title: Primary care interventions and current service innovations in modifying long-term outcomes after stroke: a protocol for a scoping review.
abstract: Interventions delivered by primary and/or community care have the potential to reach the majority of stroke survivors and carers and offer ongoing support. However, an integrative account emerging from the reviews of interventions addressing specific long-term outcomes after stroke is lacking. The aims of the proposed scoping review are to provide an overview of: (1) primary care and community healthcare interventions by generalist healthcare professionals to stroke survivors and/or their informal carers to address long-term outcomes after stroke, (2) the scope and characteristics of interventions which were successful in addressing long-term outcomes, and (3) developments in current clinical practice.
  
  
  
  Studies that focused on adult community dwelling stroke survivors and informal carers were included. Academic electronic databases will be searched to identify reviews of randomised controlled trials (RCTs) and controlled trials, trials from the past 5 years; reviews of observational studies. Practice exemplars from grey literature will be identified through advanced Google search. Reports, guidelines and other documents of major health organisations, clinical professional bodies, and stroke charities in the UK and internationally will be included. Two reviewers will independently screen titles, abstracts and full texts for inclusion of published literature. One reviewer will screen search results from the grey literature and identify relevant documents for inclusion. Data synthesis will include analysis of the number, type of studies, year and country of publication, a summary of intervention components/service or practice, outcomes addressed, main results (an indicator of effectiveness) and a description of included interventions.
  
  
  
  The review will help identify components of care and care pathways for primary care services for stroke. By comparing the results with stroke survivors' and carers' needs identified in the literature, the review will highlight potential gaps in research and practice relevant to long-term care after stroke.
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.
authors: Dominika M
authors: DM
authors: Pindus
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.
authors: Lisa
authors: L
authors: Lim
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.
authors: A Viona
authors: AV
authors: Rundell
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.
authors: Victoria
authors: V
authors: Hobbs
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.|Department of Family Medicine, National University of Malaysia, Bandar Tun Razak Cheras, Kuala Lumpur, Malaysia.
authors: Noorazah Abd
authors: NA
authors: Aziz
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.
authors: Ricky
authors: R
authors: Mullis
authors: Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.
authors: Jonathan
authors: J
authors: Mant
mesh_terms: D017028:Caregivers; D003153:Community Health Services; D003695:Delivery of Health Care; D006801:Humans; D008134:Long-Term Care; D011320:Primary Health Care; D020521:Stroke / Q000628:therapy*; D017741:Survivors; D006113:United Kingdom; D000098584:Scoping Reviews as Topic
keywords: LONG-TERM OUTCOMES; PRIMARY CARE; RCT; SCOPING REVIEW