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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.)
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.
Show detailsTABLE 81
Resource | Unit | Intervention (n = 401) | Control (n = 398) | ||||
---|---|---|---|---|---|---|---|
Users (%) | Meana | SD | Users (%) | Meana | SD | ||
Index stroke admissionb | Bed-days | 99 | 39 | 44 | 99 | 30 | 35 |
Residential care home | Night | 0 | – | – | 0 | – | – |
Nursing home | Night | 0 | – | – | 0 | – | – |
Inpatient services | Bed-day | 7 | 11 | 24 | 10 | 7 | 6 |
Day hospital/day cases | Activity | 9 | 1 | 1 | 6 | 1 | < 1 |
A&E | Visit | 7 | 11 | 24 | 10 | 7 | 6 |
Outpatient services | Visit | 8 | 2 | 4 | 10 | 1 | 1 |
Physiotherapist, hospitalc | Visit | 3 | 3 | 4 | 4 | 2 | 2 |
Occupational therapist, hospitalc | Visit | < 1 | 2 | 1 | 1 | 3 | 2 |
Speech and language therapist, hospitalc | Visit | 1 | 3 | 2 | 1 | 2 | 1 |
Community-based services | |||||||
GP | |||||||
Surgery visit | Visit | 49 | 2 | 1 | 44 | 2 | 2 |
Home visit | Visit | 9 | 2 | 1 | 11 | 2 | 2 |
Telephone call | Call | 10 | 2 | 1 | 12 | 2 | 1 |
Repeat prescription | Occurrence | 47 | 2 | 1 | 49 | 2 | 1 |
Practice nurse | |||||||
Surgery visit | Visit | 26 | 2 | 1 | 23 | 2 | 2 |
Telephone call | Call | 3 | 2 | 1 | 3 | 1 | 1 |
Physiotherapist | |||||||
Home visit | Visit | 1 | 4 | 5 | 1 | 7 | 4 |
Surgery visit | Visit | 1 | 2 | 2 | 2 | 3 | 2 |
Elsewhere | Visit | < 1 | 1 | 0 | 0 | – | – |
Occupational therapist | |||||||
Home visit | Visit | 1 | 1 | 1 | 1 | 1 | 1 |
Surgery visit | Visit | < 1 | 3 | 11 | < 1 | 3 | – |
Elsewhere | Visit | 0 | – | – | 0 | – | – |
Speech and language therapist | |||||||
Home visit | Visit | < 1 | 1 | – | 0 | – | – |
Surgery visit | Visit | 0 | – | – | < 1 | 3 | – |
Elsewhere | Visit | 0 | – | – | 0 | – | – |
Social worker | |||||||
Home visit | Visit | 1 | 2 | 1 | 2 | 2 | 1 |
Telephone call | Call | 1 | 2 | 2 | 1 | 2 | 1 |
Community/district nurse | Contact | 5 | 3 | 3 | 6 | 5 | 10 |
Health visitor | Contact | < 1 | 3 | 2 | 1 | 2 | 1 |
Geriatrician | Contact | 0 | – | – | 1 | 1 | 0 |
Psychiatrist | Contact | < 1 | 2 | – | 0 | – | – |
Psychologist | Contact | < 1 | 1 | – | 0 | – | – |
Chiropodist | Contact | 10 | 2 | 1 | 12 | 1 | 1 |
Chiropractor | Contact | < 1 | 1 | – | < 1 | 1 | – |
Osteopath | Contact | < 1 | 2 | – | 0 | – | – |
Dentist | Contact | 12 | 1 | 1 | 12 | 1 | 1 |
Optician | Contact | 12 | 1 | < 1 | 12 | 1 | < 1 |
Day hospital | Half-day | 1 | 2 | 1 | 1 | 1 | < 1 |
