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|Title:||ImProving Outcomes after STroke (POST): results from the randomized clinical pilot trial||Authors:||Sturm, Jonathan ;Hackett, M.L.;Carter, G.;Crimmins, Denis ;Clarke, T.;Arblaster, L.;Billot, L.;Mysore, J.||Issue Date:||Dec-2013||Source:||Volume 8, Issue 8, pp. 707 -710||Journal title:||International Journal of Stroke : official journal of the International Stroke Society||Abstract:||BACKGROUND: One in three patients experience depression after stroke. An effective strategy to prevent depression after stroke that could be economically delivered to most patients with a low likelihood of adverse events is needed. METHODS: In a randomized trial conducted in New South Wales, Australia, a postcard was sent monthly to participants (n = 100) for five-months following hospital discharge after stroke (plus usual care) and compared with usual care (n = 101). Ethical approval was obtained to withhold information about the intervention and primary outcome from participants during the consent process. RESULTS: No significant difference was seen in the proportion of participants with depression in the intervention group (1/88) vs. the control group (3/76) (relative risk 0.29, 95% confidence interval 0.03-2.71) at six-months. No significant differences were seen on Hospital Anxiety Depression Scale (HADS) depression and anxiety sub-scale scores, quality of life, or activities of daily living; however, many (47/100) responded positively to the postcards. CONCLUSIONS: Although this simple postcard intervention did not significantly reduce the proportion of participants experiencing high HADS depression sub-scale scores after stroke, it may be an effective way to engage with people after stroke following hospital discharge.||URI:||https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1296||DOI:||10.1111/j.1747-4949.2012.00913.x||Pubmed:||https://www.ncbi.nlm.nih.gov/pubmed/23075258||ISSN:||1747-4930||Publicaton type:||Journal Article||Keywords:||Neurology
|Study or Trial:||Randomized Controlled Clinical Trial/Controlled Clinical Trial|
|Appears in Collections:||Neurology|
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