Practical and methodological challenges in the design and implementation of a cluster-randomised feasibility trial of the management of urinary incontinence after stroke.

Christopher Sutton, Thomas L, Forshaw D, Watkins CL

Research output: Contribution to journalArticle

Abstract

To evaluate design and implementation issues in an NIHR-funded feasibility trial of the management of urinary incontinence after stroke in a secondary care setting.
Twelve stroke services were cluster-randomised to 3 intervention groups (systematic voiding programme with/without supported implementation; usual care) in 4 strata based on: having separate/combined acute and rehabilitation units; above/below median performance on the ‘nine key indicators of stroke care’ in the National Sentinel Stroke Audit (NSSA) [1]; number of annual stroke admissions. Target recruitment was 780 patients overall; the recruitment period was 9 or 12 months, depending on a Trust’s annual stroke admissions, to reduce variability in numbers across services. Each service gained an additional 2.8 whole time equivalent health care assistants (HCAs) supporting introduction of the intervention or maintaining parity of staffing in ‘usual care’ services.
Original languageEnglish
JournalTrials
Volume12 (Suppl 1)
DOIs
Publication statusPublished - 2011

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