Nominal group technique to establish the core components of home-based rehabilitation for survivors of stroke with severe disability.
primary care
rehabilitation medicine
stroke
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
02 12 2021
02 12 2021
Historique:
entrez:
3
12
2021
pubmed:
4
12
2021
medline:
8
3
2022
Statut:
epublish
Résumé
In the UK, over 20% of patients leaving hospital after a stroke will be severely disabled. Despite this, limited clinical guidance is available to teams tasked with providing support for this complex population at home. Additionally, many areas across the UK are not commissioned to treat this patient cohort, leaving them with no specialist support on discharge. To establish core components of home-based rehabilitation for survivors of stroke with severe disability, based on expert panel consensus. Virtual nominal group technique (vNGT) across the UK. Experts in the field of stroke rehabilitation (n=14) including researchers, clinicians and those with lived experience. Two vNGT were completed using a freely available online platform, Microsoft Teams. The technique's five stages were completed virtually; introduction, silent idea generation, round robin, clarifications and scoring. Statements were analysed for consensus, those achieving consensus underwent content analysis to form rich overarching consensus statements. A combined total of 421 statements achieved positive consensus (>75% in agreement), which formed 11 overarching consensus statements. These outline key components of home-based rehabilitation for survivors of stroke with severe disability including the structure and members of the team, as well as the skills and knowledge required. The consensus statements highlight the complexity of managing patients with severe stroke disability following discharge from hospital. This study has the potential to support the provision of services for this patient group, providing a benchmark for commissioners and clinicians as well as setting expectations for stroke survivors and their carers. What remains unknown is how many services currently offer this service to patients with severe disability.
Identifiants
pubmed: 34857570
pii: bmjopen-2021-052593
doi: 10.1136/bmjopen-2021-052593
pmc: PMC8640659
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e052593Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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