Sally Eames|Tammy Hoffmann|Linda Worrall|Stephen Read|Andrew Wong
Randomised controlled trial of an education and support package for stroke patients and their carers
Brighton Hospital|Bond University|University of Queensland|University of Queensland|Royal Brisbane and Women's Hospital|Royal Brisbane and Women's Hospital
tailoring stroke information providing reinforcement opportunities two strategies proposed enhance effectiveness education study aimed evaluate effects education package utilised strategies knowledge health psychosocial outcomes stroke patients carersmultisite randomised trial comparing usual care education support packagetwo acute stroke unitspatients carers n138 randomised control n67 intervention n71 data 119 participants control n59 intervention n60 analysedthe package consisted computergenerated tailored written information booklet verbal reinforcement provided prior 3 months following dischargeoutcome measures administered prior hospital discharge 3month followup blinded assessors primary outcome stroke knowledge score range 025 secondary outcomes selfefficacy 110 anxiety depression 021 ratings importance information 110 feelings informed 110 satisfaction information 110 caregiver burden carers 013 quality life patients 15intervention group participants reported better selfefficacy accessing stroke information adjusted mean difference md 10 95 ci 03 17 p0004 feeling informed md 09 95 ci 02 16 p0008 satisfaction medical md 20 95 ci 11 28 p0001 practical md 11 95 ci 03 19 p0008 services benefits md 09 95 ci 01 18 p0036 secondary prevention information md 17 95 ci 09 25 p0001 significant effect outcomesintervention group participants improved selfefficacy accessing stroke information satisfaction information outcomes significantly affected evaluation intensive intervention trial larger sample size required establish value educational intervention uses tailoring reinforcement strategies actrn12608000469314