Rehabilitation & Beyond. The ASPIRE programme A pragmatic way of enabling those with stroke to self care?. Debbie Neal Consultant therapist - rehabilitation. Life after stroke
The ASPIRE programme
A pragmatic way of enabling those with stroke to self care?
Consultant therapist - rehabilitation
Information provision is limited; patients and carers feel abandoned when they return home (Stroke Association, 2006)
Carers are more likely to be depressed than stroke survivors (Berg et al, 2005).
Patients’ and carers’ knowledge of stroke and how to prevent a further event is poor (Rudd et al, 2004).
Shortening lengths of stay - still in shock - limited opportunities for secondary prevention adviceAfter acute stroke - two main issues
Support to self care, secondary
A once-weekly roll-on, roll-off programme allows “expert participants” to support new starters
Participants: 134 referrals, 98 completed to date of whom vast majority have completed all 12 sessions.
Currently 12 participants
Age range since starting 22 – 88
For first time a waiting list of 6 as insufficient space in gym for more than 12.
More male (64) than female (34)
Topics covered are those identified by Young & Forster (2007)
Extra sessions requested by participants
18 - 24 hours input for each of 12 people with stroke (& carer) over a 3 month period.
RCT to assess cost benefit and benefits to person with stroke and their family:
Comparison with other approaches e.g. CRAFTS(Cardiac Rehabilitation Adapted to Transient Ischaemic Attack & Stroke) (Lennon & Blake, 2009)