Investigating preferences for support with life after stroke: a discreet choice experiment

Burton, C.R and Farghrer, E. and Plumpton, C. and Roberts, G. and Owen, H. and Roberts, E. (2014) Investigating preferences for support with life after stroke: a discreet choice experiment. BMC Health Services Research, 14 ((63)). pp. 1-13. DOI: 10.1186/1472-6963-14-63

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There is little evidence of service user preferences to guide the commissioning and improvement of services that support life after stroke. We report the first investigation of patients� and family carers� preferences for community services after stroke using a discrete choice experiment (DCE). Two workshops with patients and family carers (n�=�8) explored stroke experiences, identifying attributes important in shaping views about service design, and piloted data collection strategies. Attributes were group versus individual support; service provider; additional support for social and leisure activities; and the total time required to access services. Patients and family carers were recruited six months post stroke-onset (mean 331 days) from four stroke services, and invited to participate in the DCE. Patients� general health (EQ5D) and functional dependence (Barthel Index) were also assessed. Of 474 eligible patients, 144 (30%) expressed an interest in the study, and 80 (56%) of these completed the survey questionnaire. 34 of 74 (46%) family carers recruited through patients completed the DCE. The data provide unique insights into how preferences for community services that support life after stroke are shaped. This information can be used to inform both service re-design, and barriers to implementation that will need to be accounted for in policy shifts towards a more mixed economy of service provision.

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > School of Healthcare Sciences
Date Deposited: 09 Dec 2014 16:34
Last Modified: 23 Sep 2015 03:00
ISSN: 1472-6963
URI: http://e.bangor.ac.uk/id/eprint/459
Identification Number: DOI: 10.1186/1472-6963-14-63
Publisher: Biomed Central
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