type: research

Investigating preferences for support with life after stroke: a discrete choice experiment
We report the first investigation of patients' and family carers' preferences for community services after stroke using a discrete choice experiment (DCE). Methods: Two workshops with patients and family carers (n = 8) explored stroke experiences, identifying attributes important in shaping views about service design, and piloted data collection strategies. Attributes were group versus individual support; service provider; additional support for social and leisure activities; and the total time required to access services. Patients and family carers were recruited six months post stroke-onset (mean 331 days) from four stro...
Source: BMC Health Services Research - February 8, 2014 Category: Journals (General) Authors: Christopher BurtonEmily FargherCatrin PlumptonGwerfyl RobertsHeledd OwenEryl Roberts Source Type: research

Evaluation of a community-based performance arts programme for people who have experienced stroke in the UK: protocol for the SHAPER-Stroke Odysseys study
In this study, we aim to evaluate the implementation, impact and experiences of SO for stroke survivors. Methods and analysis Scaling-up Health Arts Programmes: Implementation and Effectiveness Research (SHAPER)-SO aims to scale-up SO to 75 participants and 47 stakeholders, while simultaneously evaluating the effectiveness and implementation of the programme. The main research aim is to evaluate the implementation, effectiveness, impact and experiences of a community-based performance arts programme (SO for stroke survivors). This mixed-methods study will evaluate the experience and impact of SO on those participating usi...
Source: BMJ Open - March 11, 2022 Category: General Medicine Authors: Estevao, C., Baldellou Lopez, M., Davis, R. E., Jarret, L., Soukup, T., Bakolis, I., Healey, A., Harrington, J., Woods, A., Crane, N., Jones, F., Pariante, C., Fancourt, D., Sevdalis, N. Tags: Open access, Qualitative research Source Type: research

AHA News: Toy Building Boosts Woodworker ' s Stroke Recovery
TUESDAY, Dec. 10, 2019 (American Heart Association News) -- Gary Lucas delights in making intricate wooden decorative pieces in his tidy workshop. He ' s particularly talented with his electric scroll saw, using its precision cuts to create crosses,...
Source: Drugs.com - Daily MedNews - December 10, 2019 Category: General Medicine Source Type: news

1.I. Workshop: Capturing access challenges in health care: can the vignette methodology help?
Abstract Access to health care is a key performance dimension for health systems. Around 3% of the EU27 population experienced unmet need for health services in 2019 (Eurostat 2021). However, this average hides significant differences across and within countries, between income groups, levels of education and socio-economic categories. While some of the reasons for unmet need are more personal (no time, fear of doctor, etc.), the most common factors are health system-related. Although self-reported unmet need and other existing indicators, including catastrophic spending and impoverishing out-of-pocket spending, provide ...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Healing Right Way: study protocol for a stepped wedge cluster randomised controlled trial to enhance rehabilitation services and improve quality of life in Aboriginal Australians after brain injury
This study will test the impact of a research-informed culturally secure intervention model for Aboriginal people with brain injury. Methods and analysis Design: Stepped wedge cluster randomised control trial design; intervention sequentially introduced at four pairs of healthcare sites across Western Australia at 26-week intervals. Recruitment: Aboriginal participants aged ≥18 years within 4 weeks of an acute stroke or traumatic brain injury. Intervention: (1) Cultural security training for hospital staff and (2) local, trial-specific, Aboriginal Brain Injury Coordinators supporting participants. Primary outcome: Qual...
Source: BMJ Open - September 28, 2021 Category: General Medicine Authors: Armstrong, E., Coffin, J., Hersh, D., Katzenellenbogen, J. M., Thompson, S., Flicker, L., McAllister, M., Cadilhac, D. A., Rai, T., Godecke, E., Hayward, C., Hankey, G. J., Drew, N., Lin, I., Woods, D., Ciccone, N. Tags: Open access, Health services research Source Type: research

Feedback of aggregate patient-reported outcomes (PROs) data to clinicians and hospital end users: findings from an Australian codesign workshop process
Conclusions Our research provides guidance on PROs reporting for optimising data interpretation and comparing hospital performance.
Source: BMJ Open - July 1, 2022 Category: General Medicine Authors: Ryan, O. F., Hancock, S. L., Marion, V., Kelly, P., Kilkenny, M. F., Clissold, B., Gunzburg, P., Cooke, S., Guy, L., Sanders, L., Breen, S., Cadilhac, D. A. Tags: Open access, Health services research Source Type: research