Article

Patients with stroke should be screened for safety prior
to starting a self-medication regime. An extensive literature review revealed no
standardized self-medication tool tailored to the multi-faceted needs of the
stroke population. The aim of this study was to create and validate a
condition-specific tool to be used in screening for self-medication safety in
individuals with stroke. DESIGN: Items were generated using expert consultation
and review of the existing tools. The draft tool was pilot-tested on expert
stroke clinicians to receive feedback on content, clarity, optimal cueing and
domain omissions. The final version was piloted on patients with stroke using a
structured interviewer-administered interview. RESULTS: The tool was
progressively refined and validated according to feedback from the 11 expert
reviewers. The subsequent version was piloted on patients with stroke. The final
version includes 16 questions designed to elicit information on 5 domains:
cognition, communication, motor, visual-perception and, judgement/executive
function/self-efficacy. CONCLUSION: The Screening for Safe Self-medication
post-Stroke Scale (S-5) has been created and validated for use by health
professionals to screen self-medication safety readiness of patients after
stroke. Its use should also help to guide clinicians' recommendations and
interventions aimed at enhancing self-medication post-stroke.

Langue : ANGLAIS