A randomized controlled trial on rehabilitation through caregiver-delivered nurse-organized service programs for disabled stroke patients in rural china (the RECOVER trial): design and rationale

Yan, Lijing L.; Chen, Shu; Zhou, Bo; Zhang, Jing; Xie, Bin; Luo, Rong; Wang, Ninghua; Lindley, Richard I.; Zhang, Yuhong; Zhao, Yi; Li, Xian; Liu, Xiao; Peoples, Nicholas; Bettger, Janet Prvu; Anderson, Craig S.; Lamb, Sarah E; Wu, Yangfeng; Shi, Jingpu

doi:10.1177/1747493016654290

Cited by 22 publications

(26 citation statements)

References 30 publications

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“…Eight articles were excluded mainly, but not exclusively, because they did not report on health economic outcome parameters [12, 13, 14, 15, 16, 17, 18, 19]. Three articles were excluded because the intervention was not a DHI aimed at secondary stroke prevention [20, 21, 22], 7 articles were excluded because they were reviews after thorough screening of the reference list [15, 23, 24, 25, 26, 27, 28], 1 article because it was a study protocol [29], and another article because the stroke patients were not the target population [30]. Zero papers were withheld for inclusion in this review.…”

Section: Resultsmentioning

confidence: 99%

Health Economic Evaluations of Digital Health Interventions for Secondary Prevention in Stroke Patients: A Systematic Review

Espinoza

Steurbaut

Dupont

et al. 2019

Cerebrovasc Dis Extra

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Background: In the first 5 years after their stroke, about a quarter of patients will suffer from a recurrent stroke. Digital health interventions facilitating interactions between a caregiver and a patient from a distance are a promising approach to improve patient adherence to lifestyle changes proposed by secondary prevention guidelines. Many of these interventions are not implemented in daily practice, even though efficacy has been shown. One of the reasons can be the lack of clear economic incentives for implementation. We propose to map all health economic evidence regarding digital health interventions for secondary stroke prevention. Summary: We performed a systematic search according to PRISMA-P guidelines and searched on PubMed, Web of Science, Cochrane, and National Institute for Health Research Economic Evaluation Database. Only digital health interventions for secondary prevention in stroke patients were included and all study designs and health economic outcomes were accepted. We combined the terms “Stroke OR Cardiovascular,” “Secondary prevention,” “Digital health interventions,” and “Cost” in one search string using the AND operator. The search performed on April 20, 2017 yielded 163 records of which 26 duplicates were removed. After abstract screening, 20 articles were retained for full-text analysis, of which none reported any health economic evidence that could be included for analysis or discussion. Key Messages: There is a lack of evidence on health economic outcomes on digital health interventions for secondary stroke prevention. Future research in this area should take health economics into consideration when designing a trial and there is a clear need for health economic evidence and models.

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Section: Resultsmentioning

confidence: 99%

Health Economic Evaluations of Digital Health Interventions for Secondary Prevention in Stroke Patients: A Systematic Review

Espinoza

Steurbaut

Dupont

et al. 2019

Cerebrovasc Dis Extra

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“…In LMICs, collaborative research work has opened many channels for budding professionals to be trained and put their skills to use. Collaborative research work like the ATTEND trial in India 18 ; the Headpost trial in India, Brazil, Chile, Columbia, Taiwan and Sri Lanka 31 ; the RECOVER trial in China 32 ; and the ENCHANTED trial in Brazil, China, Columbia, Thailand and Vietnam 33 ; have all used resources from high income countries to recruit patients globally and have established stroke research networks, with resulting high impact studies. Such collaborative research work has enabled resources from rich countries to be used in LMICs in the employment of research staff.…”

Section: Resultsmentioning

confidence: 99%

Clinical stroke research in resource limited settings: Tips and hints

Pandian

Liu

Gandhi

et al. 2017

International Journal of Stroke

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Background Most stroke research is conducted in high income countries, yet most stroke occurs in low- and middle-income countries. There is an urgent need to build stroke research capacity in low- and middle-income countries. Aims To review the global health literature on how to improve research capacity in low- and middle-income countries, provide additional data from the recently completed ATTEND Trial and provide examples from our own experience. Summary of review The main themes from our literature review were: manpower and workload, research training, research question and methodology and research funding. The literature and our own experience emphasized the importance of local stakeholders to ensure that the research was appropriate, that there were robust local ethics and regulatory processes, and research was conducted by trained personnel. Research training opportunities can be developed locally, or internationally, with many international schemes available to help support new researchers from low- and middle-income country settings. International collaboration can successfully leverage funding from high income countries that not only generate data for the local country, but also provide new data appropriate to high income countries. Conclusions Building stroke research capacity in low- and middle-income countries will be vital in improving global health given the huge burden of stroke in these countries.

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“…Health technologies in stroke caregiving consist of different means to promote interaction using web (11-13), Information and Communication Technology (ICT) (14,15), mHealth (16)(17)(18)(19)(20)(21)(22)(23)(24), and telehealth systems (22). Web-based systems are those that are delivered through a browser on different devices such as computer, television, or mobile, with the requirement for access to the internet to use the service (11)(12)(13).…”

Section: Health Technologies In Stroke Caregivingmentioning

confidence: 99%

Understanding the Methodological Issues and Solutions in the Research Design of Stroke Caregiving Technology

Lobo

Frølich

Rasmussen

et al. 2021

Front. Public Health

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The rise in the number of cases of stroke has resulted in a significant burden on the healthcare system. As a result, the majority of care for the person living with stroke occurs within the community, resulting in caregivers being a central and challenged agent in care. To better support caregivers during the recovery trajectory poststroke, we investigated the role of health technologies to promote education and offer various kinds of support. However, the introduction of any new technology comes with challenges due to the growing need for more user-centric systems. The integration of user-centric systems in stroke caregiving has the potential to ensure long-term acceptance, success, and engagement with the technology, thereby ensuring better care for the person living with stroke. We first briefly characterize the affordances of available technologies for stroke caregiving. We then discuss key methodological issues related to the acceptance to such technologies. Finally, we suggest user-centered design strategies for mitigating such challenges.

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A randomized controlled trial on rehabilitation through caregiver-delivered nurse-organized service programs for disabled stroke patients in rural china (the RECOVER trial): design and rationale

Cited by 22 publications

References 30 publications

Health Economic Evaluations of Digital Health Interventions for Secondary Prevention in Stroke Patients: A Systematic Review

Health Economic Evaluations of Digital Health Interventions for Secondary Prevention in Stroke Patients: A Systematic Review

Clinical stroke research in resource limited settings: Tips and hints

Understanding the Methodological Issues and Solutions in the Research Design of Stroke Caregiving Technology

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