https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53997 Wed 28 Feb 2024 16:40:54 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53952 Wed 28 Feb 2024 15:24:26 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54326 Wed 28 Feb 2024 15:19:22 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54134 Wed 28 Feb 2024 15:07:59 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51317  2) and hemorrhagic stroke. With four arms per stratum (reference arm retained throughout), only the single treatment arm demonstrating the highest proportion of favorable outcomes at the first stage will proceed to the second stage in each stratum, resulting in a final comparison with the reference arm. Three prognostic covariates of age, geographic region and reperfusion interventions, as well as previously observed mRS 0-2 responses inform the adaptive randomization procedure. Participants randomized receive prespecified mobility training regimens (functional task-specific), provided by physiotherapists/nurses until discharge or 14 days. Interventions replace usual mobility training. Fifty hospitals in seven countries (Australia, Malaysia, United Kingdom, Ireland, India, Brazil, Singapore) are expected to participate. Summary: Our novel adaptive trial design will evaluate a wider variety of mobility regimes than a traditional two-arm design. The data-driven adaptions during the trial will enable a more efficient evaluation to determine the optimal early mobility intervention for patients with mild and moderate ischemic stroke.]]> Wed 28 Feb 2024 15:05:25 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53492 Wed 28 Feb 2024 15:04:18 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54154 Wed 28 Feb 2024 15:02:37 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45158 N = 70) who had experienced a stroke between 5 months and 28 years ago were included in the cross-sectional study, along with age-matched controls (N = 70). We measured stress using both the Perceived Stress Scale and biological markers, and resilience using both the Brief Resilience Scale and the Connor-Davidson Resilience Scale. Stroke outcomes were assessed using the Stroke Impact Scale. We found that, compared with age-matched controls, stroke survivors reported greater levels of perceived stress, and lower levels of resilience. In stroke survivors, both perceived stress and resilience were independently associated with stroke outcomes in linear regression models. In particular, these relationships were observed for cognitive outcomes including mood, memory, and communication. The association between stress and stroke outcome did not differ across time post stroke. Given that resilience is a modifiable psychological construct, future research may consider whether strategies directed at enhancing resilience may improve recovery from stroke. Australia and New Zealand Clinical Trials Registry: ACTRN12617000736347.]]> Wed 26 Oct 2022 19:17:21 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45114 n = 17) presentation of program materials with surveys after each section. In-depth individual semi-structured interviews (n = 6) were then conducted. All participants reported increased knowledge and confidence in adherence to the MEDI, with the majority preferring a booklet format (70%) and group delivery (58%). Three themes emerged from interviews—1. barriers (complexity, perceived cost and food preferences), 2. additional support and 3. individualisation of materials. Program materials were modified accordingly. Phase 2 was a 2-week trial of the modified program (n = 15). Participants received a group counselling session, program manual and food hamper. Adherence to the MEDI was measured by the Mediterranean Diet Score (MDS). All participants increased their adherence after the 2-week trial, from a mean score of 5.4 ± 2.4 (low adherence) to a mean score of 9.6 ± 2.0 (moderate to high adherence). All found that text message support helped achieve their goals and were confident to continue the dietary change]]> Wed 26 Oct 2022 13:03:08 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45085 n = 6), specialist dietitians (n = 6) and an IKT research team (n = 8) participated in a 4-phase co-design process. Phase 1: the IKT team developed the research questions, and identified essential program elements and workshop strategies for effective co-design. Phase 2: Participant co-design workshops used persona and journey mapping to create user profiles to identify barriers and essential program elements. Phase 3: The IKT team mapped Phase 2 data to the TIDieR checklist and developed the intervention prototype. Phase 4: Co-design workshops were conducted to refine the prototype for trial. Rigorous IKT co-design fundamentally influenced intervention development. Modifications to the protocol based on participant input included ensuring that all resources were accessible to people with aphasia, an additional support framework and resources specific to outcome of stroke. The feasibility and safety of this intervention is currently being pilot tested (randomised controlled trial; 2019/ETH11533, ACTRN12620000189921).]]