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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.
Keywords: Neurology;Stroke
Year: Dec-2013
Citation: Volume 8, Issue 8, pp. 707 -710
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.
ISSN: 1747-4930
DOI: 10.1111/j.1747-4949.2012.00913.x
Journal Title: International Journal of Stroke : official journal of the International Stroke Society
Appears in Collections:Neurology

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