Effect of a stroke-specific follow-up care model on the quality of life of stroke patients and caregivers: A controlled trial.
OBJECTIVE
To evaluate the effectiveness of a stroke-specific follow-up care model on quality of life for stroke patients, being discharged home, and their caregivers.


METHODS
A non-randomized, controlled trial, comparing an intervention group with a control group (usual care).


METHODS
Stroke patients and their caregivers.


METHODS
Intervention involved 5 home visits by a stroke care coordinator over a period of 18 months, using a structured assessment tool. Outcome measures were conducted at baseline (T0) and every 6 months thereafter (T6, T12 and T18) in the domains of quality of life (primary), activities of daily living, social activities, depression, anxiety and caregiver strain.


RESULTS
The intervention group (n = 62) had significantly increased its social activities after 18 months, whereas the control group (n = 55) showed significantly decreased levels of social activities. In the first 6 months, levels of depression decreased significantly in caregivers of the intervention group. No differences were found for quality of life and the other outcome measures.


CONCLUSIONS
The intervention was not effective in improving quality of life, but was effective in improving levels of social activities. The intervention may have focussed too much on screening for stroke-related problems and not as much on adequate follow-up care and referral.
Department of Psychiatry and Neuropsychology, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
Manon
M
Fens
Caroline M
CM
van Heugten
George
G
Beusmans
Job
J
Metsemakers
Arnold
A
Kester
Martien
M
Limburg
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety; D017028:Caregivers / Q000523:psychology; D003863:Depression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D058992:Social Participation; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation