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  • Improving post‐acute stroke...
    Wong, Arkers Kwan Ching; Kwok, Vivian Wai Yan; Wong, Frances Kam Yuet; Tong, Danny Wah Kun; Yuen, Bernard Man Kam; Fong, Ching Sing; Chan, Shun Tim; Li, Wah Chun; Zhou, Shiyi; Lee, Athena Yin Lam

    Journal of advanced nursing, March 2024, Letnik: 80, Številka: 3
    Journal Article

    Aim To evaluate the clinical effectiveness and implementation strategies of telecare consultations in post‐stroke nurse‐led clinics. Background Telecare consultations could be an alternative to conventional in‐person consultations and improve continuity of care for stroke survivors following their discharge from hospital. Previous studies utilizing telecare consultations only focused on testing their clinical effectiveness on stroke survivors; the appropriateness and feasibility of adopting this new delivery modality in a real‐world setting were not examined. Design A Type II hybrid effectiveness‐implementation design will be adopted. Methods Eligible stroke survivor participants will be randomly assigned to the intervention group (telecare consultation) or control group (usual in‐person clinic consultation). Both groups will receive the same nursing intervention but delivered through different channels. The Reach, Effectiveness, Adoption, Implementation, Maintenance framework will be used to evaluate the clinical effectiveness and implementation outcomes. The primary outcome is the non‐inferiority of the degree of disability between the two groups at 3 months into the intervention and at 3 months post‐intervention. The paper complies with the SPIRIT guidelines for study protocols adapted for designing and reporting parallel group randomized trials. Conclusion The findings of this study will provide key insights into the processes for implementing and adopting telecare consultations into long‐term services for post‐stroke patients. Impact This study contributes to the translation of telecare consultations for stroke survivors into real‐life settings. If effective, this program may provide guidance for expanding telecare consultations to other post‐stroke nurse‐led clinics or to patients with other chronic diseases. Trial Registration This study has been registered at clinicaltrials.gov (identifier: NCT05183672). Registered on 10 January 2022.