Wednesday, 23rd August The Joint Annual Meeting of the Stroke Society of Australasia (SSA) and Smartstrokes 2023

 This workshop is aimed at doctors, stroke neurologists, and investogators keen to run the CASPER study at their site.

• The trailblazing Mobile Stroke Unit has been working the streets of Melbourne for nearly six years.
• The team treats 12 times as many patients in the Golden Hour compared to standard hospital pathways.
• While the fastest was just six minutes, on average, it takes 18 minutes from arrival to a patient receiving a CT scan in the back of the ambulance.
• The MSU’s onset to needle time for thrombolysis is 84 minutes which is 83 minutes faster than the Australian metro hospital average.
• A significant number of patients, after onboard diagnosis, are redirected past the nearest hospital for treatment at a comprehensive stroke centre. Patients receive surgical treatment hours earlier and valuable ambulance resources are freed up.
• The model has inspired the Australian Stroke Alliance’s quest to take lightweight, portable and affordable brain imaging to all Australians, via road and aeromedical retrieval services.

• Conference Welcome by Ben Clissold and Alexis McMahon, conference convenors
• Welcome to Country
• Saran Chamberlain, Lived-experience contributor
• Message from the Hon Ms Ged Kearney MP, Australian Assistant Minister for Health and Aged Care

• Invited Plenary: Twenty years of Get-With-The-Guidelines-Stroke and Counting: Celebrating past successes, lessons learned, and future challenges - Mat Reeves

Session hosts, Adrian and Karly, set the scene and speak from experience about their motivations and journey into research, give context to different engagement levels, and approaches to advocate for self and others to create effective, successful participation.

This is a closed session for lived-experience delegates with opportunities to ask questions and learn from others participating.

Speakers/Facilitators:

Adrian O’Malley, Lived-experience contributor

Karly Zacharia, University of Newcastle researcher

• Keynote: A Passion for Improvement: Learnings from Aotearoa New Zealand - Anna Ranta
• Issues for Indigenous Māori with stroke - Bernadette Jones
• Championing stroke care: Insights from the Australian Stroke Clinical Registry on priority areas of Acute Stroke Care. - Dominique A. Cadilhac
• StrokeLink Program: A Success in Championing Stroke Care in Queensland - Andrew Wong
• Why does Code Stroke Simulation Training improve Team Performance?  - Lauren M Sanders
• Does a ‘Strong recommendation’ within a clinical practice guideline change clinician behaviour? National uptake of Fever, hyperglycaemia (Sugar) and Swallowing (FeSS) management following stroke. - Kelly Coughlan
• Interventions to Improve the Delivery of Evidence-Based Practices in Acute Stroke Units – a Cochrane Systematic Review - Elizabeth A Lynch

• Keynote: Estimating stroke burden from whole-population linked datasets: challenges and applications - Lee Nedkoff
• Estimating Stroke Prevalence from Linked Data Sources - Jennie Carson
• Changes in stroke incidence among major ethnic groups in New Zealand between 1981- 2021 - Balakrishnan Nair
• Do Social Determinants of Health Influence Post-Stroke Aphasia Outcomes? A Scoping Review - Robyn O'Halloran
• Sex-differences in Acute Stroke In-hospital Mortality in Chile: Data from a Multicenter Nationwide Hospital-Based Registry - Maria Ignacia Allende
• An International Perspective of Incidence and Risk factors of Young Stroke: a Scoping Review - Dinah Amoah

In the first hour, three different pairs of researcher/lived-experience contributors will share some real-life examples of how to undertake ‘co-design’ (and some pitfalls to avoid). Tips and tricks and practical resources will be shared.

In the last half hour, the speakers will join in a panel conversation.

This is an interactive session for all conference attendees with opportunities to ask questions and learn from others participating. For lived-experience delegates it will build on Workshop 1. This session will also appeal to researchers wanting to learn more about co-design principles and get practical tips to improve how to involve those with lived experience in their research. 

Speakers/Facilitators:

