Article

OBJECTIVE: To describe the content and delivery of the adapted London Stroke
Carers Training Course intervention evaluated in the Training Caregivers after
Stroke (TRACS) trial. SETTING:
The London Stroke Carers Training Course is a
structured training programme for caregivers of inpatients who are likely to
return home after their stroke.
The course was delivered by members of the
multidisciplinary team while the patient was in the stroke unit with one
recommended 'follow through' session after discharge home. INTERVENTION: The
intervention consists of 14 training components (six mandatory) that were
identified as important knowledge/skills that caregivers would need to be able to
care for the stroke patient after discharge home. Following national training
days, the London Stroke Carers Training Course was disseminated to intervention
sites by the cascade method of implementation. RESULTS:
The intervention was
adapted for implementation across a range of stroke units. Training days were
well attended (median 2.5 and 2.0 attendees per centre for the first and second
days, respectively) and the feedback positive, demonstrating 'face validity' for
the intervention. However cascading of this training to other members of the
multidisciplinary team was not consistent, with 7/18 centres recording no cascade
training. CONCLUSION:
The adapted London Stroke Carers Training Course provided a
training programme that could be delivered in a standardised, structured way in a
variety of stroke unit settings throughout the UK. The intervention was well
received by stroke unit staff, however, the cascade method of implementation was
not as effective as we would have wished.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS