publication . Article . 2017

Family-led rehabilitation after stroke in India: a randomised controlled trial

Lindley, Richard; Anderson, Craig S.; Billot, Laurent; Forster, Anne; Hackett, Maree L.; Harvey, Lisa A.; Jan, Stephen; Li, Qiang; Liu, Hueiming; Langhorne, Peter; ...
Open Access English
  • Published: 05 Aug 2017
  • Publisher: Elsevier
Abstract
Background: Most people with stroke in India have no access to organised rehabilitation services. The effectiveness of training family members to provide stroke rehabilitation is uncertain. Our primary objective was to determine whether family-led stroke rehabilitation, initiated in hospital and continued at home, would be superior to usual care, in a low resource setting. \ud Methods: The Family-led Rehabilitation after Stroke in India (ATTEND) trial was a prospectively randomised open trial with blinded endpoints (PROBE) conducted across 14 hospitals in India. Patients (and their caregivers) were randomised to intervention or usual care by site Coordinators, u...
21 references, page 1 of 2

1. Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet 2014;383:245-55. [OpenAIRE]

2. Joshi R, Alim M, Kengne AP, et al. Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries - A Systematic Review. PLoS ONE 2014;9:e103754.

3. Govindarajan V, Ramamurti R. Delivering World-Class Health Care, Affordably. Harvard Business Review 2013;91:117-22.

4. Organization WH. Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Geneva: WHO; 2008.

5. Langhorne P, de Villiers L, Pandian JD. Applicability of stroke-unit care to low-income and middle-income countries. The Lancet Neurology 2012;11:341-8.

6. Kalkonde YV, Deshmukh MD, Sahane V, et al. Stroke Is the Leading Cause of Death in Rural Gadchiroli, India: A Prospective Community-Based Study. Stroke 2015;46:1764-8.

7. Pandian JD, Sudhan P. Stroke Epidemiology and Stroke Care Services in India. J Stroke 2013;15:128-34.

8. Dieleman JL, Templin T, Sadat N, et al. National spending on health by source for 184 countries between 2013 and 2040. The Lancet 2016;387:2521-35. [OpenAIRE]

9. World Report on Disability: World Health Organisation; 2011.

10. Alim M, Lindley R, Felix C, et al. Family-led rehabilitation after stroke in India: the ATTEND trial, study protocol for a randomized controlled trial. Trials 2016;17:1-8. [OpenAIRE]

11. Pandian JD, Felix C, Kaur P, et al. FAmily-Led RehabiliTaTion aftEr Stroke in INDia: the ATTEND pilot study. International Journal of Stroke 2015;10:609-14.

12. Stroke Unit Trialists Collaboration. Organised inpatient (stroke unit) care for stroke (Cochrane Review). The Cochrane Library. Chichester,UK: John Wiley and Sons; 2003.

13. Early Supported Discharge Trialists. Services for reducing duration of hospital care for acute stroke patients. Oxford: Cochrane Database of Systematic Reviews; 2005.

14. French B, Thomas LH, Leathley MJ, et al. Repetitive task training for improving functional ability after stroke. Cochrane Database of Systematic Reviews 2007.

15. van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJA. Interobserver Agreement for the Assessment of Handicap in Stroke Patients. Stroke 1988;19:604-7.

21 references, page 1 of 2
Abstract
Background: Most people with stroke in India have no access to organised rehabilitation services. The effectiveness of training family members to provide stroke rehabilitation is uncertain. Our primary objective was to determine whether family-led stroke rehabilitation, initiated in hospital and continued at home, would be superior to usual care, in a low resource setting. \ud Methods: The Family-led Rehabilitation after Stroke in India (ATTEND) trial was a prospectively randomised open trial with blinded endpoints (PROBE) conducted across 14 hospitals in India. Patients (and their caregivers) were randomised to intervention or usual care by site Coordinators, u...
21 references, page 1 of 2

1. Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet 2014;383:245-55. [OpenAIRE]

2. Joshi R, Alim M, Kengne AP, et al. Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries - A Systematic Review. PLoS ONE 2014;9:e103754.

3. Govindarajan V, Ramamurti R. Delivering World-Class Health Care, Affordably. Harvard Business Review 2013;91:117-22.

4. Organization WH. Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Geneva: WHO; 2008.

5. Langhorne P, de Villiers L, Pandian JD. Applicability of stroke-unit care to low-income and middle-income countries. The Lancet Neurology 2012;11:341-8.

6. Kalkonde YV, Deshmukh MD, Sahane V, et al. Stroke Is the Leading Cause of Death in Rural Gadchiroli, India: A Prospective Community-Based Study. Stroke 2015;46:1764-8.

7. Pandian JD, Sudhan P. Stroke Epidemiology and Stroke Care Services in India. J Stroke 2013;15:128-34.

8. Dieleman JL, Templin T, Sadat N, et al. National spending on health by source for 184 countries between 2013 and 2040. The Lancet 2016;387:2521-35. [OpenAIRE]

9. World Report on Disability: World Health Organisation; 2011.

10. Alim M, Lindley R, Felix C, et al. Family-led rehabilitation after stroke in India: the ATTEND trial, study protocol for a randomized controlled trial. Trials 2016;17:1-8. [OpenAIRE]

11. Pandian JD, Felix C, Kaur P, et al. FAmily-Led RehabiliTaTion aftEr Stroke in INDia: the ATTEND pilot study. International Journal of Stroke 2015;10:609-14.

12. Stroke Unit Trialists Collaboration. Organised inpatient (stroke unit) care for stroke (Cochrane Review). The Cochrane Library. Chichester,UK: John Wiley and Sons; 2003.

13. Early Supported Discharge Trialists. Services for reducing duration of hospital care for acute stroke patients. Oxford: Cochrane Database of Systematic Reviews; 2005.

14. French B, Thomas LH, Leathley MJ, et al. Repetitive task training for improving functional ability after stroke. Cochrane Database of Systematic Reviews 2007.

15. van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJA. Interobserver Agreement for the Assessment of Handicap in Stroke Patients. Stroke 1988;19:604-7.

21 references, page 1 of 2
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