TY - JOUR
T1 - Effects of a transitional home-based care program for stroke survivors in Harbin, China
T2 - a randomized controlled trial
AU - Yuet Wong, Frances Kam
AU - Wang, Shao Ling
AU - Ng, Shamay S.M.
AU - Lee, Paul H.
AU - Ching Wong, Arkers Kwan
AU - Li, Haiyan
AU - Wang, Wei
AU - Wu, Lijie
AU - Zhang, Yi
AU - Shi, Yangyang
N1 - Funding Information:
Declaration of Sources of Funding: T. S. Lo Foundation [5.53.56.ZH2Q, 2018]. The funder had no involvement in the study design, conduct or reporting.
Publisher Copyright:
© The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
PY - 2022/2/1
Y1 - 2022/2/1
N2 - Background: China has the biggest stroke burden in the world. Continued measures have been taken to enhance post-stroke rehabilitation management in the last two decades. The weak link is with home-based rehabilitation, with more attention and resources devoted to inpatient rehabilitation. Objective: to address the service gap, this study tested a home-based transitional care model for stroke survivors. Methods: a randomized controlled trial was conducted from February 2019 to May 2020 in Harbin, China, involving 116 patients with ischemic stroke. The intervention group participants (n = 58, 50%) received a 12-week home-based care program with components of transitional care measures and the national guidelines for facilitating patients to perform home-based exercises with continued monitoring and gradual progression. Control group participants received standard care including medication advice, rehabilitation exercise and one nurse-initiated follow-up call. Data were collected at baseline and after a 90-day (post-intervention) and a 180-day (post-intervention) follow-up. The primary outcome was quality of life (QOL), measured using the EuroQol-Five Dimension 5-Level scale (EQ-5D-5L). Results: both intervention and control groups showed improvement in EQ-5D-5L from baseline to post-intervention (0.66 versus 0.83, P < 0.001) and (0.66 versus 0.77, P < 0.001), respectively, and there was significant group-by-time interaction in EuroQol-Visual Analogue Scale from baseline to post-intervention at 90 days and follow-up at 180 days with the intervention group experiencing better improvement. Similarly, significant interaction effects were also found in the Stroke Impact Symptom scale, self-efficacy and modified Barthel Index. Conclusions: home-based transitional care was effective in improving QOL, symptoms, self-efficacy and activities of daily living.
AB - Background: China has the biggest stroke burden in the world. Continued measures have been taken to enhance post-stroke rehabilitation management in the last two decades. The weak link is with home-based rehabilitation, with more attention and resources devoted to inpatient rehabilitation. Objective: to address the service gap, this study tested a home-based transitional care model for stroke survivors. Methods: a randomized controlled trial was conducted from February 2019 to May 2020 in Harbin, China, involving 116 patients with ischemic stroke. The intervention group participants (n = 58, 50%) received a 12-week home-based care program with components of transitional care measures and the national guidelines for facilitating patients to perform home-based exercises with continued monitoring and gradual progression. Control group participants received standard care including medication advice, rehabilitation exercise and one nurse-initiated follow-up call. Data were collected at baseline and after a 90-day (post-intervention) and a 180-day (post-intervention) follow-up. The primary outcome was quality of life (QOL), measured using the EuroQol-Five Dimension 5-Level scale (EQ-5D-5L). Results: both intervention and control groups showed improvement in EQ-5D-5L from baseline to post-intervention (0.66 versus 0.83, P < 0.001) and (0.66 versus 0.77, P < 0.001), respectively, and there was significant group-by-time interaction in EuroQol-Visual Analogue Scale from baseline to post-intervention at 90 days and follow-up at 180 days with the intervention group experiencing better improvement. Similarly, significant interaction effects were also found in the Stroke Impact Symptom scale, self-efficacy and modified Barthel Index. Conclusions: home-based transitional care was effective in improving QOL, symptoms, self-efficacy and activities of daily living.
KW - China
KW - Older people
KW - Quality of life
KW - Randomized controlled trial
KW - Stroke home-based rehabilitation
KW - Transitional care
UR - http://www.scopus.com/inward/record.url?scp=85124923450&partnerID=8YFLogxK
U2 - 10.1093/ageing/afac027
DO - 10.1093/ageing/afac027
M3 - Journal article
C2 - 35180283
AN - SCOPUS:85124923450
SN - 0002-0729
VL - 51
JO - Age and Ageing
JF - Age and Ageing
IS - 2
M1 - afac027
ER -