Chris Lassig, Stroke Foundation

Saran ChamberlainLived-experience contributor

Elizabeth Lynch, Flinders University researcher

Brooke Parsons,Lived-experience contributor

Julie Bernhardt, Florey Institute researcher

Vikki Cail, Lived-experience contributor

John Pierce, La Trobe University researcher

• Working Together with a Rural and Remote Stroke Survivor to Develop a Technology-facilitated Recovery Program - Sarah Jackson
• Phase II, double-blinded, randomised, placebo-controlled study to determine the safety, preliminary efficacy and pharmacokinetics of ARG-007 in acute ischaemic stroke patients (SEANCON) - David J Blacker
• The long and the short of it: A retrospective audit of factors contributing to extended length of stay in stroke/TIA patients in a regional hospital. - Polly Tan
• Time is brain so we must BEFAST - Donna N Jay
• Supporting Well-being After Stroke: The Problem of the Pace of Stroke Care in New Zealand - Felicity Bright
• Implementing the Screen-Clean-Hydrate Bundle of Care for Improving Swallow Screening, Oral Health and Hydration in Acute Stroke - Joanne Murray
• Evaluating the Safety and Efficacy of Telemedicine Neurology Assessments on a Mobile Stroke Unit: Protocol for a Randomised Trial - Anna H Balabanski
• Making Home First a Priority: Increasing Discharges to Early Home-Based Rehabilitation From a Tertiary Acute Stroke and Neurology Unit Using Low-Cost Interventions Identified Using the Capability Opportunity Motivation Model of Behaviour Change – A Pre-Post Study   - Celeste Trussell
• Championing Better Care for Young People with Stroke:  Australia’s New Young Stroke Service - Karen N Borschmann
• A comprehensive quality assessment program for aphasia after stroke: a multi-centre, mixed-methods study protocol - Sarah J Wallace
• Stroke Coding Accuracy – a retrospective Pre- and Post-Electronic Medical Record Implementation Study - Joshua Mahadevan
• Increasing Adherence to the Acute Stroke Guidelines: A Quality Improvement Initiative for Occupational Therapists based on the Knowledge-To-Action Framework - Molly Eaton
• Mood Screening for People Discharged from an Acute Hospital After Stroke: Initial Experience. - Dianne L Marsden
• What are the National Implementation Priorities for Post-stroke Aphasia Management? - Kirstine Shrubsole
• Transdisciplinary Stroke Assessment: Improving Allied Health Clinician Compliance with National Stroke Guidelines  - Aleysha Martin
• Detection of Patent Foramen Ovale with Transcranial Doppler Ultrasound versus Bubble-enhanced Transthoracic Echocardiogram: an Implementation Audit. - Logesh Palanikumar
• Does an in-reach Neurological Physiotherapy Service improve therapy intensity for patients waiting inpatient rehabilitation? - Alex Delbridge
• Blood Pressure Changes During General Anaesthesia for Stroke Endovascular Thrombectomy - Suma Thampi
• Impact Of Changing Telestroke Notification To Post CT In The Central Region Of Aotearoa New Zealand  - Alicia Tyson
• Use the phone to get home: Development of an informal functional mobile phone assessment tool for people with Aphasia - Sally Loustau
• Comparisons between group- and individual-based programs to support recovery from stroke and ischaemic heart disease in the community: a scoping review - Shaun L Hancock
• Arms Matter. Is it feasible to implement an upper limb group on an acute neurosciences ward?  - Megan Thomson
• Credentialing Assessors in the Fugl Meyer Assessment and Implications for Stroke Recovery Trials: Experience from the AVERT-DOSE Trial. - Kate Hayward
• Aphasia, Depression, and Psychological Therapy (ADaPT): A Single Case Design Evaluation of a Modified Cognitive Behavioural Therapy Intervention to Treat Depressive Symptoms in Stroke Survivors with Aphasia - Sonia Thomas
• Co-designing an embodied computer agent to self-manage stroke recovery: The Taking Charge Intelligent Agent (TaCIA) Project - Heidi Janssen
• What Biopsychosocial Factors are Associated with "Reduced Self-Awareness" of Functional Capacity following Stroke? - Rene J Stolwyk
• Goal Attainment with Integrated Upper Limb Spasticity Management Including Botulinum Toxin A (BoNT-A): Sub-analysis of Australian Data From the ULIS-III Study - Edwin Luk
• Are Current Self-Efficacy Measures Reliable and Valid for Stroke Survivors? - Karl R Espernberger
• A Nudge in the Right Direction? Haptic Nudging using Wearable Devices for Upper Limb Stroke Rehabilitation - Nada Signal
• Conceptualising Centres of Clinical Excellence in Stroke Recovery and Rehabilitation: A Scoping Review - Thoshenthri Kandasamy
• A Student Led Ward – Two Birds with One Stone? - Emma Parsons
• Maintaining Language and Quality of Life Gains with Low-dose, Technology-delivered Aphasia Therapy: Preliminary Results of the CHAT-Maintain Program - Natalie Hickey
• Effectiveness of Home-Based Exercise for Improving Physical Activity, Quality of Life and Function in Older Adults After Hospitalisation: Results from a Systematic Review - Kate Scrivener
• Physical Activity Beliefs, Barriers and Facilitators: a Survey of Community-Dwelling People After Stroke Involved in the Falls After Stroke Trial - Kate Scrivener
• Can we be more inclusive? Recruitment Barriers to Exercise Trials for Stroke Survivors - Ashley Park
• Unspoken, unseen, and at times, silenced: The emotions and emotional work of people in stroke services in Aotearoa - Felicity Bright
• Recovery of Walking after Severe Stroke: A Longitudinal Cohort Study following Rehabilitation - Sharon F Kramer
• What is “challenge”? An interdisciplinary concept analysis of task difficulty in stroke rehabilitation. - Emeline (Emma) M Gomes
• Application of Real-world Clinical Data to Understand the Profile of Arm Weakness, Pre-stroke Outcomes and Other Impairments Early Post-stroke. - Emily J Dalton
• Applying the Multidimensional Dose Articulation Framework to a Multidisciplinary Stroke Recovery Trial to Collect Dose Data Electronically in Real-time - Emily Brogan
• Repetition counters Enhancing ACute Hemiparesis Independent Therapy (REACH-IT): Co-designing an Interactive Upper Limb Therapy System for Acute Stroke. - John Cannell
• Is a Stroke-Specific In-Reach Rehabilitation Model of Care Effective and Efficient? - Sarah Parker
• Recovery Experiences of Adults with Mild Stroke: A Qualitative Analysis using a Self Determination Theory Approach - Swarna Vishwanath
• Exploring Stroke Survivors’ Perspectives and Acceptance of Rehabilitation Amount Provided in an Early Supported Discharge (ESD) Model of Care. - Laura Jolliffe
• Expert rehabilitation and allied health services for young adults with stroke are lacking: A mapping study of Victorian and South Australian Services - Melita J Giummarra
• The Needs and Perspectives of People with Stroke and Communication Disabilities in Early Vocational Rehabilitation and Return to Work: A Mixed Methods Prospective Study.  - Lucette E Lanyon
• Serious Falls Over One-Year After Stroke: Insights from a Large International Rehabilitation Trial - Kelly J Bower
• High Intensity Interval Training POst-STroke (HIIT-POST): Preliminary results - Sarah K Ashcroft
• Access to mood screening and psychological services after stroke in Australian acute and rehabilitation services: 2011-2021 - Shaun Hancock
• Four Year Data of a Newly Established Stroke Unit: A Physiotherapy Perspective - Tracy Beckwith
• Developing a Goal Setting Process that is Culturally Safe and Meaningful for Maori in an Integrated Stroke Unit - Jon Bagnall
• Stroke survivor experiences of completing a constraint induced movement therapy program via telehealth: The ReCITE study - Lauren J Christie
• Music Listening and Aphasia Recovery: Examining the Usability and Acceptance of a Purpose-Built Mobile Music Listening Application - Bethany Best
• Using accelerometers and behaviour change to target physical activity, risk of recurrent stroke and fatigue in subacute stroke: a pilot study. - Niruthikha Mahendran
• First- and Third-Person Motor Imagery Programs for People with Stroke living in the Community – Program development and pilot-testing   - Karen Liu
• What baseline and intervention characteristics predict walking speed six months after stroke? - Niruthikha Mahendran
• "We got there in the end.....somehow, we got there": A Qualitative Study of Healthcare Professionals providing care in the Community to People with Chronic Aphasia, and how Technology could assist. - Kylie A Casey

