Objective: To identify factors contributing to elderly stroke patients' satisfaction with rehabilitation following stroke. Design: Qualitative study using semi-structured interviews. Setting: Interviews conducted in two phases, once a unit and after hospital discharge. Subjects: Twelve patients (seven women five men, aged 60—87 years). Results: One main category: 'To be treated respect dignity' was identified as core factor the services. This divided into subcategories: (1) Being humanity,...

Stroke is a major public health threat globally. Psychosocial well-being may be affected following stroke. Depressive symptoms, anxiety, general psychological distress and social isolation are prevalent. Approximately one third report depressive symptoms 20% anxiety during the first months or years after difficulties impact significantly on long-term functioning quality of life, reduce effects rehabilitation services lead to higher mortality rates. The aim study evaluate effect previously...

Evaluation of complex interventions should include a process evaluation to give evaluators, researchers, and policy makers greater confidence in the outcomes reported from RCTs. Implementation fidelity can be part refers degree which an intervention is delivered according protocol. The aim this implementation study was evaluate what extent dialogue-based psychosocial A modified conceptual framework for used guide analysis. This has explanatory, sequential two-phase mixed methods design....

Abstract Background Research and cancer care are closely intertwined; however, it is not clear whether physicians nurses believe that clinical trials offer the best treatment for patients and, if so, this belief justified. The aim of study was therefore: (i) to explore how perceive benefits trial participation compared with standard (ii) justified claim improves outcomes patients. Methods A mixed methods approach used employing semi-structured interviews 57 in oncology haematology a...

Background: Informed consent is regarded as a contract between autonomous and equal parties requires the elements of information disclosure, understanding, voluntariness consent. The validity informed for critically ill patients has been questioned. Little known about how these experience process Objective: aim this study was to explore patients’ with principle in clinical trial their ability give valid Design: 11 stroke who had thrombolytic treatment through deciding whether or not...

Older adults who have had a stroke may experience anxiety, depression and difficulties participating in meaningful occupations while also experiencing excitement, discovery satisfaction creating new occupational balance. The aim of this qualitative study was to explore how older experienced the changes their everyday after stroke. Five women three men mild moderate participated focus group discussions. Systematic text condensation applied. participants' experiences revealed perceived as an...

The aim of this study was to evaluate the effect a dialogue-based intervention on psychosocial well-being 6 months after stroke.A total 322 participants were assigned an (n = 166) or control 156) group.Participants in group received up 8 individual sessions aimed at supporting coping and life skills stroke survivors addition usual care.Psychosocial improved during first both arms trial.However, no benefit found compared with care. Objective: To stroke.Design: Multicentre, prospective,...

Stroke patients’ well-being is threatened after stroke. A psychosocial intervention was developed for Norwegian stroke patients living in the community. Eight individual sessions between people with and a trained health care professional were conducted 1 to 6 months post-stroke one group of participants 12 another group. Subsequently, 19 these interviewed gain an in-depth understanding their lived experience influence on adjustment process. Interview texts analyzed using Ricoeur’s...

To evaluate the effect of a dialogue-based intervention targeting psychosocial well-being at 12 months post-stroke.Multicenter, prospective, randomized, assessor-blinded, controlled trial with two parallel groups.Community.Three-hundred and twenty-two adults (⩾18 years) stroke within last four weeks were randomly allocated into group (n = 166) or control 156).The received to promote well-being, comprising eight individual 1-1½ hour sessions delivered during first six post-stroke.The primary...

To evaluate the prevalence of cognitive and emotional impairments one year after first-ever mild stroke in younger patients Design: Prospective, observational, cohort study.A consecutive sample 117 previously cognitively healthy aged 18-70 years with (National Institutes Health Stroke Scale score ≤ 3) were included 2 hospitals Norway during a 2-year period.At 12-month follow-up, assessed using validated instruments for essential domains, fatigue, depression, anxiety, apathy pathological...

This study investigated the kinds of ethical challenges experienced by nurses in oncology and hematology when nursing care research overlap clinical trials, how handle such challenges. Individual interviews with 39 from Sweden, Denmark, Finland indicated that all were positive about research, considering it essential for developing best care. Ethical exist, however; most difficult associated end-of-life patients, no longer responsive to standard therapy, who eagerly volunteer cutting-edge...

Thrombolytic drugs to treat an acute ischaemic stroke reduce the risk of death or major disability. The treatment is, however, also associated with increased potentially fatal intracranial bleeding. This confronts patient dilemma whether not take a serious side effect in order increase likelihood favourable outcome.To explore patients' perception and willingness accept risks thrombolytic drug treatment.Eleven patients who had been informed about through process deciding participate trial...

Even mild strokes may affect the patients' everyday life by impairing cognitive and emotional functions. Our aim was to study predictors of such impairments one year after first-ever stroke. We included cognitively healthy patients ≤ 70 years with acute Vascular risk factors, sociodemographic factors stroke classifications were recorded. At one-year post-stroke, different domains related function assessed validated instruments. Logistic regression analyses performed identify outcome. Of 117...

To evaluate prevalence and factors determining not returning to full-time work 1 year after first-ever mild ischemic stroke.Prospective, observational cohort study with 12-month follow-up.Stroke units outpatient clinics at 2 Norwegian hospitals.We included 84 (N=84) working, cognitively healthy patients aged 70 years or younger who suffered an acute stroke, defined as National Institutes of Health Stroke Scale (NIHSS) score ≤3 points.Not applicable.Vascular risk factors, sociodemographic...

Abstract Long QT syndrome (LQTS) is a contributor to unexplained deaths in infants (SIDS), children, teenagers and young adults. A gene test result may allow for individual tailored treatment, but also pose burden of knowing one's carrier status, with no treatment recommendation. Genetic risk knowledge the case LQTS can promote adjustment coping, fear anxiety, ambivalence moral dilemmas. This makes it challenging respect both right know not know. The purpose this study was explore parents’...

We do not know how much clinical physicians carrying out trials in oncology and haematology struggle with ethical concerns. To our knowledge, no empirical research exists on these questions a Nordic context. Therefore, this study aims to learn what kinds of challenges Sweden, Denmark Finland (n = 29) face when caring for patients trials; strategies, if any, they have developed deal them. The main findings were that cancer pose related autonomy issues, unreasonable hope benefits the...

Abstract Background A commonly applied control condition in trials evaluating complex interventions rehabilitation research is “usual care.” The main challenge to ensure that the group receives genuine usual care as delivered everyday clinical practice. assessment interviews and dialogues with data collectors may influence participants’ reflections on their adjustments. This represents a threat internal validity of trial. Thus, aim this study was explore perceived study-induced adjustment...

Abstract Background Persons with stroke are susceptible to psychosocial problems, and express disappointment at how health care professionals fail meet their needs following discharge home. The responsibility of nurses occupational therapists in rehabilitation is assist the persons families during recovery adjustment process. A home-based dialogical intervention aiming enhance support was therefore developed tested a randomized controlled trial. This study part process evaluation conducted...

Abstract Background The use of a control group is one the most critical components an RCT. conditions may change over time and include assessment interviews standard stroke treatment. Therefore, should be monitored described in as much detail intervention group. It important to find ways reduce risk study-induced influence on members aim this study was explore possible adjustment RCT exploring psychosocial well-being following stroke. Methods Fifteen participants RCT, six women nine men,...