Social club | Half-day | 3 | 9 | 7 | 3 | 12 | 12 |
Lunch club | Visit | 1 | 7 | 9 | 1 | 4 | 2 |
Drop-in centre | Visit | 1 | 2 | 1 | 1 | 4 | 5 |
Meals on wheels | Meal | 0 | – | – | < 1 | 5 | – |
Frozen meals | Meal | < 1 | 4 | 4 | 1 | 4 | 4 |
Home help, personal care | Visit | 1 | 42 | 46 | 2 | 53 | 55 |
Home help, household care | Visit | 1 | 30 | 43 | 2 | 20 | 28 |
Home help, shopping care | Visit | < 1 | 2 | 1 | 1 | 8 | 5 |
Social services day-care centre | Hour | 0 | – | – | < 1 | 90 | – |
Intermediate care team | Contact | < 1 | 3 | 1 | 0 | – | – |
Other services | Occurrence | 2 | 5 | 11 | 2 | 1 | < 1 |
Informal care from co-residents | |||||||
Personal care | Hour | 3 | 47 | 43 | 3 | 219 | 320 |
Providing transport | Hour | 3 | 78 | 205 | 6 | 37 | 56 |
Preparing meals | Hour | 4 | 138 | 175 | 6 | 134 | 141 |
Housework/laundry | Hour | 4 | 147 | 186 | 6 | 95 | 93 |
DIY | Hour | 2 | 97 | 247 | 3 | 40 | 65 |
Gardening | Hour | 3 | 94 | 207 | 4 | 31 | 44 |
Shopping | Hour | 4 | 81 | 184 | 5 | 41 | 47 |
Outings | Hour | 2 | 106 | 231 | 3 | 44 | 63 |
Socialising | Hour | 3 | 415 | 604 | 3 | 202 | 428 |
Help managing finances | Hour | 3 | 77 | 214 | 4 | 31 | 40 |
Informal care from non-residents | |||||||
Personal care | Hour | 1 | 39 | 29 | 1 | 171 | 281 |
Providing transport | Hour | 6 | 25 | 23 | 4 | 39 | 48 |
Preparing meals | Hour | 3 | 66 | 72 | 2 | 48 | 65 |
Housework/laundry | Hour | 4 | 43 | 39 | 4 | 24 | 20 |
DIY | Hour | 3 | 19 | 19 | 2 | 10 | 7 |
Gardening | Hour | 4 | 18 | 14 | 3 | 18 | 14 |
Shopping | Hour | 5 | 24 | 15 | 4 | 28 | 21 |
Outings | Hour | 5 | 28 | 56 | 3 | 23 | 16 |
Socialising | Hour | 5 | 95 | 115 | 5 | 78 | 100 |
Help managing finances | Hour | 2 | 19 | 14 | 2 | 12 | 7 |
- 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 | Unit | Intervention (n = 307) | Control (n = 295) | ||||
---|---|---|---|---|---|---|---|
Users (%) | Meana | SD | Users (%) | Meana | SD | ||
Residential care home | Night | 3 | 58 | 62 | 4 | 39 | 48 |
Nursing home | Night | 2 | 59 | 49 | 2 | 63 | 58 |
Inpatient services | Bed-day | 19 | 15 | 18 | 19 | 14 | 27 |
Day hospital/day cases | Activity | 12 | 1 | 1 | 8 | 1 | 1 |
A&E | Visit | 17 | 2 | 2 | 14 | 2 | 1 |
Outpatient services | Visit | 44 | 3 | 3 | 40 | 3 | 5 |
Physiotherapist, hospitalb | Visit | 12 | 8 | 8 | 17 | 7 | 8 |
Occupational therapist, hospitalb | Visit | 5 | 3 | 3 | 9 | 8 | 13 |
Speech and language therapist, hospitalb | Visit | 6 | 4 | 3 | 8 | 3 | 3 |
Community-based services | |||||||
