J. Mant et al., The impact of an information pack on patients with stroke and their carers: a randomized controlled trial, CLIN REHAB, 12(6), 1998, pp. 465-476
Objectives: To assess the impact of information packs on patients with stro
ke and their carers, and to pilot some of the methodology for a trial of a
Family Support Organiser (FSO).
Subjects. Seventy-one patients admitted to Oxford hospitals with acute stro
ke during February-July 1995, and 49 informal carers of these patients.
Design: Randomized controlled trial. Intervention group received an informa
tion pack containing various Stroke Association publications one month afte
r their stroke, or at discharge from hospital, whichever was sooner. Contro
l group received nothing. Follow-up was by interview at the place of reside
nce of the patients six months after their stroke.
Measures: Outcome measures assessed knowledge about stroke; satisfaction wi
th information received; patient behaviour in terms of access to community
services and benefits; and health status and quality of life.
Results. Patients and carers in the intervention group tended to know more
about stroke, but these differences were not significant once adjusted for
age. Patients in the intervention group (but not carers) tended to be more
satisfied with the information that they had received, but the differences
were not significant. There were no differences with regard to any aspects
of quality of life in patients in the intervention group, though carers in
the intervention group were found to have significantly better mental healt
h (p = 0.04).
Conclusion:: While the study was too small to generate firm conclusions, in
formation leaflets may lead to improved knowledge about stroke several mont
hs after they have been distributed. This finding is worth following up wit
h larger studies. The stroke knowledge questionnaire that was piloted in th
is trial seems to be able to detect differences between groups.