Stroke research and clinical fellow at Calgary Stroke Program
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Research interests: stroke in ethnic minorities, stroke in the young, improving the lives of people with stroke in resource-poor settings. FRACP Internal Med Physician - Nga Puna Wai Ora / Wellington Regional Hospital; Neurologist - Te Toka Tumai / Auckland City Hospital PhD in clinical research (Take Charge study) at Te Herenga Waka / Victoria University of Wellington.
The Taking Charge after Stroke (TaCAS) study protocol: A multicentre, investigator-blinded, randomised controlled trial comparing the effect of a single Take Charge session, two Take Charge sessions and control intervention on health-related quality of life 12 months after stroke for non-M? ori, non-Pacific adult New Zealanders discharged to community living
Introduction Stroke is one of the leading causes of disability worldwide. Recent data support the possibility that person-centred, self-management interventions can reduce dependence after stroke. However, there is limited information on the generalisability and optimum dose of these interventions. Methods The Taking Charge After Stroke (TaCAS) st...
Objective To determine the Physical Component Summary (PCS) score's minimal clinically important difference (MCID) on the Short Form 36 (SF-36) for people with stroke. Methods We conducted secondary analysis of data from a large randomized controlled trial (N = 400) in the post-hospital discharge phase of stroke rehabilitation with outcome measure...
Objective To undertake an economic analysis of the Take Charge intervention as part of the Taking Charge after Stroke (TaCAS) study. Design An open, parallel-group, randomised trial comparing active and control interventions with blinded outcome assessment Setting Community. Participants Adults ( n = 400) discharged to community, non-institution...
Objective To use secondary data from the Taking Charge after Stroke study to explore mechanisms for the positive effect of the Take Charge intervention on physical health, advanced activities of daily living and independence for people after acute stroke. Design An open, parallel-group, randomised trial with two active and one control intervention...
Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, pla...
Background and purpose: "Take Charge" is a novel, community-based self-directed rehabilitation intervention which helps a person with stroke take charge of their own recovery. In a previous randomized controlled trial, a single Take Charge session improved independence and health-related quality of life 12 months following stroke in Māori and Paci...
Background: Atrial fibrillation (AF) is a major risk factor for stroke and is associated with increased stroke severity and greater morbidity and mortality. Anticoagulation is highly effective for preventing episodes of thromboembolism but remains under-utilised. Aims: The aim of this review was to estimate the short-term risk of thromboembolic...
A qualitative study of participants who took part in the Take Charge RCT, applying the methodology of interpretive description, to identify themes relevant to stroke recovery and the impact of the Take Charge intervention.