@article{harwood_taking_2012,
	title = {Taking charge after stroke: promoting self-directed rehabilitation to improve quality of life – a randomized controlled trial},
	volume = {26},
	issn = {0269-2155, 1477-0873},
	shorttitle = {Taking charge after stroke},
	url = {http://journals.sagepub.com/doi/10.1177/0269215511426017},
	doi = {10.1177/0269215511426017},
	abstract = {Objective: Few community interventions following stroke enhance activity, participation or quality of life. We tested two novel community interventions designed to promote self-directed rehabilitation following stroke.
            Design: This was a randomized, controlled parallel group 2×2 trial.
            Setting: Community.
            Participants: Maori and Pacific New Zealanders, {\textgreater}15 years old, randomized within three months of a new stroke.
            Interventions: A DVD of four inspirational stories by Maori and Pacific people with stroke and a ‘Take Charge Session’ – a single structured risk factor and activities of daily living assessment, designed to facilitate self-directed rehabilitation.
            Main measures: Primary outcomes were Health-related Quality of Life (Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of the Short Form 36 (SF-36)) 12 months from randomization. Secondary outcomes were Barthel Index, Frenchay Activities Index, Carer Strain Index and modified Rankin score.
            Results: One hundred and seventy-two people were randomized with 139 (80.8\%) followed up at 12 months post randomization. The effect of the Take Charge Session on SF-36 PCS at 12 months was 6.0 (95\% confidence interval (CI) 2.0 to 10.0) and of the DVD was 0.9 (95\% CI −3.1 to 4.9). Participants allocated to the Take Charge Session were less likely to have a modified Rankin score of {\textgreater}2 (odds ratio (OR) 0.42, 95\% CI 0.2 to 0.89) and their carers had lower (better) Carer Strain Index scores (−1.5, 95\% CI −2.8 to −0.1).
            Conclusion: A simple, low-cost intervention in the community phase of stroke recovery aiming to promote self-directed rehabilitation improved outcomes.},
	language = {en},
	number = {6},
	urldate = {2021-09-09},
	journal = {Clinical Rehabilitation},
	author = {Harwood, Matire and Weatherall, Mark and Talemaitoga, Api and Barber, P Alan and Gommans, John and Taylor, William and McPherson, Kathryn and McNaughton, Harry},
	month = jun,
	year = {2012},
	pages = {493--501},
}

{"_id":"WCojXgbjDsJvTHyPo","bibbaseid":"harwood-weatherall-talemaitoga-barber-gommans-taylor-mcpherson-mcnaughton-takingchargeafterstrokepromotingselfdirectedrehabilitationtoimprovequalityoflifearandomizedcontrolledtrial-2012","downloads":1,"creationDate":"2017-12-18T01:51:13.344Z","title":"Taking charge after stroke: promoting self-directed rehabilitation to improve quality of life – a randomized controlled trial","author_short":["Harwood, M.","Weatherall, M.","Talemaitoga, A.","Barber, P A.","Gommans, J.","Taylor, W.","McPherson, K.","McNaughton, H."],"year":2012,"bibtype":"article","biburl":"https://api.zotero.org/users/6607533/collections/UUQJVXBN/items?key=hGXLq241MCQA3ow7rlTIV2gY&format=bibtex&limit=100","bibdata":{"bibtype":"article","type":"article","title":"Taking charge after stroke: promoting self-directed rehabilitation to improve quality of life – a randomized controlled trial","volume":"26","issn":"0269-2155, 1477-0873","shorttitle":"Taking charge after stroke","url":"http://journals.sagepub.com/doi/10.1177/0269215511426017","doi":"10.1177/0269215511426017","abstract":"Objective: Few community interventions following stroke enhance activity, participation or quality of life. We tested two novel community interventions designed to promote self-directed rehabilitation following stroke. Design: This was a randomized, controlled parallel group 2×2 trial. Setting: Community. Participants: Maori and Pacific New Zealanders, \\textgreater15 years old, randomized within three months of a new stroke. Interventions: A DVD of four inspirational stories by Maori and Pacific people with stroke and a ‘Take Charge Session’ – a single structured risk factor and activities of daily living assessment, designed to facilitate self-directed rehabilitation. Main measures: Primary outcomes were Health-related Quality of Life (Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of the Short Form 36 (SF-36)) 12 months from randomization. Secondary outcomes were Barthel Index, Frenchay Activities Index, Carer Strain Index and modified Rankin score. Results: One hundred and seventy-two people were randomized with 139 (80.8%) followed up at 12 months post randomization. The effect of the Take Charge