GP | |||||||
Surgery visit | Visit | 57 | 3 | 2 | 60 | 3 | 2 |
Home visit | Visit | 24 | 2 | 2 | 22 | 2 | 1 |
Telephone call | Call | 20 | 2 | 2 | 21 | 2 | 3 |
Repeat prescription | Occurrence | 52 | 3 | 4 | 51 | 5 | 3 |
Practice nurse | |||||||
Surgery visit | Visit | 33 | 3 | 3 | 40 | 3 | 3 |
Telephone call | Call | 7 | 2 | 2 | 8 | 2 | 2 |
Physiotherapist | |||||||
Home visit | Visit | 28 | 8 | 9 | 22 | 8 | 10 |
Surgery visit | Visit | 3 | 4 | 3 | 4 | 3 | 3 |
Elsewhere | Visit | 1 | 15 | 22 | 6 | 8 | 11 |
Occupational therapist | |||||||
Home visit | Visit | 26 | 5 | 8 | 24 | 6 | 7 |
Surgery visit | Visit | 1 | 2 | 2 | 1 | 2 | 1 |
Elsewhere | Visit | 1 | 14 | 23 | 3 | 9 | 14 |
Speech and language therapist | |||||||
Home visit | Visit | 11 | 4 | 3 | 13 | 4 | 4 |
Surgery visit | Visit | 2 | 3 | 2 | 1 | 3 | 3 |
Elsewhere | Visit | 1 | 10 | 8 | 2 | 3 | 2 |
Social worker | |||||||
Home visit | Visit | 12 | 2 | 1 | 11 | 2 | 1 |
Telephone call | Call | 8 | 3 | 2 | 5 | 3 | 2 |
Community/district nurse | Contact | 23 | 7 | 21 | 23 | 4 | 9 |
Health visitor | Contact | 5 | 2 | 1 | 8 | 10 | 27 |
Geriatrician | Contact | 1 | 3 | 1 | 1 | 1 | 1 |
Psychiatrist | Contact | 2 | 2 | 1 | 1 | 2 | 1 |
Psychologist | Contact | 3 | 3 | 1 | 3 | 2 | 1 |
Chiropodist | Contact | 18 | 2 | 2 | 16 | 2 | 1 |
Chiropractor | Contact | < 1 | 3 | – | 1 | 1 | 1 |
Osteopath | Contact | < 1 | 4 | – | < 1 | 1 | – |
Dentist | Contact | 21 | 2 | 1 | 14 | 1 | 1 |
Optician | Contact | 20 | 1 | 1 | 22 | 1 | 1 |
Day hospital | Half-day | 6 | 8 | 18 | 4 | 6 | 6 |
Social club | Half-day | 5 | 12 | 16 | 3 | 8 | 8 |
Lunch club | Visit | 2 | 6 | 4 | 2 | 11 | 8 |
Drop-in centre | Visit | 2 | 7 | 5 | < 1 | 6 | – |
Meals on wheels | Meal | 0 | – | – | < 1 | 5 | – |
Frozen meals | Meal | 2 | 21 | 24 | 1 | 30 | 14 |
Home help, personal care | Visit | 5 | 49 | 67 | 5 | 78 | 138 |
Home help, household care | Visit | 3 | 61 | 127 | 2 | 42 | 63 |
Home help, shopping care | Visit | 2 | 12 | 13 | 1 | 13 | 12 |
Social services day-care centre | Hour | < 1 | 6 | – | < 1 | 4 | 3 |
Intermediate care team | Contact | 5 | 57 | 167 | 3 | 7 | 11 |
Other services | Occurrence | 8 | 6 | 15 | 8 | 9 | 16 |
Informal care from co-residents | |||||||
Personal care | Hour | 15 | 385 | 834 | 14 | 242 | 324 |
Providing transport | Hour | 15 | 108 | 140 | 14 | 120 | 126 |
Preparing meals | Hour | 19 | 249 | 234 | 14 | 249 | 200 |
Housework/laundry | Hour | 18 | 244 | 305 | 14 | 204 | 163 |
DIY | Hour | 9 | 87 | 224 | 4 | 49 | 51 |
Gardening | Hour | 11 | 80 | 94 | 8 | 60 | 52 |
Shopping | Hour | 16 | 115 | 122 | 15 | 95 | 113 |
Outings | Hour | 14 | 116 | 142 | 9 | 93 | 87 |
Socialising | Hour | 14 | 728 | 1125 | 9 | 489 | 488 |
Help managing finances | Hour | 13 | 89 | 123 | 11 | 124 | 225 |
Informal care from non-residents | |||||||
Personal care | Hour | 8 | 110 | 96 | 6 | 110 | 102 |
Providing transport | Hour | 14 | 63 | 82 | 14 | 58 | 58 |
Preparing meals | Hour | 8 | 104 | 135 | 6 | 85 | 98 |
Housework/laundry | Hour | 9 | 80 | 82 | 7 | 45 | 43 |
DIY | Hour | 6 | 20 | 20 | 4 | 24 | 35 |
Gardening | Hour | 9 | 26 | 36 | 7 | 32 | 37 |
Shopping | Hour | 11 | 48 | 48 | 11 | 44 | 35 |
Outings | Hour | 13 | 57 | 98 | 11 | 54 | 62 |
Socialising | Hour | 13 | 156 | 163 | 9 | 146 | 218 |
Help managing finances | Hour | 7 | 60 | 69 | 5 | 33 | 36 |
- 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 | Unit | Intervention (n = 283) | Control (n = 268) | ||||
---|---|---|---|---|---|---|---|
Users (%) | Meana | SD | Users (%) | Meana | SD | ||
Residential care home | Night | 2 | 81 | 84 | 2 | 46 | 76 |
Nursing home | Night | 1 | 92 | 91 | 1 | 103 | 112 |
Inpatient services | Bed-day | 16 | 9 | 15 | 15 | 8 | 9 |
Day hospital/day cases | Activity | 8 | 2 | 1 | 10 | 1 | <1 |
A&E | Visit | 12 | 2 | 1 | 10 | 2 | 1 |
Outpatient services | Visit | 36 | 3 | 3 | 37 | 3 | 5 |
Physiotherapist, hospitalb | Visit | 14 | 6 | 6 | 12 | 6 | 8 |
Occupational therapist, hospitalb | Visit | 4 | 1 | 1 | 7 | 3 | 2 |
Speech and language therapist, hospitalb | Visit | 6 | 8 | 7 | 2 | 2 | 1 |
Community-based services | |||||||
GP | |||||||
Surgery visit | Visit | 53 | 3 | 3 | 60 | 3 | 2 |
Home visit | Visit | 15 | 3 | 4 | 13 | 3 | 6 |
Telephone call | Call | 18 | 2 | 1 | 13 | 3 | 3 |
Repeat prescription | Occurrence | 49 | 5 | 3 | 54 | 5 | 2 |
Practice nurse | |||||||
Surgery visit | Visit | 35 | 3 | 4 | 44 | 3 | 4 |
Telephone call | Call | 6 | 2 | 2 | 8 | 3 | 3 |
Physiotherapist | |||||||
Home visit | Visit | 7 | 9 | 14 | 7 | 5 | 7 |
Surgery visit | Visit | 4 | 2 | 1 | 4 | 2 | 2 |
Elsewhere | Visit | 2 | 12 | 12 | 1 | 16 | 26 |
Occupational therapist | |||||||
Home visit | Visit | 6 | 2 | 2 | 7 | 5 | 6 |
Surgery visit | Visit | 1 | 3 | 2 | 1 | 2 | 0 |
Elsewhere | Visit | <1 | 5 | – | 1 | 4 | 3 |
Speech and language therapist | |||||||
Home visit | Visit | 3 | 3 | 4 | 3 | 2 | 1 |
Surgery visit | Visit | 1 | 1 | 0 | 0 | – | – |
Elsewhere | Visit | 0 | – | – | <1 | 6 | – |
Social worker | |||||||
Home visit | Visit | 8 | 2 | 1 | 4 | 2 | 1 |
