{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:47:06Z","timestamp":1792619226397,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,6,7]],"date-time":"2020-06-07T00:00:00Z","timestamp":1591488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,6,7]],"date-time":"2020-06-07T00:00:00Z","timestamp":1591488000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002001","name":"Health Services and Delivery Research Programme","doi-asserted-by":"publisher","award":["(Grant Reference 14\/198\/09)."],"award-info":[{"award-number":["(Grant Reference 14\/198\/09)."]}],"id":[{"id":"10.13039\/501100002001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To understand why most stroke patients receive little therapy. We investigated the factors associated with the amount of stroke therapy delivered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data regarding adults admitted to hospital with stroke for at least 72\u2009hours (July 2013\u2013July 2015) were extracted from the UK\u2019s Sentinel Stroke National Audit Programme. Descriptive statistics and multilevel mixed effects regression models explored the factors that influenced the amount of therapy received while adjusting for confounding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 94,905 patients in the study cohort (mean age: 76 (SD: 13.2)\u2009years, 78% had a mild or moderate severity stroke. In all, 92% required physiotherapy, 87% required occupational therapy, 57% required speech therapy but only 5% were considered to need psychology. The average amount of therapy ranged from 2\u2009minutes (psychology) to 14\u2009minutes (physiotherapy) per day of inpatient stay. Unmodifiable characteristics (such as stroke severity) dominated the variation in the amount of therapy. However important, modifiable organizational factors were the day and time of admission, type of stroke team, timely therapy assessments, therapy and nursing staffing levels (qualified and support staff), and presence of weekend or early supported discharge services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The amount of stroke therapy is associated with unmodifiable patient-related characteristics and modifiable organizational factors in that more therapy was associated with higher therapy and nurse staffing levels, specialist stroke rehabilitation services, timely therapy assessments, and the presence of weekend and early discharge services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520927454","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T02:39:31Z","timestamp":1591583971000},"page":"981-991","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Factors influencing the amount of therapy received during inpatient stroke care: an analysis of data from the UK Sentinel Stroke National Audit Programme"],"prefix":"10.1177","volume":"34","author":[{"given":"Matthew","family":"Gittins","sequence":"first","affiliation":[{"name":"Centre for Biostatistics, School of Health Sciences, The University of Manchester and Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Vail","sequence":"additional","affiliation":[{"name":"Centre for Biostatistics, School of Health Sciences, The University of Manchester and Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Bowen","sequence":"additional","affiliation":[{"name":"Division of Neuroscience &amp; Experimental Psychology, School of Biological Sciences, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lugo-Palacios","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizz","family":"Paley","sequence":"additional","affiliation":[{"name":"Public Health England, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Bray","sequence":"additional","affiliation":[{"name":"IQVIA, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Gannon","sequence":"additional","affiliation":[{"name":"School of Economics and Centre for the Business and Economics of Health, University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6301-8791","authenticated-orcid":false,"given":"Sarah","family":"Tyson","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester and Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,7]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Association S. State of the Nation: Stroke Statistics 2020 https:\/\/www.stroke.org.uk\/resources\/state-nation-stroke-statistics (accessed May 2020)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.003740"},{"key":"e_1_3_3_4_2","unstructured":"Physicians RCo. Sentinel stroke national audit programme (SSNAP) Clinical audit July-Sept 2014 Public Report 2015 https:\/\/www.strokeaudit.org\/Documents\/National\/Clinical\/JulSep2014\/JulSep2014-PublicReport.aspx (accessed October 2018)."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/026921559400800102"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.482869"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518765329"},{"key":"e_1_3_3_8_2","unstructured":"Physicians RCo. 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