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BACKGROUND Stroke has profound impacts on families. Often, family members, including stroke survivors and the person who takes up the role of the primary caregiver, would encounter demands on finances, rehabilitation arrangement, and even conflicts. Hence, a family-oriented intervention is expected to enable families to rebuild internal and external resources to achieve optimal rehabilitation and community reintegration. OBJECTIVE This study aims to describe a design of a two-tier family-oriented care management intervention for enhancing the family functioning and care capacity of the caregivers of stroke survivors. METHODS The two-tier care management intervention was guided by a standardized protocol conducted by trained professional care managers (first tier) with the support of trained volunteers (second tier), which lasted for 8-12 weeks. Participants were recruited through collaborating hospitals according to inclusion and exclusion criteria. In order to examine the effectiveness and cost-effectiveness of the two-tier care management intervention, a two-arm randomization multicenter study was designed, including an active comparison group, which was guided by a standardized protocol conducted by trained volunteers. Dyadic participants, including both stroke survivors and their primary caregivers for both groups, were invited to participate in a questionnaire survey using standardized and purposefully developed measures 3 times: before the intervention, immediately after the intervention, and 2 months after the intervention. The primary outcome was family functioning measured by the Family Role Performance Scale and Family Assessment Device-General Functioning Scale. The secondary outcomes included caregiving burden, depressive symptoms, care management strategies, and the incremental cost-effectiveness ratio. RESULTS Recruitment began in January 2017 and was completed at the end of April 2019. Data collection was completed at the end of March 2020. As of March 2020, enrollment has been completed (n=264 stroke caregivers). A total of 200 participants completed the baseline questionnaires. We aim to publish the results by mid-2021. CONCLUSIONS This study successfully developed a two-tier care management protocol that aims to enhance the family functioning of the caregivers of stroke survivors. Guided by a standardized protocol, this family-oriented two-tier intervention protocol was found to be feasible among Chinese families. CLINICALTRIAL ClinicalTrials.gov NCT03034330; https://ichgcp.net/clinical-trials-registry/NCT03034330 INTERNATIONAL REGISTERED REPORT RR1-10.2196/16703

With the increasing popularity of online shopping, customer's purchasing habits are gradually changing in that they often prefer to buy goods online instead of visiting a physical retail store. Hence, the business-to-customer (B2C) e-commerce concept has emerged to bring convenience and flexibility to customers. By shifting the traditional business model to e-commerce, the seller, e.g. supplier or retailer, not only concentrates on directly selling goods to customers online, but also needs to manage the whole business process, including product delivery to customers within a short period of time. To focus on the core business, the logistics function in the B2C market is usually outsourced to a logistics service provider (LSP). However, sellers who are new to the e-commerce market may find it difficult to select an appropriate LSP to fulfill their needs. In this paper, an enhanced logistics service provider selection (ELSPS) model is proposed for selecting an appropriate partner for providing delivery services under the e-commerce environment. A double fuzzy analytical hierarchy processing (FAHP) approach is applied for multi-criteria decision analysis in LSP selection and follow-up action prioritization. A pilot study is conducted, and the results provide a systematic approach and guidelines for new comers to enter into the e-commerce market.