Aging, Community and Health Research Group (ACHRU)

McMaster University

Studies and Research

Funded by
MOHLTC & CIHR

core Study 7

A Community Navigation and Rehabilitation Intervention for Stroke Survivors with Multiple Chronic Conditions

Stroke survivors with MCC move between multiple care settings, and so they are at high risk of receiving fragmented care leading to increased risk for avoidable illness, death, and health care costs. Recent Canadian studies and reports identify significant gaps in the delivery of effective stroke care to stroke survivors with MCC in community-based settings. Most stroke rehabilitation programs and guidelines are entirely focused on stroke only and do not address the challenges to patients and providers of managing comorbid conditions.

This pragmatic mixed methods randomized controlled trial will evaluate the effectiveness of a  community navigation and rehabilitation intervention on  HRQOL, depression, anxiety, community reintegration, number of strokes, physical functioning, and the costs of use of health services  for stroke survivors with MCC receiving home care and their family caregivers. The results will inform: (1) the development of national standards for community-based stroke rehabilitation and (2) the development of a new and innovative community-based model for stroke rehabilitation that can be adapted and implemented for stroke survivors with MCC across Canada.

 

Research Summary

A Community Navigation and Rehabilitation Intervention for Stroke Survivors with MCC Video

  • Maureen Markle-Reid
    Associate Professor
    McMaster University School of Nursing
    Department of Health Research Methods, Evidence, and Impact (HEI)
  • Jenny Ploeg
    Professor
    McMaster University - School of Nursing
    Department of Health, Aging and Society
  • Lorraine Venturato
    Associate Professor
    University of Calgary
    Faculty of Nursing
  • Sean Dukelow
    Assistant Professor
    University of Calgary
    Physical Medicine & Rehabilitation
  • Amiram Gafni
  • Noori Akhtar-Danesh
  • Duane Bender
  • Cheryl A. Sadowski
  • Nancy Matthew-Maich
  • Lehana Thabane
  • Christopher Patterson
  • Christy Taberner
  • Sid Feldman
  • Holly Reimer
  • Sarah I
  • Alexandra Vickers
  • Sue Bookey-Bassett
  • David Kanters
  • Leslie Brugger

Publications and Activities relating to this study:

Celebrate Nursing Week 2016 by video on ACHRU key research principles

Did you know one of the key principles of ACHRU research is an inter-professional nurse-led team based approach to patient care? Drs. Maureen Markle-Reid and Jenny Ploeg and the ACHRU research team invite you to celebrate Nursing Week 2016 by watching our video on ACHRU key research principles.

Read More

ACHRU Hosts Researchers from the University of Calgary

A collaborative research partnership between the ACHRU and the University of Calgary recently brought two Alberta researchers to McMaster University to learn from each other. Drs. Erica G. Teixeira and Lorraine Venturato spent several days in the ACHRU working with the Ontario-based team.

Read More

Research Summary: A Community Navigation and Rehabilitation Intervention for Stroke Survivors with Multiple Chronic Conditions

Most strokes occur in the context of other chronic conditions, such as Type 2 Diabetes, hypertension, and heart disease, which have the potential to negatively affect stroke rehabilitation.

Read More