{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:30:27Z","timestamp":1767648627100,"version":"3.38.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2005,3,1]],"date-time":"2005-03-01T00:00:00Z","timestamp":1109635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:p> Objective: To evaluate the effect on patient outcome of a teaching package for nurses designed to improve the positioning of stroke patients. <\/jats:p><jats:p> Design: Cluster randomized controlled trial with six-month follow-up. <\/jats:p><jats:p> Setting: Ten stroke rehabilitation hospital units located within one UK inner city region. These were randomized to control or intervention group. <\/jats:p><jats:p> Subjects: A sample of 120 patients admitted within four weeks of a first stroke and with a hemiplegia. No eligible patient refused to participate. Eighty-three (69%) completed the study. <\/jats:p><jats:p> Intervention: All nursing staff on the intervention units received a group teaching package to improve their clinical practice in patient positioning. <\/jats:p><jats:p> Main outcome measure: Rivermead Mobility Index (RMI) at six months post stroke. Patient's position was recorded using an established observational tool. <\/jats:p><jats:p> Results: After the teaching there was some evidence of better positioning in the intervention than the control group (difference in percentage of correct positions per patient 4.9%, 95% confidence interval (CI-0.1% to 9.9%, p-0.055). There was no evidence of differences between the two groups in any of the outcome measures at six months although there was a trend towards increased elbow flexor tone in the control group. <\/jats:p><jats:p> Conclusions: A teaching intervention to improve patient positioning made no significant impact on outcome at six months post stroke. However, following the teaching there was only a slightly higher incidence of recommended patient positioning within the intervention group. Thus, a teaching package may not be powerful enough to enable any effect on patient outcome to be measured. <\/jats:p>","DOI":"10.1191\/0269215505cr855oa","type":"journal-article","created":{"date-parts":[[2005,2,19]],"date-time":"2005-02-19T05:16:11Z","timestamp":1108790171000},"page":"138-145","source":"Crossref","is-referenced-by-count":18,"title":["Effect of recommended positioning on stroke outcome at six months: a randomized controlled trial"],"prefix":"10.1177","volume":"19","author":[{"given":"A","family":"Jones","sequence":"first","affiliation":[{"name":"Florence Nightingale School of Nursing & Midwifery, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Tilling","sequence":"additional","affiliation":[{"name":"Department of Public Health, King's College London; Department of Social Medicine, University of Bristol, London, 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