These long term needs would be non-existant if you got survivors 100%
recovered. Solve the original problem and these secondary problems will
cease to exist.
https://www.ncbi.nlm.nih.gov/pubmed/23787941
Abstract
OBJECTIVE:
To evaluate the acceptability, test-retest reliability and validity of the Longer-term Unmet Needs after Stroke monitoring tool.
DESIGN:
A
questionnaire pack was posted to stroke survivors living at home three
or six months after stroke. A second pack was sent two weeks after
receipt of the completed first pack.
SETTING:
Stroke survivors living at home across England.
SUBJECTS:
Stroke
survivors were recruited from 40 hospitals across England, in two
phases. The first with an optimal cohort of patients, the second to
capture a broader post-stroke population, including those with
communication and/or cognitive difficulties. Patients were excluded if
they required palliative care or if permanent discharge to a nursing or
residential home was planned.
MAIN MEASURES:
The
questionnaire pack included the Longer-term Unmet Needs after Stroke
tool, General Health Questionnaire-12, Frenchay Activities Index, and
Short Form-12.
RESULTS:
Interim
analysis of phase 1 data (n = 350) indicated that the tool was
sufficiently robust to progress to phase 2 (n = 500). Results are
reported on the combined study population. Of 850 patients recruited,
199 (23%) had communication and/or cognitive difficulties. The median
age was 73 years (range 28-98). Questionnaire pack return rate was 69%.
For the new tool, there was 3.5% missing data and test-retest
reliability was moderate to good (percentage item agreement 78-99%,
kappa statistic 0.45-0.67). Identification of an unmet need was
consistently associated with poorer outcomes on concurrent measures.
CONCLUSIONS:
The
Longer-term Unmet Needs after Stroke tool is acceptable, reliable, can
be self-completed, and used to identify longer-term unmet needs after
stroke.
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