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Forster A, Mellish K, Farrin A, et al. Development and evaluation of tools and an intervention to improve patient- and carer-centred outcomes in Longer-Term Stroke care and exploration of adjustment post stroke: the LoTS care research programme. Southampton (UK): NIHR Journals Library; 2014 Dec. (Programme Grants for Applied Research, No. 2.6.)

Cover of Development and evaluation of tools and an intervention to improve patient- and carer-centred outcomes in Longer-Term Stroke care and exploration of adjustment post stroke: the LoTS care research programme

Development and evaluation of tools and an intervention to improve patient- and carer-centred outcomes in Longer-Term Stroke care and exploration of adjustment post stroke: the LoTS care research programme.

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Appendix 10Project 2: resource use

TABLE 81

Resource use at baseline (in the previous 3 months)

ResourceUnitIntervention (n = 401)Control (n = 398)
Users (%)MeanaSDUsers (%)MeanaSD
Index stroke admissionbBed-days993944993035
Residential care homeNight00
Nursing homeNight00
Inpatient servicesBed-day711241076
Day hospital/day casesActivity91161< 1
A&EVisit711241076
Outpatient servicesVisit8241011
Physiotherapist, hospitalcVisit334422
Occupational therapist, hospitalcVisit< 121132
Speech and language therapist, hospitalcVisit132121
Community-based services
 GP
  Surgery visitVisit49214422
  Home visitVisit9211122
  Telephone callCall10211221
  Repeat prescriptionOccurrence47214921
 Practice nurse
  Surgery visitVisit26212322
  Telephone callCall321311
 Physiotherapist
  Home visitVisit145174
  Surgery visitVisit122232
  ElsewhereVisit< 1100
 Occupational therapist
  Home visitVisit111111
  Surgery visitVisit< 1311< 13
  ElsewhereVisit00
 Speech and language therapist
  Home visitVisit< 110
  Surgery visitVisit0< 13
  ElsewhereVisit00
 Social worker
  Home visitVisit121221
  Telephone callCall122121
 Community/district nurseContact5336510
 Health visitorContact< 132121
 GeriatricianContact0110
 PsychiatristContact< 120
 PsychologistContact< 110
 ChiropodistContact10211211
 ChiropractorContact< 11< 11
 OsteopathContact< 120
 DentistContact12111211
 OpticianContact121< 1121< 1
 Day hospitalHalf-day12111< 1
 Social clubHalf-day39731212
 Lunch clubVisit179142
 Drop-in centreVisit121145
 Meals on wheelsMeal0< 15
 Frozen mealsMeal< 144144
 Home help, personal careVisit1424625355
 Home help, household careVisit1304322028
 Home help, shopping careVisit< 121185
 Social services day-care centreHour0< 190
 Intermediate care teamContact< 1310
 Other servicesOccurrence251121< 1
Informal care from co-residents
 Personal careHour347433219320
 Providing transportHour37820563756
 Preparing mealsHour41381756134141
 Housework/laundryHour414718669593
 DIYHour29724734065
 GardeningHour39420743144
 ShoppingHour48118454147
 OutingsHour210623134463
 SocialisingHour34156043202428
 Help managing financesHour37721443140
Informal care from non-residents
 Personal careHour139291171281
 Providing transportHour6252343948
 Preparing mealsHour3667224865
 Housework/laundryHour4433942420
 DIYHour319192107
 GardeningHour4181431814
 ShoppingHour5241542821
 OutingsHour5285632316
 SocialisingHour595115578100
 Help managing financesHour219142127
a

Mean for valid user values only.

b

Not included in the evaluation.

c

Separate from other outpatient visits. Further visits to these services are also included in the broader outpatient visit numbers.

TABLE 82

Resource use at 6 months (in the previous 6 months)

