A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams: The Out-and-About trial

McCluskey, A; Ada, L; Kelly, P; Goodall, S; Middleton, S; Grimshaw, J; Logan, P; Longworth, M; Karageorge, A

A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams: The Out-and-About trial

McCluskey, A Ada, L Kelly, P Goodall, S

Middleton, S Grimshaw, J Logan, P Longworth, M Karageorge, A

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Publisher:: Wiley: 12 months
Publication Type:: Journal Article
Citation:: International Journal of Stroke, 2016, 11, (4), pp. 425-437
Issue Date:: 2016

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Field	Value	Language
dc.contributor.author	McCluskey, A
dc.contributor.author	Ada, L
dc.contributor.author	Kelly, P
dc.contributor.author	Goodall, S https://orcid.org/0000-0001-6611-6565
dc.contributor.author	Middleton, S
dc.contributor.author	Grimshaw, J
dc.contributor.author	Logan, P
dc.contributor.author	Longworth, M
dc.contributor.author	Karageorge, A
dc.date.accessioned	2022-07-28T02:52:04Z
dc.date.available	2015-11-17
dc.date.available	2022-07-28T02:52:04Z
dc.date.issued	2016
dc.identifier.citation	International Journal of Stroke, 2016, 11, (4), pp. 425-437
dc.identifier.issn	1747-4949
dc.identifier.issn	1747-4949
dc.identifier.uri	http://hdl.handle.net/10453/159272
dc.description.abstract	BACKGROUND: Australian guidelines recommend that outdoor mobility be addressed to increase participation after stroke. AIM: To investigate the efficacy of the Out-and-About program at increasing outings delivered during therapy by community teams, and outings taken by stroke survivors in real life. METHOD: Cluster-randomized trial involving 22 community teams providing stroke rehabilitation. Experimental teams received the Out-and-About program (a behavior change program comprising a training workshop with barrier identification and booster session, printed educational materials, audit, and feedback). Control teams received printed clinical guidelines only. The primary outcome was the percentage of stroke survivors receiving four or more outings during therapy. Secondary outcomes included the number of outings received by stroke survivors during therapy and undertaken in real life. RESULTS: At 12 months after implementation of the behavior change program, 9% of audited experimental group stroke survivors received four or more outings during therapy compared with 5% in the control group (adjusted risk difference 4%, 95% CI - 9 to 17, p = 0.54). They received 1.1 (SD 0.9) outings during therapy compared with 0.6 (SD 1.0) in the control group (adjusted mean difference 0.5, 95% CI - 0.4 to 1.4; p = 0.26). After six months of rehabilitation, observed experimental group stroke survivors took 9.0 (SD 3.0) outings per week in real life compared with 7.4 (SD 4.0) in the control group (adjusted mean difference 0.5, 95% CI - 1.8 to 2.8; p = 0.63). CONCLUSION: The Out-and-About program did not change team or stroke survivor behavior.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley: 12 months
dc.relation	http://purl.org/au-research/grants/nhmrc/632721
dc.relation.ispartof	International Journal of Stroke
dc.relation.isbasedon	10.1177/1747493016632246
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1109 Neurosciences
dc.subject.classification	Neurology & Neurosurgery
dc.subject.mesh	Activities of Daily Living
dc.subject.mesh	Aged
dc.subject.mesh	Australia
dc.subject.mesh	Behavior Therapy
dc.subject.mesh	Community Health Services
dc.subject.mesh	Community Health Workers
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Stroke
dc.subject.mesh	Stroke Rehabilitation
dc.subject.mesh	Survivors
dc.subject.mesh	Transportation
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Walking
dc.subject.mesh	Humans
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Walking
dc.subject.mesh	Activities of Daily Living
dc.subject.mesh	Behavior Therapy
dc.subject.mesh	Transportation
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Survivors
dc.subject.mesh	Community Health Services
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Stroke
dc.subject.mesh	Community Health Workers
dc.subject.mesh	Stroke Rehabilitation
dc.title	A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams: The Out-and-About trial
dc.type	Journal Article
utslib.citation.volume	11
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-07-28T02:51:27Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	11
utslib.citation.issue	4

Abstract:

BACKGROUND: Australian guidelines recommend that outdoor mobility be addressed to increase participation after stroke. AIM: To investigate the efficacy of the Out-and-About program at increasing outings delivered during therapy by community teams, and outings taken by stroke survivors in real life. METHOD: Cluster-randomized trial involving 22 community teams providing stroke rehabilitation. Experimental teams received the Out-and-About program (a behavior change program comprising a training workshop with barrier identification and booster session, printed educational materials, audit, and feedback). Control teams received printed clinical guidelines only. The primary outcome was the percentage of stroke survivors receiving four or more outings during therapy. Secondary outcomes included the number of outings received by stroke survivors during therapy and undertaken in real life. RESULTS: At 12 months after implementation of the behavior change program, 9% of audited experimental group stroke survivors received four or more outings during therapy compared with 5% in the control group (adjusted risk difference 4%, 95% CI - 9 to 17, p = 0.54). They received 1.1 (SD 0.9) outings during therapy compared with 0.6 (SD 1.0) in the control group (adjusted mean difference 0.5, 95% CI - 0.4 to 1.4; p = 0.26). After six months of rehabilitation, observed experimental group stroke survivors took 9.0 (SD 3.0) outings per week in real life compared with 7.4 (SD 4.0) in the control group (adjusted mean difference 0.5, 95% CI - 1.8 to 2.8; p = 0.63). CONCLUSION: The Out-and-About program did not change team or stroke survivor behavior.

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http://hdl.handle.net/10453/159272