Evaluation of a stroke navigation service over a six month period : a mixed method approach

Abstract

AIM: To assess the impact on outcomes of a stroke navigation service for stroke survivors and their families, over a six month period, in comparison to usual care.

BACKGROUND: Stroke is a serious health concern and affects both stroke survivors and their caregivers. Caregivers often report feeling inadequately prepared for the caregiving role, lacking information and support, and sometimes experiencing difficulty in communication with health professionals. A stroke navigation service may potentially help stroke survivors and their families through the stroke continuum. Evaluating this service could provide a rationale for implementing the intervention in the New Zealand healthcare system.

DESIGN: A controlled mixed-methods intervention study was implemented using a comparison group to evaluate a stroke navigation service from acute rehabilitation services and into the community.

METHODS: Convenience sampling recruited six stroke families. Data were collected at baseline, three and six months post-stroke navigation service implementation. Quantitative data were collected using the Modified Caregiver Strain Index, Health Service Use and Short Form-36 questionnaires. Qualitative data were collected using semi-structured interviews and questionnaires.

FINDINGS: An over-arching theme of ‘Easing the Journey’ was identified with three themes: 1) Walking alongside, 2) Informing and pursuing avenues and 3) Connecting pathways and bridging gaps. Overall no statistically significant differences were found between groups.

CONCLUSIONS: Families using the stroke navigation service felt more supported, informed and found their interaction with health professionals improved with the intervention in comparison to usual care.