1. Co-Designed Cardiac Rehabilitation for the Secondary Prevention of Stroke (CARESS): A Pilot Program Evaluation.
- Author
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Rehman, Sabah, Barker, Seamus, Jose, Kim, Callisaya, Michele, Castley, Helen, Schultz, Martin G., Moore, Myles N., Simpson, Dawn B., Peterson, Gregory M., and Gall, Seana
- Subjects
STROKE prevention ,HUMAN services programs ,RESEARCH funding ,EVALUATION of human services programs ,PILOT projects ,QUESTIONNAIRES ,RISK management in business ,DESCRIPTIVE statistics ,PRE-tests & post-tests ,THEMATIC analysis ,ATTITUDES of medical personnel ,QUALITY of life ,DISEASE relapse ,COMPARATIVE studies ,CONFIDENCE intervals ,DATA analysis software ,CARDIAC rehabilitation ,PATIENTS' attitudes ,GROUP process - Abstract
Structured health system-based programs, such as cardiac rehabilitation, may reduce the risk of recurrent stroke. This study aimed to co-design and evaluate a structured program of rehabilitation, developed based on insights from focus groups involving stroke survivors and health professionals. Conducted in Tasmania, Australia in 2019, the 7-week program comprised one hour of group exercise and one hour of education each week. Functional capacity (6 min walk test), fatigue, symptoms of depression (Patient Health Questionnaire), and lifestyle were assessed pre- and post-program, with a historical control group for comparison. Propensity score matching determined the average treatment effect (ATE) of the program. Key themes from the co-design focus groups included the need for coordinated care, improved psychosocial management, and including carers and peers in programs. Of the 23 people approached, 10 participants (70% men, mean age 67.4 ± 8.6 years) completed the program without adverse events. ATE analysis revealed improvements in functional capacity (139 m, 95% CI 44, 234) and fatigue (−5 units, 95% CI −9, −1), with a small improvement in symptoms of depression (−0.8 units, 95% CI −1.8, 0.2) compared to controls. The co-designed program demonstrated feasibility, acceptability, and positive outcomes, suggesting its potential to support stroke survivors. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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