Age and Ageing Advance Access originally published online on December 15, 2006
Age and Ageing 2007 36(1):83-89; doi:10.1093/ageing/afl145
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The CareFile Project: a feasibility study to examine the effects of an individualised information booklet on patients after stroke
1 Department of Medicine for the Elderly, Arrowe Park Hospital, Arrowe Park Road, Upton, Wirral, CH49 5PE, UK
2 Department of Medicine for the Elderly, University Hospital Aintree, Longmoor Lane, Liverpool, L9 7AL, UK
3 Clinical Practice Research Unit, Department of Nursing, University of Central Lancashire, Preston, PR1 2HE, UK
Address correspondence to: D. B. Lowe. Tel: 0151 678 5111 Ext 2936 Fax: 0151 604 7192. Email: debbielowe{at}hotmail.com
Introduction: patients have reported a lack of knowledge and understanding of stroke and its risk factors. Uncertainty remains about the most appropriate and effective method of educating patients after stroke.
Objective: to assess the impact of the CareFile, an individualized information booklet, on patients' knowledge and satisfaction level after stroke.
Design: randomised pilot study for a controlled trial.
Setting: a large teaching hospital in Liverpool, UK.
Methods: consecutive stroke patients admitted over a 9-month period, who met the inclusion criteria and consented to participate, were randomised into this study. All patients received the usual stroke information leaflets provided by the stroke unit. In addition, the intervention group received the ‘CareFile’, a booklet containing general information and patient-specific information on stroke. Patients in both groups completed a stroke knowledge questionnaire at baseline, and at three and six months post-stroke.
Results: of the 259 admissions, 100 were eligible to participate, and 50 were randomised to each group. There was no significant difference in patient knowledge between the groups at baseline (P>0.05). However, at three (P <0.05) and six (P <0.005) months post-stroke, the intervention group had significantly better knowledge of stroke. There were no differences between the groups regarding satisfaction with the information received.
Conclusions: a simple education package, in the form of an individualized information booklet, resulted in a significant improvement in knowledge and recognition of risk factors for stroke. The CareFile should make a valuable contribution in meeting the requirements of the National Sentinel Audit and National Service Framework regarding provision of information to patients after stroke.
Keywords: stroke, information dissemination, booklet, elderly
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