Article

This study evaluated the guided use of the Community Re-engagement
Cue to Action Trigger Tool (CRCATT), a patient-mediated question prompt list, and
its impact on self-reported re-engagement in activities post-stroke. METHODS: A
multi-site, single-blind randomized controlled study in which 77 persons with
stroke participated from three rehab organizations in Toronto, Canada. Of the 77
participants, a total 57 within the two groups completed the study and
Reintegration to Normal Living Index (mailed response questionnaire) and a
sub-set of all participants participated in qualitative interviews. Data
collection occurred 3-4 months after enrollment. Quantitative responses were
analyzed in SPSS (Chicago, IL, USA) for descriptive frequencies and differences
between groups. Qualitative responses were analyzed using an inductive approach
with thematic analytic procedures. RESULTS: No between group differences were
observed due to small sample size. A multi-variable regression model including
age, gender, level of education, treatment group, and language, suggests those
with higher education are more likely to participate in activities. Interview
analysis revealed participants' ability to recover and re-engage is influenced by
an interplay of the CRCATT with external factors. These factors include social
support, interactions with providers, and ability to access information.
CONCLUSION: The CRCATT was perceived as a useful tool as it assisted persons with
stroke to take a more self-directed role in their care by asking relevant
questions and anticipating their needs. The tool complemented the external
factors that persons with stroke draw on to support recovery and participate in
activities post-stroke.

Langue : ANGLAIS