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Primary care interventions and current service innovations in modifying long-term outcomes after stroke: a protocol for a scoping review

Overview of attention for article published in BMJ Open, October 2016
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Primary care interventions and current service innovations in modifying long-term outcomes after stroke: a protocol for a scoping review
Published in
BMJ Open, October 2016
DOI 10.1136/bmjopen-2016-012840
Pubmed ID

Dominika M Pindus, Lisa Lim, A Viona Rundell, Victoria Hobbs, Noorazah Abd Aziz, Ricky Mullis, Jonathan Mant


Interventions delivered by primary and/or community care have the potential to reach the majority of stroke survivors and carers and offer ongoing support. However, an integrative account emerging from the reviews of interventions addressing specific long-term outcomes after stroke is lacking. The aims of the proposed scoping review are to provide an overview of: (1) primary care and community healthcare interventions by generalist healthcare professionals to stroke survivors and/or their informal carers to address long-term outcomes after stroke, (2) the scope and characteristics of interventions which were successful in addressing long-term outcomes, and (3) developments in current clinical practice. Studies that focused on adult community dwelling stroke survivors and informal carers were included. Academic electronic databases will be searched to identify reviews of randomised controlled trials (RCTs) and controlled trials, trials from the past 5 years; reviews of observational studies. Practice exemplars from grey literature will be identified through advanced Google search. Reports, guidelines and other documents of major health organisations, clinical professional bodies, and stroke charities in the UK and internationally will be included. Two reviewers will independently screen titles, abstracts and full texts for inclusion of published literature. One reviewer will screen search results from the grey literature and identify relevant documents for inclusion. Data synthesis will include analysis of the number, type of studies, year and country of publication, a summary of intervention components/service or practice, outcomes addressed, main results (an indicator of effectiveness) and a description of included interventions. The review will help identify components of care and care pathways for primary care services for stroke. By comparing the results with stroke survivors' and carers' needs identified in the literature, the review will highlight potential gaps in research and practice relevant to long-term care after stroke.

Mendeley readers

The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 40 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 15%
Researcher 6 15%
Student > Master 5 13%
Student > Bachelor 5 13%
Student > Doctoral Student 3 8%
Other 6 15%
Unknown 9 23%
Readers by discipline Count As %
Medicine and Dentistry 11 28%
Nursing and Health Professions 10 25%
Psychology 4 10%
Social Sciences 3 8%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Other 2 5%
Unknown 9 23%