Clinical effectiveness, cost-effectiveness and service users’ perceptions of early, well-resourced communication therapy following a stroke: a randomised controlled trial (the ACT NoW Study).

Bowen, Audrey; Hesketh, Anne; Patchick, Emma; Young, Alys; Davies, Linda; Vail, Andy; Long, Andrew; Watkins, Caroline; Wilkinson, Michael; Pearl, Gill; Ralph, Matthew A. Lambon; Tyrrell, Pippa J.

doi:10.3310/hta16260

Cited by 51 publications

(70 citation statements)

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“…DCEs (also known as stated choice) are being increasingly used in health care to elicit preferences for a range of health-care services, 115 for example, smoking cessation in pregnancy 116 and communication therapy following stroke. 117 The DCE was developed using the findings from the systematic review and interview data (see Chapter 4).…”

Section: Introductionmentioning

confidence: 99%

The Community IntraVenous Antibiotic Study (CIVAS): a mixed-methods evaluation of patient preferences for and cost-effectiveness of different service models for delivering outpatient parenteral antimicrobial therapy

Minton

Czoski-Murray

Meads

et al. 2017

Health Serv Deliv Res

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Section: Introductionmentioning

confidence: 99%

The Community IntraVenous Antibiotic Study (CIVAS): a mixed-methods evaluation of patient preferences for and cost-effectiveness of different service models for delivering outpatient parenteral antimicrobial therapy

Minton

Czoski-Murray

Meads

et al. 2017

Health Serv Deliv Res

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“…Alternatively low frequency repetitive transcranial magnetic stimulation rTMS may be beneficial. Lack of randomized controlled trials (RCT), particularly with respect to chronic aphasia (lasting for >6 months after initial stroke) is observed [33][34][35][36][37][38][39]. What more patients with aphasia still experience various problems, e.g.…”

Section: Much Easier Example: Aphasiamentioning

confidence: 99%

Komunikacja w grupie pacjentów z zaburzeniami świadomości – wnioskiz projektu InteRDoCTor

Komendziński

Mikołajewska

Mikołajewski

et al. 2017

MBS

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S u m m a r yThanks to recent advances in health care an increased number of patients may recover from severe brain injuries, but some of them are still assessed as non-responsive. Reliance on behavioural measures in communication with DoC patients seems be too prone to errors. There is need for solutions providing more objective attempts of bidirectional communication (intentional questions/commands and adequate related responses) in patients with DoC using significant processed by the patient stimuli and novel technologies (EEG-, fMRI-, BCI-based, etc.) based on recent scientific and clinical evidences. Such communication may be fulfilled even in the absence of behavior.This article aims at assessment the extent to which current possibilities in the area of devices for extended communication has been exploited, including own experiences within InteRDoCTor project. S t r e s z c z e n i e Dzięki najnowszym osiągnięciom w opiece zdrowotnej coraz większa liczba pacjentów może powrócić do zdrowia z poważnych urazów mózgu, lecz część z nich jest ciągle diagnozowana jako niereagujący na bodźce. Poleganie jedynie na miarach behawioralnych w komunikacji z pacjentami z zaburzeniami świadomości wydaje się zbyt podatne na błędy. Istnieje zapotrzebowanie na rozwiązania zapewniające bardziej obiektywne próby komunikacji dwukierunkowej (celowe pytania/polecenia i odpowiadające im reakcje)u pacjentów z zaburzeniami świadomości, z wykorzystaniem bodźców znaczących dla pacjenta i przetwarzanych przez niego oraz nowych technologii (opartych na EEG, fMRI, BCI, itd.) w oparciu o najnowsze dowody naukowe i kliniczne. Ww. komunikacja może być realizowana nawet w przypadku braku obserwowalnych zmian zachowania pacjenta.Artykuł ma na celu ocenę, w jakim zakresie wykorzystuje się możliwości w tym obszarze, w tym w oparciu o doświadczenia własne z projektu InteRDoCTor.

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“…Reflection on this involvement indicates both benefits and challenges for both the project and the individuals involved. 197 However, the over-riding theme for these studies is the importance of adhering to the principles of reducing barriers and providing facilitators to enable people with aphasia to participate. 199 the researchers hoped to obtain feedback on the proposal, and also to develop links with individuals who might be called on to join programme-specific advisory groups if the programme was successful in obtaining funding.…”

Section: Involvementioning

confidence: 99%

“…Issues discussed above in relation to group formation did not apply to the Speakeasy Group, as all members knew one another and the majority had worked together on another large research study, Accessing Communication Therapy in the North West (ACTNoW). 197 However, there were many other challenges for the researcher in terms of facilitating involvement. For example, the process of arranging meetings needed to accommodate the needs of people with aphasia: simply writing to members with meeting dates in an aphasia-friendly format was not sufficient; GPe advised telephoning all members 1 day in advance of the meeting to remind them of the meeting details.…”

Section: Group Structures and Processesmentioning

confidence: 99%

“…195 In fostering true participation for people with aphasia there must be a 'paradigm shift' so that inclusion is 'more than the addition of new practices to an existing toolkit' and where 'inclusionary practices are seen as a fundamental rethinking of values and practices'. 196 Recent aphasia research projects, 197,198 many from within aphasia-specific organisations, demonstrate that when the required changes are made to values and practices then there can be successful involvement. Reflection on this involvement indicates both benefits and challenges for both the project and the individuals involved.…”

Section: Involvementioning

confidence: 99%

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Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care

Thomas

French

Sutton

et al. 2015

Programme Grants for Applied Research

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et al (2015) Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care. Programme Grants for Applied Research, 3 (1).It is advisable to refer to the publisher's version if you intend to cite from the work.http://dx.doi.org/10.3310/pgfar03010For more information about UCLan's research in this area go to http://www.uclan.ac.uk/researchgroups/ and search for . This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0707-10059. The contractual start date was in October 2008. The final report began editorial review in September 2013 and was accepted for publication in July 2014. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report. Published by the NI...

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Clinical effectiveness, cost-effectiveness and service users’ perceptions of early, well-resourced communication therapy following a stroke: a randomised controlled trial (the ACT NoW Study).

Cited by 51 publications

References 32 publications

The Community IntraVenous Antibiotic Study (CIVAS): a mixed-methods evaluation of patient preferences for and cost-effectiveness of different service models for delivering outpatient parenteral antimicrobial therapy

The Community IntraVenous Antibiotic Study (CIVAS): a mixed-methods evaluation of patient preferences for and cost-effectiveness of different service models for delivering outpatient parenteral antimicrobial therapy

Komunikacja w grupie pacjentów z zaburzeniami świadomości – wnioskiz projektu InteRDoCTor

Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care

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