Enabling better life outcomes for stroke survivors

Ms Fiona McKinnon1, Dr Kim Brock1, Dr Tamara Tse1, Dr  Carol Silberberg1, Dr Christine Graven1

1St Vincent’s Hospital, Melbourne, Melbourne, Australia

Aim: To promote clinical review and evidence based interventions for chronic stroke survivors and their carers through interdisciplinary capacity building using an eLearning package and competency evaluation.

Method: This project involved development of the Chronic Stroke Review Tool and Intervention Guide (Chronic Stroke Rev-TIG). In the first stage, a document was developed focusing on 10 domains, including participation, functional decline, mood, secondary stroke prevention, carer concerns and goal setting.  For each domain, the tool provided background information, a screening assessment and evidence based interventions and referral options. In the pilot implementation phase, this document was utilised at 8 community rehabilitation centres and feedback obtained from stroke survivors and clinicians. Revisions were made, most importantly inclusion of emotional adjustment to life after stroke. In the third phase of the project, the tool has been transformed into an eLearning package, inclusive of a competency assessment to become an accredited assessor. The eLearning package will be hosted on Inform me, the Stroke Foundation’s dedicated website for health professionals.

Results: The Chronic Stroke Rev-TIG eLearning tool has developed into an interdisciplinary practice guide. The four presenters will provide an overview of the interdisciplinary components of the Rev-TIG, then focus on 4 specific areas; participation, mood,  emotional adjustment to life after stroke and goal setting as key domains for conducting post stroke reviews.

Significance of the findings to allied health: The Chronic Stroke Rev TIG eLearning package enables allied health clinicians to conduct comprehensive chronic stroke reviews and formulate plans for appropriate interventions and referrals.