> Wed 26 Oct 2022 12:25:58 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45047 n = 31 stroke survivors, n = 12 caregivers) were analysed using the Framework approach. Results: Observation participants differed in functional ability whereas stroke survivor interviewees were all ambulant. Six themes related to sedentary behaviour after stroke were generated: (1) sedentary behaviour levels and patterns after stroke; (2) the physical and social environment in the stroke service and in the home; (3) standing and movement capability after stroke; (4) emotion and motivation after stroke; (5) caregivers’ influence on, and role in influencing stroke survivors’ sedentary behaviour; and (6) intervening to reduce sedentary behaviour after stroke. Capability, opportunity and motivation were influenced by the impact of the stroke and caregivers’ inclination to support sedentary behaviour reduction. Stroke survivors reported being more sedentary than they were pre-stroke due to impaired balance and co-ordination, increased fatigue, and reduced confidence in mobilising. Caregivers inclination to support stroke survivors to reduce sedentary behaviour depended on factors including their willingness to withdraw from the caregiver role, and their perception of whether the stroke survivor would act on their encouragement. Conclusions: Many stroke survivors indicate being open to reducing sedentary behaviour, with appropriate support from stroke service staff and caregivers. The findings from this study have contributed to an intervention development process using the Behaviour Change Wheel (BCW) approach to develop strategies to reduce sedentary behaviour after stroke.]]> Wed 26 Oct 2022 11:37:18 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44991 Wed 26 Oct 2022 09:28:24 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24893 0.70, P<0.0001). Significant associations were seen with our chosen predictors of stroke outcome in the acute group (P<0.0001). The focus group agreed with the choice of items for SF-SIS across 7 of 8 domains. Conclusions: Using multiple, complementary methods, we have derived an SF-SIS and demonstrated content, convergent, and discriminant validity. This shortened SIS should allow collection of robust quality of life data with less associated test burden.]]> Wed 24 Nov 2021 15:52:12 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42249 ρ = −0.519, ρ = 0.023). A greater fear of falling (ρ = 0.579, ρ = 0.012) and having an impaired upper limb (mean difference 18.7%, 95% CI: 5.3–32.1, ρ = 0.012) were associated with greater sitting time. Providing support for stroke survivors to participate in meaningful activities while reducing sitting time is an important consideration when planning occupational therapy interventions, particularly for individuals with an arm impairment and/or those with a fear of falling.]]> Wed 24 May 2023 12:22:35 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47114 Wed 22 Mar 2023 19:03:52 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32873 Wed 19 Jan 2022 15:17:04 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36511 Wed 15 Jul 2020 18:30:58 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47104 Wed 14 Dec 2022 09:58:30 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34144 Wed 13 Feb 2019 11:29:00 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26633 Wed 11 Apr 2018 12:54:32 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26678 Wed 11 Apr 2018 12:33:31 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26679 Wed 11 Apr 2018 11:07:31 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26656 Wed 11 Apr 2018 11:06:05 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25730 Wed 11 Apr 2018 10:14:20 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:30832 Wed 11 Apr 2018 09:33:50 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39273 Wed 10 Aug 2022 10:57:14 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45795 Wed 09 Nov 2022 10:13:35 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34073 Wed 09 Mar 2022 16:04:01 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34647 1 million population and other countries with > 50 million population were included (n = 49, total 5.6 billion inhabitants, 85% of global strokes). Two stroke experts from each selected country were surveyed, discrepancies resolved, and further information on identified stroke-specific curricula sought. Results: We received responses from 48 (98%) countries. Of ischemic stroke patients, 64% were reportedly treated by neurologists, ranging from 5% in Ireland to 95% in the Netherlands. Per thousand annual strokes there were average six neurologists, ranging from 0.3 in Ethiopia to 33 in Israel. Of intracerebral hemorrhage patients, 29% were reportedly treated by neurosurgeons, ranging from 5% in Sweden to 79% in Japan, with three neurosurgeons per thousand strokes, ranging from 0.1 in Ethiopia to 24 in South Korea. Most countries had a stroke society (86%) while only 10 (21%) had a degree or subspecialty for stroke medicine. Conclusions: Stroke doctor numbers, background specialties, and opportunities to specialize in stroke vary across the globe. Most countries have a scientific society to pursue advancement of stroke medicine, but few have stroke curricula.]]