{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/28748"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/28748","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"Modelling clinical decision-making referral patterns to home-based or hospital-based stroke outpatient rehabilitation programs in London, Ontario: A prognostic model development study","abstract":"The rehabilitation of stroke survivors is an ongoing process for months to years after the injury. Parkwood Institute in London, Ontario is an example of a model outpatient program recommended by the Canadian Stroke Best Practice Recommendations, as patients have access to hospital-based outpatient rehabilitation (Comprehensive Outpatient Rehabilitation Program (CORP)) and home-based rehabilitation (Community Stroke Rehabilitation Teams (CSRT)). However, the decision to refer to either outpatient service is ad hoc. This thesis explores if referrals to CORP or CSRT can be modelled through the development of a prognostic model. The model found that patients who have a higher number of comorbidities, live further away from Parkwood Institute, are older, have strokes of moderate severity, lower functional independence measure (FIM) scores and have reading comprehension difficulties are referred more often to CSRT. Patients with a caregiver, higher FIM scores, and auditory communication problems are more likely to be referred to CORP.","abstract_html":"The rehabilitation of stroke survivors is an ongoing process for months to years after the injury. Parkwood Institute in London, Ontario is an example of a model outpatient program recommended by the Canadian Stroke Best Practice Recommendations, as patients have access to hospital-based outpatient rehabilitation (Comprehensive Outpatient Rehabilitation Program (CORP)) and home-based rehabilitation (Community Stroke Rehabilitation Teams (CSRT)). However, the decision to refer to either outpatient service is ad hoc. This thesis explores if referrals to CORP or CSRT can be modelled through the development of a prognostic model. The model found that patients who have a higher number of comorbidities, live further away from Parkwood Institute, are older, have strokes of moderate severity, lower functional independence measure (FIM) scores and have reading comprehension difficulties are referred more often to CSRT. Patients with a caregiver, higher FIM scores, and auditory communication problems are more likely to be referred to CORP.","abstract_has_math":false,"creators":["Iruthayarajah, Jerome"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Epidemiology and Biostatistics","degree_department":null,"school":null,"contributors":[],"advisors":["Speechley, Mark R","Teasell, Robert W"],"committee_chairs":[],"committee_members":[],"year":2019,"date_issued":"2019-01-22","date_published":"2019-01-22","updated_at":"2026-07-27T21:56:20Z","subjects":["Stroke","rehabilitation","outpatient","prediction model","prognostic","referral","decision-making","logistic regression"],"languages":["en_ca"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/28748","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Speechley, Mark R","Teasell, Robert W"]},{"key":"dc:creator","label":"Author","values":["Iruthayarajah, Jerome"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-07-10T16:14:38Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-07-10T16:14:38Z"]},{"key":"dc:date.issued","label":"Date","values":["2019-01-22"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Epidemiology and Biostatistics"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Stroke","rehabilitation","outpatient","prediction model","prognostic","referral","decision-making","logistic regression"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_ca"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/28748"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."]},{"key":"dc:description.abstract","label":"Abstract","values":["The rehabilitation of stroke survivors is an ongoing process for months to years after the injury. Parkwood Institute in London, Ontario is an example of a model outpatient program recommended by the Canadian Stroke Best Practice Recommendations, as patients have access to hospital-based outpatient rehabilitation (Comprehensive Outpatient Rehabilitation Program (CORP)) and home-based rehabilitation (Community Stroke Rehabilitation Teams (CSRT)). However, the decision to refer to either outpatient service is ad hoc. This thesis explores if referrals to CORP or CSRT can be modelled through the development of a prognostic model. The model found that patients who have a higher number of comorbidities, live further away from Parkwood Institute, are older, have strokes of moderate severity, lower functional independence measure (FIM) scores and have reading comprehension difficulties are referred more often to CSRT. Patients with a caregiver, higher FIM scores, and auditory communication problems are more likely to be referred to CORP."]},{"key":"dc:title","label":"Title","values":["Modelling clinical decision-making referral patterns to home-based or hospital-based stroke outpatient rehabilitation programs in London, Ontario: A prognostic model development study"]}]}],"canonical_facts":{"dc:contributor.advisor":["Speechley, Mark R","Teasell, Robert W"],"dc:creator":["Iruthayarajah, Jerome"],"dc:date.accessioned":["2025-07-10T16:14:38Z"],"dc:date.available":["2025-07-10T16:14:38Z"],"dc:date.issued":["2019-01-22"],"dc:description":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."],"dc:description.abstract":["The rehabilitation of stroke survivors is an ongoing process for months to years after the injury. Parkwood Institute in London, Ontario is an example of a model outpatient program recommended by the Canadian Stroke Best Practice Recommendations, as patients have access to hospital-based outpatient rehabilitation (Comprehensive Outpatient Rehabilitation Program (CORP)) and home-based rehabilitation (Community Stroke Rehabilitation Teams (CSRT)). However, the decision to refer to either outpatient service is ad hoc. This thesis explores if referrals to CORP or CSRT can be modelled through the development of a prognostic model. The model found that patients who have a higher number of comorbidities, live further away from Parkwood Institute, are older, have strokes of moderate severity, lower functional independence measure (FIM) scores and have reading comprehension difficulties are referred more often to CSRT. Patients with a caregiver, higher FIM scores, and auditory communication problems are more likely to be referred to CORP."],"dc:identifier.uri":["https://hdl.handle.net/20.500.14721/28748"],"dc:language.iso":["en_ca"],"dc:publisher":["The University of Western Ontario"],"dc:subject":["Stroke","rehabilitation","outpatient","prediction model","prognostic","referral","decision-making","logistic regression"],"dc:title":["Modelling clinical decision-making referral patterns to home-based or hospital-based stroke outpatient rehabilitation programs in London, Ontario: A prognostic model development study"],"dc:type":["thesis"],"thesis:degree_discipline":["Epidemiology and Biostatistics"],"thesis:degree_name":["M Sc"]},"updated_at":"2026-07-27T21:56:20Z"}