The Pathway Research for Eye Care in Stroke (PRECiS) Study: improving visual rehabilitation for stroke survivors
- Publication Type:
- Thesis
- Issue Date:
- 2022
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Visual consequences of stroke are common, often devastating, yet visual rehabilitation is given scant attention in Australian stroke guidelines, making it difficult to determine if stroke survivors are having their vision care needs met. The Pathway Research for Eye Care in Stroke (PRECiS) Study (Stage One) describes current NSW post-stroke vision care pathways and practices, identifying potential barriers and unmet vision care needs. Surveys and semi-structured interviews captured the post-stroke vision care experience of NSW health professionals and stroke survivors, indicating that stroke health professionals provide vision care without clear guidelines or protocols. Consequently, NSW post-stroke vision care is non-standard and extremely variable across both hospitals and care facilities. This means variability in vision assessment timeframes and lack of information, management or referral on diagnosis of an eye condition. Using existing literature and Stage One data, PRECiS Stage Two developed a post-stroke vision care framework addressing unmet care needs, suitable for the Australian healthcare system. The RAND/UCLA Appropriateness Method was used to develop the NSW Post-stroke Vision Care Framework (NSW-PVCF) comprising 43 best-practice statements and a diagrammatic care pathway. The NSW-PVCF is evidence-based, expert-endorsed and a considerable expansion to current vision-related recommendations contained in national and state-based stroke guidelines.
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