> Wed 09 Mar 2022 15:59:08 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31388 Wed 06 Apr 2022 13:59:36 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44024 Wed 05 Oct 2022 15:19:00 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43925 Wed 05 Oct 2022 11:27:19 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47793 Tue 31 Jan 2023 15:05:01 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45683 3 months ago, who had completed formal rehabilitation and had no significant cognitive impairment. Experimental group received botulinum toxin-A plus evidence-based movement training while the control group received botulinum toxin-A plus a handout of exercises. Primary outcomes were goal attainment (Goal Attainment Scaling) and upper limb activity (Box and Block Test) at 3 months (end of intervention). Secondary outcomes were spasticity, range of motion, strength, pain, burden of care, and health-related quality of life. Results: In terms of goal attainment, the experimental group scored the same (mean difference, 2 T-score [95% CI, −2 to 7]) as the control group on the Goal Attainment Scale. In terms of upper limb activity, by 3 months the experimental group moved blocks at the same speed (mean difference, 0.00 blocks/s [95% CI, −0.02 to 0.01]) as the control group on the Box and Block Test. There were no differences between groups on any secondary outcome except strength, in favor of the experimental group (mean difference, 1.4 kg [95% CI, 0.2–2.7]). Conclusions: Findings suggest that additional intensive upper limb rehabilitation following botulinum toxin-A in chronic stroke survivors with a disabled upper limb is not effective. Registration: URL: https://www.clinicaltrials.gov. Unique identifier: ACTRN12615000616572. (Stroke. 2020;51:556-562. DOI: 10.1161/STROKEAHA.119.027602.)]]> Tue 21 Mar 2023 17:56:38 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38956 Tue 15 Mar 2022 18:57:17 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48293 Tue 14 Mar 2023 11:26:13 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54146 Tue 06 Feb 2024 12:04:28 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48727 Thu 30 Mar 2023 10:03:34 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50056 Thu 29 Jun 2023 16:23:51 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24986 Thu 28 Oct 2021 13:04:08 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33721 Thu 28 Oct 2021 12:36:17 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37242 Thu 28 Oct 2021 12:35:54 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45384 Thu 27 Oct 2022 16:12:08 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25778 or ≥ 4 were available for 22 of these 24 studies (total n = 3491), and ranged from 25 to 85%. In random effects meta-analysis, the pooled prevalence estimate was 50% (95% CI 43-57%), with substantial heterogeneity (I² = 94%). Neither depression status nor time point post-stroke explained the heterogeneity between studies. In post-hoc analysis, fatigue prevalence was found to be lower in the four Asian studies (35%; 95% CI 20-50; I² = 96%). Conclusions: Our results confirm that fatigue is a widespread issue for stroke survivors, although it may be less prevalent in Asia. Further research is needed to explain the wide variability in prevalence estimates between studies.]]> Thu 24 Mar 2022 11:30:50 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48040 Thu 23 Mar 2023 10:12:39 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37899 Thu 17 Jun 2021 15:24:15 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46528 Thu 14 Dec 2023 11:39:12 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:30831 Thu 14 Apr 2022 11:05:25 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:35820 30 and >60 min (p = 0.001 and p = 0.004, respectively). Regression models explained 11-19% of the variance in total sedentary time and time in prolonged sedentary bouts. Conclusion: We found that variability in sedentary time of people with stroke was largely unaccounted for by demographic and stroke-related variables. Behavioral and environmental factors are likely to play an important role in sedentary behavior after stroke. Further work is required to develop and test effective interventions to address sedentary behavior after stroke.]]> Thu 13 Jan 2022 10:29:49 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48855 Thu 13 Apr 2023 13:36:30 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44088 P =.001). This association was not present (P =.83), however, when age and sex were included in the regression model. Conclusion: In the Australian Diabetes, Obesity, and Lifestyle study dataset, there was no evidence that more TV viewing is independently associated with risk of stroke, although analyses may have been underpowered.]]