Telephone call | Call | 5 | 3 | 1 | 2 | 1 | 1 |
Community/district nurse | Contact | 15 | 8 | 27 | 14 | 4 | 5 |
Health visitor | Contact | 5 | 2 | 1 | 3 | 2 | 1 |
Geriatrician | Contact | 1 | 1 | 0 | 1 | 1 | 0 |
Psychiatrist | Contact | 2 | 6 | 8 | 1 | 2 | 1 |
Psychologist | Contact | 2 | 2 | 1 | 2 | 2 | 1 |
Chiropodist | Contact | 18 | 2 | 1 | 18 | 2 | 2 |
Chiropractor | Contact | <1 | 1 | – | 1 | 2 | 1 |
Osteopath | Contact | 1 | 2 | – | <1 | 3 | – |
Dentist | Contact | 27 | 2 | 1 | 22 | 2 | 1 |
Optician | Contact | 21 | 1 | <1 | 24 | 1 | 1 |
Day hospital | Half-day | 5 | 5 | 6 | 6 | 4 | 4 |
Social club | Half-day | 4 | 13 | 12 | 3 | 13 | 15 |
Lunch club | Visit | 2 | 9 | 8 | 2 | 14 | 11 |
Drop-in centre | Visit | 1 | 2 | 1 | 2 | 10 | 10 |
Meals on wheels | Meal | 0 | – | – | <1 | 150 | – |
Frozen meals | Meal | 1 | 5 | 5 | 1 | 24 | 23 |
Home help, personal care | Visit | 2 | 194 | 306 | 2 | 163 | 169 |
Home help, household care | Visit | 1 | 5 | 6 | 1 | 9 | 3 |
Home help, shopping care | Visit | <1 | 1 | – | <1 | 5 | – |
Social services day-care centre | Hour | 2 | 56 | 64 | 1 | 20 | 10 |
Intermediate care team | Contact | 0 | – | – | 1 | 5 | 5 |
Other services | Occurrence | 6 | 4 | 6 | 3 | 2 | 1 |
Informal care from co-residents | |||||||
Personal care | Hour | 11 | 564 | 1695 | 6 | 460 | 1035 |
Providing transport | Hour | 12 | 202 | 357 | 10 | 134 | 278 |
Preparing meals | Hour | 14 | 317 | 336 | 9 | 213 | 203 |
Housework/laundry | Hour | 14 | 339 | 769 | 11 | 210 | 235 |
DIY | Hour | 7 | 157 | 455 | 4 | 67 | 83 |
Gardening | Hour | 9 | 137 | 390 | 8 | 81 | 160 |
Shopping | Hour | 11 | 175 | 349 | 10 | 80 | 141 |
Outings | Hour | 11 | 173 | 378 | 7 | 123 | 176 |
Socialising | Hour | 11 | 550 | 776 | 7 | 343 | 488 |
Help managing finances | Hour | 9 | 169 | 403 | 8 | 63 | 117 |
Informal care from non-residents | |||||||
Personal care | Hour | 5 | 209 | 356 | 3 | 186 | 349 |
Providing transport | Hour | 12 | 53 | 66 | 11 | 42 | 40 |
Preparing meals | Hour | 7 | 106 | 170 | 4 | 87 | 84 |
Housework/laundry | Hour | 9 | 107 | 154 | 7 | 60 | 67 |
DIY | Hour | 5 | 46 | 43 | 7 | 34 | 44 |
Gardening | Hour | 6 | 38 | 37 | 6 | 31 | 36 |
Shopping | Hour | 8 | 62 | 72 | 8 | 44 | 39 |
Outings | Hour | 11 | 63 | 135 | 9 | 47 | 46 |
Socialising | Hour | 12 | 222 | 356 | 8 | 116 | 140 |
Help managing finances | Hour | 5 | 49 | 64 | 4 | 44 | 37 |
- 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.
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