- Title
- ImProving outcomes after STroke (POST): results from the randomized clinical pilot trial
- Creator
- Hackett, Maree L.; Carter, Greg; Crimmins, Denis; Clarke, Tracy; Arblaster, Lucy; Billot, Laurent; Mysore, Jayanthi; Sturm, Jonathon
- Relation
- NHMRC.402849 & 632925 http://purl.org/au-research/grants/nhmrc/632925
- Relation
- International Journal of Stroke Vol. 8, Issue 8, p. 707-710
- Publisher Link
- http://dx.doi.org/10.1111/j.1747-4949.2012.00913.x
- Publisher
- Sage Publications
- Resource Type
- journal article
- Date
- 2013
- Description
- 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.
- Subject
- clinical trial; intervention; ischemic stroke; prevention; stroke; therapy
- Identifier
- http://hdl.handle.net/1959.13/1341089
- Identifier
- uon:28656
- Identifier
- ISSN:1747-4930
- Language
- eng
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