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Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Study protocol: ICONS: identifying continence options after stroke: a randomised trial.

Lois H Thomas1, Caroline L Watkins, Beverley French

  • 1School of Health, University of Central Lancashire, Preston, PR1 2HE, UK. lhthomas@uclan.ac.uk

Trials
|May 24, 2011
PubMed
Summary
This summary is machine-generated.

Urinary incontinence affects 40%-60% of stroke survivors. A pilot trial will test a systematic voiding program to improve continence management in stroke patients, assessing its effectiveness and cost-effectiveness.

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Area of Science:

  • Neurology
  • Gerontology
  • Rehabilitation Medicine

Background:

  • Urinary incontinence is a common complication in acute stroke survivors, impacting 40%-60% of hospitalized patients.
  • Despite existing guidelines, clinical practice suggests poor management of post-stroke urinary incontinence.
  • Evidence for conservative interventions' effectiveness in stroke patients is limited.

Purpose of the Study:

  • To assess the feasibility of a large-scale cluster randomized trial for post-stroke urinary incontinence.
  • To provide preliminary evidence on the effectiveness and cost-effectiveness of a systematic voiding program.
  • To explore implementation factors through qualitative evaluation.

Main Methods:

  • A cluster randomized controlled pilot trial involving 12 stroke services randomized into three arms: systematic voiding program, program with supported implementation, or usual care.
  • Recruitment of at least 780 participants with primary outcome of incontinence presence/absence at six weeks post-stroke.
  • Secondary outcomes include incontinence frequency/severity, quality of life, and cost-utility, measured at 6 weeks, 3 months, and 12 months.

Main Results:

  • This section is not available in the provided abstract.

Conclusions:

  • This section is not available in the provided abstract.