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Peripheral Artery Disease III: Interprofessional Care01:27

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Improving Primary Care After Stroke (IPCAS) randomised controlled trial: protocol for a multidimensional process

Maria Raisa Jessica Ryc Aquino1,2, Ricky Mullis3, Elizabeth Kreit3

  • 1Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK ra532@medschl.cam.ac.uk.

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Summary
This summary is machine-generated.

This study evaluates the Improving Primary Care After Stroke (IPCAS) model, a complex intervention designed to enhance long-term stroke care. The process evaluation used mixed methods to understand intervention delivery and participant engagement in a cluster RCT.

Keywords:
intervention fidelityprimary careprocess evaluationprotocolrandomised controlled trialstroke

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Area of Science:

  • Stroke care research
  • Complex intervention evaluation
  • Primary care models

Background:

  • Primary care interventions for stroke are often complex, involving multiple components and targets.
  • The Improving Primary Care After Stroke (IPCAS) model is a novel, primary care-based approach to long-term stroke care.
  • IPCAS includes needs review, self-management support, direct GP contact, enhanced inter-service communication, and a community service directory.

Purpose of the Study:

  • To outline the process evaluation protocol for the IPCAS intervention within a cluster randomised controlled trial (RCT).
  • To explore the delivery, context, and participant engagement with the IPCAS intervention.
  • To adhere to Medical Research Council guidance for complex interventions and the Behaviour Change Consortium fidelity framework.

Main Methods:

  • A mixed-methods approach was employed for the process evaluation.
  • Data collection included intervention content comparison, audio/video recording of training, healthcare professional self-reports, intervention delivery recordings, observations, and semistructured interviews with professionals and participants.
  • Quantitative analysis of stroke review records and thematic analysis of interviews were conducted.

Main Results:

  • The study is currently undergoing evaluation with pre-results available.
  • Data analysis is iterative and independent of the primary endpoint analysis.
  • Favourable ethical opinion was obtained from the relevant NHS Research Ethics Committee.

Conclusions:

  • The process evaluation protocol is established for the IPCAS intervention.
  • Findings will inform the understanding of how complex interventions are delivered and received in primary care post-stroke.
  • Study results will be disseminated through peer-reviewed publications and conference presentations.