Barriers to patient recruitment in a poststroke neurorehabilitation multicenter trial in Brazil

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dc.contributor.authorda Silva, T. R. [UNESP]
dc.contributor.authorLuvizutto, G. J.
dc.contributor.authorMartins, L. G. [UNESP]
dc.contributor.authorda Costa, R. D.M. [UNESP]
dc.contributor.authorde Souza, J. T. [UNESP]
dc.contributor.authorWinckler, F. C. [UNESP]
dc.contributor.authorSartor, L. C.A. [UNESP]
dc.contributor.authorModolo, G. P. [UNESP]
dc.contributor.authorFerreira, N. C. [UNESP]
dc.contributor.authorRodrigues, J. C.S. [UNESP]
dc.contributor.authorKanda, R. G. [UNESP]
dc.contributor.authorFogaroli, M. O. [UNESP]
dc.contributor.authorBorges, G. F. [UNESP]
dc.contributor.authorRizzatti, G. R.S. [UNESP]
dc.contributor.authorRibeiro, P. W. [UNESP]
dc.contributor.authorPires, D. S.
dc.contributor.authorFavoretto, D. B.
dc.contributor.authorAguiar, L. R.
dc.contributor.authorBazan, S. G.Z. [UNESP]
dc.contributor.authorBetting, L. E.G. [UNESP]
dc.contributor.authorAntunes, L. C.O. [UNESP]
dc.contributor.authorNunes, H. R.C. [UNESP]
dc.contributor.authorPereira, V. M.
dc.contributor.authorEdwards, T. G.S.
dc.contributor.authorPontes-Neto, O.
dc.contributor.authorConforto, A. B.
dc.contributor.authorBazan, R. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversidade Federal do Triângulo Mineiro
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversity of Toronto
dc.date.accessioned2023-07-29T13:39:49Z
dc.date.available2023-07-29T13:39:49Z
dc.date.issued2023-01-01
dc.description.abstractThere is a high demand for stroke rehabilitation in the Brazilian public health system, but most studies that have addressed rehabilitation for unilateral spatial neglect (USN) after stroke have been performed in high-income countries. Therefore, the aim of this study was to analyze USN patient recruitment in a multicenter noninvasive brain stimulation clinical trial performed in Brazil and to provide study design recommendations for future studies. We evaluated the reasons for exclusion of patients from a multicenter, randomized, double-blinded clinical trial of rehabilitation of USN patients after stroke. Clinical and demographic variables were compared between the included and excluded patients. A descriptive statistical analysis was performed. Only 173 of the 1953 potential neglect patients (8.8%) passed the initial screening. After screening evaluation, 87/173 patients (50.3%) were excluded for clinical reasons. Cognitive impairment led to the exclusion of 21/87 patients (24.1%). Low socioeconomic status led to the exclusion of 37/173 patients (21.4%). Difficulty obtaining transportation to access treatment was the most common reason for their exclusion (16/37 patients, 43.3%). The analyzed Brazilian institutions have potential for conducting studies of USN. The recruitment of stroke survivors with USN was restricted by the study design and limited financial support. A history of cognitive impairment, intracranial stenting or craniectomy, and lack of transportation were the most common barriers to participating in a multicenter noninvasive brain stimulation trial among patients with USN after stroke.en
dc.description.affiliationDepartamento de Clínica Médica Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationDepartamento de Fisioterapia Aplicada Universidade Federal do Triângulo Mineiro, MG
dc.description.affiliationDepartamento de Reabilitac¸ão Hospital das Clínicas Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationDepartamento de Neurologia Psicologia e Psiquiatria Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationHospital das Clínicas Universidade de São Paulo, SP
dc.description.affiliationDepartamento de Neurociências e Ciências do Comportamento Hospital das Clínicas Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo, SP
dc.description.affiliationDepartamento de Saúde Pública Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationDepartment of Neurology University of Toronto
dc.description.affiliationUnespDepartamento de Clínica Médica Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationUnespDepartamento de Reabilitac¸ão Hospital das Clínicas Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationUnespDepartamento de Neurologia Psicologia e Psiquiatria Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.affiliationUnespDepartamento de Saúde Pública Faculdade de Medicina de Botucatu Universidade Estadual Paulista, SP
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIdFAPESP: 2015/14231-0
dc.description.sponsorshipIdCNPq: 423924/2016-8
dc.identifierhttp://dx.doi.org/10.1590/1414-431X2023e12326
dc.identifier.citationBrazilian Journal of Medical and Biological Research, v. 56.
dc.identifier.doi10.1590/1414-431X2023e12326
dc.identifier.issn1414-431X
dc.identifier.scopus2-s2.0-85147186727
dc.identifier.urihttp://hdl.handle.net/11449/248290
dc.language.isoeng
dc.relation.ispartofBrazilian Journal of Medical and Biological Research
dc.sourceScopus
dc.subjectClinical trial
dc.subjectRehabilitation
dc.subjectStroke
dc.subjectTranscranial direct current stimulation
dc.subjectUnilateral spatial neglect
dc.titleBarriers to patient recruitment in a poststroke neurorehabilitation multicenter trial in Brazilen
dc.typeArtigo

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Artigos - Clínica Médica - FMB
Artigos - Saúde Pública - FMB
Artigos - Hospital das Clínicas (HC) - Botucatu
Artigos - Neurologia, Psicologia e Psiquiatria - FMB