> Thu 06 Oct 2022 15:48:45 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52208 Thu 05 Oct 2023 10:16:23 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37652 Thu 03 Feb 2022 12:20:44 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:29231 Sat 24 Mar 2018 07:36:49 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43639 Mon 26 Sep 2022 16:36:52 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45971 Mon 26 Jun 2023 16:03:41 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50014 Mon 26 Jun 2023 14:39:33 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32790 Mon 23 Sep 2019 10:06:26 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46393 p = .01), 21 minutes more walking (95%CI 2,22 p = .02) and completed 1112 additional steps/day (95%CI 268,1956 p = .01), compared to the first week home. No factors predicted change in activity. At 3 months, greater depression (β 22 mins (95%CI 8,36) p = .004) and slower gait speed (β − 43 mins 95%CI −59,-27 p ≤ 0.001) were associated with more sedentary time and less walking activity, respectively. Conclusions: Sedentary time reduced and walking activity increased between discharge home and 3 months later. Interventions targeting mood and physical function may warrant testing to reduce sedentary behavior 3 months following discharge.]]> Mon 21 Nov 2022 14:45:55 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53268 Mon 20 Nov 2023 12:48:48 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43000 Mon 18 Sep 2023 11:13:23 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52512 Mon 16 Oct 2023 10:31:07 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47380 Mon 16 Jan 2023 13:46:52 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54750 Mon 11 Mar 2024 14:46:47 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52271 Mon 09 Oct 2023 10:04:07 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48223 75 years were significantly less likely to use social media compared with those aged <55 years (adjusted odds ratio 0.17, 95% CI 0.07-0.44). Health risk factors were not found to be associated with searching for health- or medical-related information. Conclusions: The internet appears to be a viable platform to engage with stroke survivors who may not be high-morbidity to conduct research and provide information and health interventions. This is important given that they are at high risk of recurrent stroke regardless of their level of disability. Exploring the technology use behaviors and the possibility of eHealth among survivors who experience higher levels of morbidity or disability because of their stroke is an area of research that warrants further study.]]> Mon 08 May 2023 10:35:04 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:41055 Mon 08 Aug 2022 14:57:18 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:40264 Mon 08 Aug 2022 13:40:25 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:55057 Mon 08 Apr 2024 09:22:45 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51414 Mon 04 Sep 2023 14:52:01 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53533 Mon 04 Dec 2023 15:37:40 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:35090 Fri 30 Aug 2019 17:12:47 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46466 Fri 25 Nov 2022 15:35:03 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46463 Fri 25 Nov 2022 15:30:23 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38018 Fri 23 Jul 2021 15:47:31 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39711 Fri 17 Jun 2022 17:10:04 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54824 Fri 15 Mar 2024 09:11:39 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39987 n = 2403) met the inclusion criteria. The quality of the trials was mostly high, with 8 (73%) of trials scoring ≥6 on the PEDro scale. The overall best evidence syntheses showed moderate quality evidence that lifestyle interventions do not lead to significant improvements in the physical activity level of people with stroke or TIA. There is low quality evidence that lifestyle interventions that specifically target physical activity are effective at improving the levels of physical activity of people with stroke or TIA. Conclusion: Based on the results of this review, general lifestyle interventions on their own seem insufficient in improving physical activity levels after stroke or TIA. Lifestyle interventions that specifically encourage increasing physical activity may be more effective. Further properly powered trials using objective physical activity measures are needed to determine the effectiveness of such interventions. Trial registration: PROSPERO, CRD42018094437.]]> Fri 15 Jul 2022 10:15:14 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47338 Fri 13 Jan 2023 12:02:43 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49426 Fri 12 May 2023 15:16:21 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42987 Fri 09 Sep 2022 13:56:21 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49173 Fri 05 May 2023 15:37:24 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49170 Fri 05 May 2023 15:37:23 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45704 Fri 04 Nov 2022 08:49:08 AEDT ]]>