Session on SF-36 PCS at 12 months was 6.0 (95% confidence interval (CI) 2.0 to 10.0) and of the DVD was 0.9 (95% CI −3.1 to 4.9). Participants allocated to the Take Charge Session were less likely to have a modified Rankin score of \\textgreater2 (odds ratio (OR) 0.42, 95% CI 0.2 to 0.89) and their carers had lower (better) Carer Strain Index scores (−1.5, 95% CI −2.8 to −0.1). Conclusion: A simple, low-cost intervention in the community phase of stroke recovery aiming to promote self-directed rehabilitation improved outcomes.","language":"en","number":"6","urldate":"2021-09-09","journal":"Clinical Rehabilitation","author":[{"propositions":[],"lastnames":["Harwood"],"firstnames":["Matire"],"suffixes":[]},{"propositions":[],"lastnames":["Weatherall"],"firstnames":["Mark"],"suffixes":[]},{"propositions":[],"lastnames":["Talemaitoga"],"firstnames":["Api"],"suffixes":[]},{"propositions":[],"lastnames":["Barber"],"firstnames":["P","Alan"],"suffixes":[]},{"propositions":[],"lastnames":["Gommans"],"firstnames":["John"],"suffixes":[]},{"propositions":[],"lastnames":["Taylor"],"firstnames":["William"],"suffixes":[]},{"propositions":[],"lastnames":["McPherson"],"firstnames":["Kathryn"],"suffixes":[]},{"propositions":[],"lastnames":["McNaughton"],"firstnames":["Harry"],"suffixes":[]}],"month":"June","year":"2012","pages":"493–501","bibtex":"@article{harwood_taking_2012,\n\ttitle = {Taking charge after stroke: promoting self-directed rehabilitation to improve quality of life – a randomized controlled trial},\n\tvolume = {26},\n\tissn = {0269-2155, 1477-0873},\n\tshorttitle = {Taking charge after stroke},\n\turl = {http://journals.sagepub.com/doi/10.1177/0269215511426017},\n\tdoi = {10.1177/0269215511426017},\n\tabstract = {Objective: Few community interventions following stroke enhance activity, participation or quality of life. We tested two novel community interventions designed to promote self-directed rehabilitation following stroke.\n Design: This was a randomized, controlled parallel group 2×2 trial.\n Setting: Community.\n Participants: Maori and Pacific New Zealanders, {\\textgreater}15 years old, randomized within three months of a new stroke.\n Interventions: A DVD of four inspirational stories by Maori and Pacific people with stroke and a ‘Take Charge Session’ – a single structured risk factor and activities of daily living assessment, designed to facilitate self-directed rehabilitation.\n Main measures: Primary outcomes were Health-related Quality of Life (Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of the Short Form 36 (SF-36)) 12 months from randomization. Secondary outcomes were Barthel Index, Frenchay Activities Index, Carer Strain Index and modified Rankin score.\n Results: One hundred and seventy-two people were randomized with 139 (80.8\\%) followed up at 12 months post randomization. The effect of the Take Charge Session on SF-36 PCS at 12 months was 6.0 (95\\% confidence interval (CI) 2.0 to 10.0) and of the DVD was 0.9 (95\\% CI −3.1 to 4.9). Participants allocated to the Take Charge Session were less likely to have a modified Rankin score of {\\textgreater}2 (odds ratio (OR) 0.42, 95\\% CI 0.2 to 0.89) and their carers had lower (better) Carer Strain Index scores (−1.5, 95\\% CI −2.8 to −0.1).\n Conclusion: A simple, low-cost intervention in the community phase of stroke recovery aiming to promote self-directed rehabilitation improved outcomes.},\n\tlanguage = {en},\n\tnumber = {6},\n\turldate = {2021-09-09},\n\tjournal = {Clinical Rehabilitation},\n\tauthor = {Harwood, Matire and Weatherall, Mark and Talemaitoga, Api and Barber, P Alan and Gommans, John and Taylor, William and McPherson, Kathryn and McNaughton, Harry},\n\tmonth = jun,\n\tyear = {2012},\n\tpages = {493--501},\n}\n\n","author_short":["Harwood, M.","Weatherall, M.","Talemaitoga, A.","Barber, P A.","Gommans, J.","Taylor, W.","McPherson, K.","McNaughton, H."],"key":"harwood_taking_2012","id":"harwood_taking_2012","bibbaseid":"harwood-weatherall-talemaitoga-barber-gommans-taylor-mcpherson-mcnaughton-takingchargeafterstrokepromotingselfdirectedrehabilitationtoimprovequalityoflifearandomizedcontrolledtrial-2012","role":"author","urls":{"Paper":"http://journals.sagepub.com/doi/10.1177/0269215511426017"},"metadata":{"authorlinks":{}},"downloads":1},"search_terms":["taking","charge","stroke","promoting","self","directed","rehabilitation","improve","quality","life","randomized","controlled","trial","harwood","weatherall","talemaitoga","barber","gommans","taylor","mcpherson","mcnaughton"],"keywords":[],"authorIDs":[],"dataSources":["KHcnSjJ2bxXY5NrcM","ya2CyA73rpZseyrZ8","EJNmxqZX8tAuYtNBY","99obYs97zfzxiS9Fc"]}