Searchable Title

Development of a Poststroke Checklist to Standardize Follow-Up Care for Stroke Survivors. (also known as: PSC). Copyright: National Stroke Association.

Reference Type

Journal Article

Authors, Section

Philp, I.; Brainin, M.; Walker, M. F.; Ward, A. B.; Gillard, P.; Shields, A. L.; Norrving, B.; Global Stroke Community Advisory Panel

Title, Section

Development of a Poststroke Checklist to Standardize Follow-Up Care for Stroke Survivors. (also known as: PSC). Copyright: National Stroke Association.

Publication Year

2013

Journal Title

Journal of Stroke and Cerebrovascular Diseases

Volume

22

Issue

7

Pages

e173-80

Availability

online

PMID

PMID: 23265778

DOI

10.1016/j.jstrokecerebrovasdis.2012.10.016

Abstract

BACKGROUND: Long-term care for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. METHODS: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process. RESULTS: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. CONCLUSIONS: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.

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