Study 7
A Community Navigation and Rehabilitation Intervention for Stroke Survivors with Multiple Chronic Conditions
COMPLETED STUDY
Stroke survivors with multiple chronic conditions (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 evaluated 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 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.
A Community Navigation and Rehabilitation Intervention for Stroke Survivors with MCC Video
Publication in Journal of Comorbidity
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Maureen Markle-Reid
Professor and Canada Research Chair in Person Centred Interventions for Older Adults with Multimorbidity and their Caregivers
McMaster University School of Nursing
Scientific Co-Lead, MIRA/Collaborative for Health and Aging (OSSU SPOR Research Centre) -
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