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Improving quality of life by increasing outings after stroke : Study protocol for the Out-and-About trial
McClusky, Annie Ada, Louise Middleton, Sandy Kelly, Patrick J. Goodall, Stephen Grimshaw, Jeremy M. Logan, Pip Longworth, Mark Karageorge, A.
McClusky, Annie
Ada, Louise
Middleton, Sandy
Kelly, Patrick J.
Goodall, Stephen
Grimshaw, Jeremy M.
Logan, Pip
Longworth, Mark
Karageorge, A.
Abstract
Rationale
Almost one-third of Australians need help to travel outdoors after a stroke. Ambulation training and escorted outings are recommended as best practice in Australian clinical guidelines for stroke. Yet fewer than 20% of people with stroke receive enough of these sessions in their local community to change outcomes.
Aims
The Out-and-About trial aims to determine the efficacy and cost effectiveness of an implementation program to change team behavior and increase outings by people with stroke.
Design
A two-group cluster-randomized trial will be conducted using concealed allocation, blinded assessors, and intention-to-treat analysis. Twenty community teams and their stroke clients (n = 300) will be recruited. Teams will be randomized to receive either the Out-and-About program or written guidelines only.
Study Outcomes
The primary outcome is the proportion of people with stroke receiving multiple escorted outings during therapy sessions, measured at baseline and 13 months postintervention. Secondary outcomes include number of outings and distance traveled, measured using a self-report diary at baseline and six months postbaseline, and a global positioning system after six months. Cost effectiveness will measure quality-adjusted life years and health service use, measured at baseline and six months postbaseline.
Discussion
A potential outcome of this study will be evidence for a costed, transferable implementation program. If successful, the program will have international relevance and transferability. Another potential outcome will be validation of a novel and objective method of measuring outdoor travel (global positioning system) to supplement self-report methods.
Keywords
knowledge translation, occupational therapy, physical therapy, physiotherapy, rehabilitation, walking
Date
2012
Type
Journal article
Journal
International Journal of Stroke
Book
Volume
8
Issue
1
Page Range
54-58
Article Number
ACU Department
Nursing Research Institute
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as green open access
License
File Access
Open
Controlled
Controlled