Universität zu Köln

Alegiani, Anna C., Rahn, Anne C., Steckelberg, Anke, Thomalla, Gotz, Heesen, Christoph and Koepke, Sascha (2020). Quality of Stroke Patient Information Applied in Randomized Controlled Trials-Literature Review. Front. Neurol., 11. LAUSANNE: FRONTIERS MEDIA SA. ISSN 1664-2295

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Abstract

Background: Strokes have a huge impact on patients' quality of life. Although there are potentially effective secondary preventions and treatment options for stroke patients, adherence is mostly low. Low disease and treatment-related knowledge and, consequently, a lack of informed decision-making in stroke patients may contribute to this problem. However, stroke patient information did not seem to have relevant effects on patients' knowledge in randomized controlled trials. One contributing factor may be the lack of thoroughly developed patient information materials. Methods: We aimed to evaluate the quality of patient information materials for stroke patients by using randomized controlled trials, applying quality criteria for evidence-based patient information (EBPI). We conducted a literature search (MEDLINE, Embase, CINAHL, PsycINFO, and CENTRAL). To be included in the review, research had to be randomized controlled trials that provided stroke patient information, were published in English, and had knowledge assessed as the primary endpoint. Authors of primary studies were contacted and asked for information materials applied. Results: We screened 15,507 hits and identified 30 eligible studies. Information materials were available for only eight studies. Analyses revealed that all available materials had important shortcomings concerning EBPI quality criteria [concerning, for example, structural information (e.g., reporting conflicts of interest), content information (e.g., reporting sources of information), or comprehensive descriptions of treatment effects and side effects]. Frequently, treatment effects were reported only narratively without providing absolute numbers, values, or frequencies. Conclusion: Quality of materials differed, but none sufficiently fulfilled EBPI quality criteria. Unsatisfactory trial results concerning patient knowledge and patient involvement in decision-making may at least partially be explained by limitations of the provided materials. Future patient information should consider EBPI quality criteria.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Alegiani, Anna C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rahn, Anne C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Steckelberg, Anke UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomalla, Gotz UNSPECIFIED UNSPECIFIED UNSPECIFIED Heesen, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Koepke, Sascha UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-308548
DOI:	10.3389/fneur.2020.526515
Journal or Publication Title:	Front. Neurol.
Volume:	11
Date:	2020
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	1664-2295
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SHARED DECISION-MAKING; EDUCATION-PROGRAM; RISK-FACTORS; MULTIPLE-SCLEROSIS; SELF-MANAGEMENT; ISCHEMIC ATTACK; INTERVENTION; KNOWLEDGE; ADHERENCE; IMPACT Multiple languages Clinical Neurology; Neurosciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/30854