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Transitional care for patients with acute stroke-A priority-setting project.

Liss Marita Solbakken1, Birgitta Langhammer1, Antje Sundseth2

  • 1Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|May 3, 2022
PubMed
Summary

This study developed a pragmatic approach to prioritize research needs for stroke patient transitional care. The resulting top 10 list guides future research on communication and collaboration after hospital discharge.

Keywords:
collaborationcommunicationpriority settingresearch needsstroketransitional careuser involvement

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Area of Science:

  • Healthcare Research
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Transitional care for acute stroke patients requires effective communication and collaboration.
  • Engaging stroke survivors and caregivers in research priority-setting is crucial.
  • Traditional research prioritization methods are resource-intensive and often infeasible for smaller studies.

Purpose of the Study:

  • To describe a pragmatic, user-centered process for identifying and prioritizing research needs in stroke transitional care.
  • To generate a prioritized top 10 list of research needs focused on communication and collaboration during stroke patient transitions.

Main Methods:

  • A pragmatic priority-setting approach, inspired by the James Lind Alliance, was employed.
  • Key steps included establishing a user group, conducting an online survey for research needs, systematic review analysis, and online prioritization.
  • The process involved patients, family caregivers, health personnel, and caseworkers.

Main Results:

  • The 7-month process yielded a prioritized top 10 list of research needs.
  • 484 research needs were submitted by 122 participants.
  • Key themes included patient/caregiver needs, health literacy, health personnel understanding, information flow, interventions, inter-professional collaboration, and post-stroke disabilities.

Conclusions:

  • A pragmatic, efficient method for prioritizing research needs in transitional care was successfully implemented.
  • The identified top 10 research priorities will inform future studies on communication and collaboration for stroke survivors transitioning from hospital to home.