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A randomised controlled trial to evaluate the cost-effectiveness of a domiciliary rehabilitation scheme versus usual care in the rehabilitation of stroke patients.
ISRCTN ISRCTN19287811
ClinicalTrials.gov identifier
Public title A randomised controlled trial to evaluate the cost-effectiveness of a domiciliary rehabilitation scheme versus usual care in the rehabilitation of stroke patients.
Scientific title
Acronym N/A
Serial number at source N/A
Study hypothesis 1. To evaluate the outcomes of a new domiciliary rehabilitation service for stroke patients and their carers in comparison with the usual care provided in geriatric day hospitals.
2. To estimate the costs of the different approaches and to thereby determine the relative cost-effectiveness of the two models.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Cerebrovascular disease
Participants - inclusion criteria Stroke patients age 55+ who required rehabilitation post discharge
Participants - exclusion criteria Terminal illness, need for day hospital care for social or medical reasons
Anticipated start date 01/04/1995
Anticipated end date 31/12/1997
Status of trial Completed
Patient information material
Target number of participants 140 (added 15/01/10; see publication)
Interventions 1. Domiciliary rehabilitation
2. Care from geriatric day hospitals
Primary outcome measure(s) Assessments at baseline 3, 6 and 12 months post entry to study.
1. Patient functional status and quality of life:
1.1. Barthel index
1.2. Rivermead mobility index
1.3. Philadelphia Geriatric Morale Scale
1.4. Frenchay Activities Index
1.5. SF36
2. Carer outcomes:
2.1. Carer strain index
2.2. SF36
2.3.GHQ
3. Resource use
3.1. NHS:
3.1.1. rehabilitation
3.1.2. inpatient/outpatient
3.1.3. GP
3.1.4. district nurse
3.1.5. speech therapy
3.2. Social services:
3.2.1. home help
3.2.2. meal on wheels
3.2.3. day centre
4. Costs of domiciliary rehabilitation, day hospital visit including transport
Secondary outcome measure(s) Not provided at time of registration
Sources of funding NHS Executive South West (UK)
Trial website
Publications 2001 results in http://www.ncbi.nlm.nih.gov/pubmed/11509308
Contact name Dr  Paul  Roderick
  Address Institute of Public Health Medicine
University of Southampton
Level B, South Academic Block
Southampton General Hospital
Tremona Road
  City/town Southampton
  Zip/Postcode SO16 6YD
  Country United Kingdom
  Tel +44 (0)2380 796 532
  Email pjr@soton.ac.uk
Sponsor NHS R&D Regional Programme Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44 (0)20 7307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 23/01/2004
Last edited 15/01/2010
Date ISRCTN assigned 23/01/2004
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