ResourceUnitIntervention (n = 307)Control (n = 295)
Users (%)MeanaSDUsers (%)MeanaSD
Residential care homeNight3586243948
Nursing homeNight2594926358
Inpatient servicesBed-day191518191427
Day hospital/day casesActivity1211811
A&EVisit17221421
Outpatient servicesVisit44334035
Physiotherapist, hospitalbVisit12881778
Occupational therapist, hospitalbVisit5339813
Speech and language therapist, hospitalbVisit643833
Community-based services
 GP
  Surgery visitVisit57326032
  Home visitVisit24222221
  Telephone callCall20222123
  Repeat prescriptionOccurrence52345153
 Practice nurse
  Surgery visitVisit33334033
  Telephone callCall722822
 Physiotherapist
  Home visitVisit288922810
  Surgery visitVisit343433
  ElsewhereVisit115226811
 Occupational therapist
  Home visitVisit26582467
  Surgery visitVisit122121
  ElsewhereVisit114233914
 Speech and language therapist
  Home visitVisit11431344
  Surgery visitVisit232133
  ElsewhereVisit1108232
 Social worker
  Home visitVisit12211121
  Telephone callCall832532
 Community/district nurseContact237212349
 Health visitorContact52181027
 GeriatricianContact131111
 PsychiatristContact221121
 PsychologistContact331321
 ChiropodistContact18221621
 ChiropractorContact< 13111
 OsteopathContact< 14< 11
 DentistContact21211411
 OpticianContact20112211
 Day hospitalHalf-day6818466
 Social clubHalf-day51216388
 Lunch clubVisit2642118
 Drop-in centreVisit275< 16
 Meals on wheelsMeal0< 15
 Frozen mealsMeal2212413014
 Home help, personal careVisit54967578138
 Home help, household careVisit36112724263
 Home help, shopping careVisit2121311312
 Social services day-care centreHour< 16< 143
 Intermediate care teamContact5571673711
 Other servicesOccurrence86158916
Informal care from co-residents
 Personal careHour1538583414242324
 Providing transportHour1510814014120126
 Preparing mealsHour1924923414249200
 Housework/laundryHour1824430514204163
 DIYHour98722444951
 GardeningHour11809486052
 ShoppingHour161151221595113
 OutingsHour1411614299387
 SocialisingHour1472811259489488
 Help managing financesHour138912311124225
Informal care from non-residents
 Personal careHour8110966110102
 Providing transportHour146382145858
 Preparing mealsHour810413568598
 Housework/laundryHour9808274543
 DIYHour6202042435
 GardeningHour9263673237
 ShoppingHour114848114435
 OutingsHour135798115462
 SocialisingHour131561639146218
 Help managing financesHour7606953336
a

Mean for valid user values only.

b

Separate from other outpatient visits. Further visits to these services are also included in the broader outpatient visit numbers.

TABLE 83

Resource use at 12 months (in the previous 6 months)

ResourceUnitIntervention (n = 283)Control (n = 268)
Users (%)MeanaSDUsers (%)MeanaSD
Residential care homeNight2818424676
Nursing homeNight192911103112
Inpatient servicesBed-day169151589
Day hospital/day casesActivity821101<1
A&EVisit12211021
Outpatient servicesVisit36333735
Physiotherapist, hospitalbVisit14661268
Occupational therapist, hospitalbVisit411732
Speech and language therapist, hospitalbVisit687221
Community-based services
 GP
  Surgery visitVisit53336032
  Home visitVisit15341336
  Telephone callCall18211333
  Repeat prescriptionOccurrence49535452
 Practice nurse
  Surgery visitVisit35344434
  Telephone callCall622833
 Physiotherapist
  Home visitVisit7914757
  Surgery visitVisit421422
  ElsewhereVisit2121211626
 Occupational therapist
  Home visitVisit622756
  Surgery visitVisit132120
  ElsewhereVisit<15143
 Speech and language therapist
  Home visitVisit334321
  Surgery visitVisit1100
  ElsewhereVisit0<16
 Social worker
  Home visitVisit821421
  Telephone callCall531211
 Community/district nurseContact158271445
 Health visitorContact521321
 GeriatricianContact110110
 PsychiatristContact268121
 PsychologistContact221221
 ChiropodistContact18211822
 ChiropractorContact<11121
 OsteopathContact12<13
 DentistContact27212221
 OpticianContact211<12411
 Day hospitalHalf-day556644
 Social clubHalf-day4131231315
 Lunch clubVisit29821411
 Drop-in centreVisit12121010
 Meals on wheelsMeal0<1150
 Frozen mealsMeal15512423
 Home help, personal careVisit21943062163169
 Home help, household careVisit156193
 Home help, shopping careVisit<11<15
 Social services day-care centreHour2566412010
 Intermediate care teamContact0155
 Other servicesOccurrence646321
Informal care from co-residents
 Personal careHour11564169564601035
 Providing transportHour1220235710134278
 Preparing mealsHour143173369213203
 Housework/laundryHour1433976911210235
 DIYHour715745546783
 GardeningHour9137390881160
 ShoppingHour111753491080141
 OutingsHour111733787123176
 SocialisingHour115507767343488
 Help managing financesHour9169403863117
Informal care from non-residents
 Personal careHour52093563186349
 Providing transportHour125366114240
 Preparing mealsHour710617048784
 Housework/laundryHour910715476067
 DIYHour5464373444
 GardeningHour6383763136
 ShoppingHour8627284439
 OutingsHour116313594746
 SocialisingHour122223568116140
 Help managing financesHour5496444437
a

Mean for valid user values only.

b

Separate from other outpatient visits. Further visits to these services are also included in the broader outpatient visit numbers.

Copyright © Queen’s Printer and Controller of HMSO 2014. This work was produced by Forster et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK269110

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