Outcome Measures

Primary Outcome Measures :

  1. Stroke Impact Scale (SIS v3.0) [ Time Frame: 12 months after attendance at a review ]The primary endpoint for the trial will be two sub-scales (emotion and handicap) of the Stroke Impact Scale as co-primary outcomes. The SIS is a 59-item mail administered stroke-specific health-related quality of life (HRQoL) measure. Each item is rated on a 5 point Likert scale with answers based on the level of difficulty.

Secondary Outcome Measures :

  1. Stroke Impact Scale Short Form (SIS-SF) [ Time Frame: 6 and 12 months after attendance at a review ]The SIS Short Form consists of 8 items comprising one question from each of the SIS domains (strength, hand function, mobility, activities of daily living, memory, communication, emotion and handicap). Each item is rated on a 5 point Likert scale with answers based on the level of difficulty.
  2. EQ-5D-5L [ Time Frame: 6 and 12 months after attendance at a review ]The EQ-5D-5L is a standardised measure of health status suitable for health and economic appraisal. The responses to 5 dimensions can be combined to provide a 5 digit profile. The profile can be converted using a link function to a single index value which facilitates the calculation of quality-adjusted life years (QALYs). The questionnaire will be used to allow for economic evaluation.
  3. ICEpop CAPability measure for Adults (ICECAP-A) [ Time Frame: 6 and 12 months after attendance at a review ]ICECAP-A is also used in economic evaluation. The ICECAP-A focuses on wellbeing defined in a broader sense rather than health. It comprises of 5 attributes: Attachment, Stability, Achievement, Enjoyment and Autonomy. Each attribute is judged on a 4-point Likert scale ranging from full capability to no capability.
  4. Southampton Stroke Self-management Questionnaire (SSSQ) [ Time Frame: 12 months after attendance at a review ]SSSQ is a 28 item scale covering aspects of managing health and communication with health care professionals.
  5. Health Literacy Questionnaire (HLQ) [ Time Frame: 12 months after attendance at a review ]The HLQ is a self-report measure of patients’ strengths and limitations in their ability to access, understand and effectively use health information and services. It has 44 items covering the following 9 domains: (1) feeling understood and supported by healthcare providers; (2) having sufficient information to manage health; (3) actively managing health; (4) social support for health; (5) appraisal of health information; (6) ability to actively engage with healthcare providers; (7) navigating the healthcare system; (8) ability to find good health information; (9) understand health information.