Your browser doesn't support javascript.
loading
FAmily-Led RehabiliTaTion aftEr Stroke in INDia: the ATTEND pilot study.
Pandian, Jeyaraj D; Felix, Cynthia; Kaur, Paramdeep; Sharma, Deepika; Julia, Lizzie; Toor, Gagan; Arora, Rajni; Gandhi, Dorcas B C; Verma, Shweta J; Anderson, Craig S; Langhorne, Peter; Murthy, G V S; Hackett, Maree L; Maulik, Pallab K; Alim, Mohammed; Harvey, Lisa A; Jan, Stephen; Walker, Marion; Forster, Anne; Lindley, Richard.
Affiliation
  • Pandian JD; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Felix C; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Kaur P; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Sharma D; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Julia L; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Toor G; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Arora R; Department of Physiotherapy, Christian Medical College, Ludhiana, Punjab, India.
  • Gandhi DB; Department of Physiotherapy, Christian Medical College, Ludhiana, Punjab, India.
  • Verma SJ; Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
  • Anderson CS; The George Institute for Global Health, University of Sydney and Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
  • Langhorne P; University of Glasgow, Glasgow, UK.
  • Murthy GV; Indian Institute of Public Health Hyderabad, Public Health Foundation of India, Hyderabad, India.
  • Hackett ML; The George Institute for Global Health, University of Sydney, Sydney, New South Wales, Australia.
  • Maulik PK; University of Central Lancashire, Preston, UK.
  • Alim M; The George Institute for Global Health, Hyderabad, India.
  • Harvey LA; The George Institute for Global Health, University of Oxford, Oxford, UK.
  • Jan S; The George Institute for Global Health, Hyderabad, India.
  • Walker M; Sydney Medical School/Northern, University of Sydney, Sydney, New South Wales, Australia.
  • Forster A; University of Glasgow, Glasgow, UK.
  • Lindley R; University of Nottingham, Nottingham, Nottinghamshire, UK.
Int J Stroke ; 10(4): 609-14, 2015 Jun.
Article in En | MEDLINE | ID: mdl-25753445
ABSTRACT

BACKGROUND:

The aim of this pilot study was to determine the feasibility of a multicenter, randomized, controlled trial in India of a family-led, trained caregiver-delivered, home-based rehabilitation intervention vs. routine care.

METHODS:

A prospective, randomized (within seven-days of hospital admission), blinded outcome assessor, controlled trial of structured home-based rehabilitation delivered by trained and protocol-guided family caregivers (intervention) vs. routine care alone (control) was conducted in patients with residual disability. Key feasibility measures were recruitment, acceptance and adherence to assessment procedures, and follow-up of participants over six-months. CTRI/2014/10/005133.

RESULTS:

A total of 104 patients from the stroke unit at Christian Medical College, Ludhiana were recruited over nine-months. Recruitment was feasible and accepted by patients and their carers. Important observations were made regarding potential unblinding of the participants, contamination of therapy between the randomized groups, organization of home visits, and resources required for a multicenter study.

CONCLUSION:

The pilot study established the feasibility of conducting a large-scale study of family-led, trained caregiver-delivered, home-based stroke rehabilitation in a low resource setting. The main phase of the trial 'ATTEND' is currently underway in over 10 centers in India.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Self Care / Family / Stroke Rehabilitation Type of study: Clinical_trials / Guideline / Observational_studies / Prognostic_studies Limits: Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Int J Stroke Year: 2015 Type: Article Affiliation country: India

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Self Care / Family / Stroke Rehabilitation Type of study: Clinical_trials / Guideline / Observational_studies / Prognostic_studies Limits: Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Int J Stroke Year: 2015 Type: Article Affiliation country: India