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Table 3 Patient Outcome Measures

From: Improving transitions in acute stroke patients discharged to home: the Michigan stroke transitions trial (MISTT) protocol

 

When Measured

 

PRIMARY OUTCOMES

Baseline

7 day

90-day

No. questions

 PROMIS Global-10 QOL

 

X

X

10

 Patient Activation Measure [PAM]

 

X

X

13

SECONDARY OUTCOMES

    

 PHQ-9 depression

 

X

X

9

 NeuroQOL anxiety

 

X

X

CAT*

 Hospital/ED visits – self report

 

X

X

1

 Stroke recurrence – self report

  

X

1

 90d home time

  

X

1

MEDIATING (INTERMEDIATE) OUTCOMES

    

 PROMIS self-efficacy – manage social interaction

 

X

X

4

 PROMIS self-efficacy – manage medications

 

X

X

5

 PROMIS self-efficacy – manage emotions

 

X

X

CAT*

 PROMIS self-efficacy – manage daily activities

 

X

X

CAT*

 PROMIS informational support

 

X

X

5

 PROMIS instrumental (practical) support

 

X

X

5

 PROMIS emotional support

 

X

X

5

 Dyad relationship scale

  

X

10

 Unmet needs self-report

  

X

1

 Stroke-specific technology use

  

X

8

EFFECT MODIFIER VARIABLES

    

 Demographics (age, sex, race, insurance, housing, living alone)

X

  

6

 Demographics (marital status, education, home health care)

 

X

 

3

 Pre-stroke function and ambulation

X

  

2

 Past medical history/comorbidities/risk factors

X

  

11

 Stroke type (ischemic, hemorrhagic)

X

  

1

 Admission stroke severity (NIHSS, level of consciousness, symptom duration)

X

  

3

 Clinical treatments (thrombolytics, endovascular or other surgical intervention)

X

  

3

 Discharge instructions, rehab and home health prescriptions

X

  

3

 Discharge Modified rankin and FIM score

X

  

2

 Pre-stroke function and ambulation

 

X

 

2

 Modified rankin (current function)

 

X

X

3

 ADL and IADL (current)

 

X

X

12

 Care Transitions Measure CTM-3

 

X

 

3

 SIS 6-item cognitive screener

X

X

X

6

 Pre-stroke depression diagnosis

 

X

 

2

 NeuroQOL communication

 

X

X

5

 NeuroQOL emotional & behavioral dyscontrol

 

X

X

CAT*

 Pre-stroke technology utilization

 

X

 

10

 Computer anxiety

 

X

 

2

 Computer self-efficacy

 

X

 

4

 Satisfaction with Interventions

  

X

2

  1. *CAT = Computer Adaptive Testing. Number of questions dependent on individual response. Average is about 6.