Joubert 2008.
Methods | Study design: Randomised controlled trial |
Participants | Setting: Hospital/primary care Inclusion criteria: Patients aged 20 and older admitted with transient ischaemic attack or completed stroke, as confirmed by CT scan Exclusion criteria: Patients not returning to their GPs for management, discharged to a nursing home, serious comorbidities or cognitive impairment, non‐English speaking, died while in hospital, notably aphasic, lived more than two hours away by car, family declining to take part, involvement in another research programme, and not being assessed prior to discharge Age: Mean 65.8 Gender: 45% female Country: Australia Sample size: Total 186, intervention 91, control 95 |
Interventions | Intervention: Integrated care. Patients in the integrated care group received a structured model of care that linked specialist stroke services with ongoing general practice care. GPs of treatment patients were sent an explanatory letter, as well as a comprehensive but succinct discharge summary detailing relevant investigations, risk factor profile, and medication for each patient. They also received a flowchart with goals and recommendations for risk factor management, developed from evidence‐based guidelines. The study coordinator contacted each patient before and after each GP visit. Control: Standard Care patients were discharged to usual care from their GP with the standard accompanying handover information. The frequency of visits, the guidelines adopted, and the actions taken were all left up to the discretion of the GP |
Outcomes | Depression (PHQ‐9) |
Notes | Awaiting author response to clarify if 50% or more depressed at baseline; CT: computer tomography; GP: general practitioner; PHQ‐9: Patient Health Questionnaire‐9 |