Dr Tony Ryan Stroke Theme Lead Prof. Pam Enderby NIHR Collaborative Leadership in Applied Health Research and Care for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Our mission is to undertake, over the next five years, high quality, strategic, applied research and related education in order to enable a ‘step change’ in the way research is delivered and services are designed in South Yorkshire; and to foster knowledge transfer that will improve the quality and effectiveness of health care delivery across South Yorkshire.

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Stroke Theme: Aims 1.To support strategic commissioning of evidence based stroke services 2.To help promote increased access to preventative services for all through exploration, service development and evaluation 3.To facilitate and promote self management, independence, recreation and employment of persons living with the effects of stroke 4.To help improve public awareness and contribute to a reduction in the incidence of stroke and TIA in the longer term 5.To contribute to the development and evaluation of innovative technologies and new methods of service delivery with the involvement of users and carers.

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Work Packages Public awareness (Dr Muna Aziz) Secondary prevention (Prof. Graham Venables) Self management (Dr Michelle Marshall) Stroke unit quality (Amanda Jones) Computer assisted rehabilitation (Dr Rebecca Palmer) Workforce change (Dr Susan Nancarrow, Dr Steve Ariss) Participation (Prof. Shelagh Brumfitt)

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Enhancing the Effectiveness of Interprofessional Team Working for Stroke Rehabilitation Teams (EICC) Dr Susan Nancarrow (Sheffield Hallam University) Dr Steve Ariss (University of Sheffield)

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research EICC Background Little research on models of team working and patient outcome Department of Health Initiatives EICC Action Research: Secondary analysis, developing typologies, propose hypotheses Stroke Rehabilitation Teams may benefit

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research CLAHRC EICC Objectives: Examine the relationship between models of interprofessional working, leadership and patient outcomes; Identify models of interprofessional working and leadership associated with better staff outcomes; Measure the relationship between models of interprofessional working and leadership, and the costs of service delivery; Determine the relationship between models of interprofessional working and leadership on the duration of care.

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Interdisciplinary Management Tool Quality, style and clarity of team leadership Career development Autonomy Team size Team working and integration Innovation

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Baseline Data Gather data on current performance, patient outcome and satisfaction Planning and Negotiating Interventions Using the IMT Taking Action Implementation and action learning sets Impact Data Gather quantitative data on final performance of ICT’s Formative Data Collection EICC Action Research

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research CLAHRC EICC: Progress Ethics & Governance Two teams in South Yorkshire recruited: baseline data gathered One team in negotiation Contact details:

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Evaluating cost effectiveness of computer therapy compared with usual stimulation for people with long standing aphasia: a feasibility study (CACTUS) Dr Rebecca Palmer (University of Sheffield)

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research CACTUS: Background & Rationale Prevalence of Aphasia post-stroke Issues relating to long-term support and rehabilitation Self-management Third sector involvement Innovation and technology: existing evidence

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Research Questions Feasibility study (MRC Phase 2) 1.To compare the clinical effectiveness of computer treatment for word finding to usual support in voluntary group settings. 2.To investigate the undertaking of a cost effectiveness analysis of computer treatment for word finding alongside the RCT 3.To evaluate the acceptability of computer treatment for word finding

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Procedure Single blind pragmatic RCT (30+ two sites) User and carer training and support Participants use software for five months Data:The Object and Action Naming Battery, Therapy Outcomes Measure (TOM), EQ-5D, diaries, service usage, software usage, semi-structured interviews

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Listen to the word and watch the lady forming the sounds, then say it yourself

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research Listen to a sentence and complete it with the correct word. Click the ??? Button for clues. Record yourself saying the word and listen back.

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research CACTUS Progress Ethics and Governance Recruiting patients (n=8) Second site in set up

NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield National Institute for Health Research stroke.html