Session Objective:

To provide an overview of the current usage of FXa-Inhibitors in Australia and the impact that they have in ICH and its management and to review the current reversal strategies for FXa-Inhibitors in ICH and their place in the current treatment paradigm.

Participants

Chair – Andrew Wong

Presenters – Huyen Tran and Geoff Cloud

Schedule 

• Keynote: The Australian Stroke Alliance: The Stroke Golden Hour - Geoffrey Donnan and Stephen Davis
• The Effect of Ischemic Core Volume on Functional Outcomes in the SELECT-2 Randomised Trial of Thrombectomy for Large Ischemic Stroke - Bruce Campbell
• Significant Improvement of Outcomes with Pre-hospital Thrombolysis in the first Golden Hour - Henry Zhao
• Achieving Covariate- and Group Size Balance for Hyperacute Stroke Trials with Adaptive Randomization - Dominic Italiano
• Reported Versus Measured Weight in Patients Treated with Thrombolysis - an Audit from Box Hill Hospital Stroke Unit - David DL Levitz
• Deep Learning-based prediction of final infarct core from CT perfusion data: A comparison to clinical standard - Freda Werdiger

• Keynote: Digital health within stroke care – reflections on capability, sustainability and equity from a digital mental health service    - Christine Shiner
• TACTICS VR: Multi-audience Virtual Reality Workflow Training for Hyper-Acute Stroke Care - Rohan Walker
• Evaluating Health Care Professionals’ and Patients’ Perceptions of Digital Solutions for Stroke Prevention: A Mixed Methods Study of Usability and Satisfaction Levels - Balakrishnan Nair
• What Influences the Adoption and Sustained Use of Rehabilitation Technologies? A Scoping Review - Nada Signal
• Developing Miniaturised Carbon Nanotube Brain Scanners for Standard Road and World-First Air Ambulances - Anna H Balabanski
• Bridging the urban and regional divide in stroke care (BUILDS) – a novel Tele-Stroke Unit Care model for regional Australia - Lauren G Arthurson

The conference scientific committee has selected the best co-design abstracts to be presented.

At the end of the session, the co-design research abstract speakers join a panel with session facilitators for discussion and interactive Q&A for all conference attendees. 

Facilitated by:

Brenda Booth, Lived-experience contributor

Felicity Bright, Auckland University of Technology researcher

• i-REBOUND after stroke - The consumer perspective.   - Julie Davey
• Is it Feasible to Codesign Implementation Strategies with People with Lived Experience of Stroke to Improve Evidence-based Stroke Rehabilitation? - Elizabeth A Lynch
• Co-design of a tailored follow-up intervention package for people living with stroke who report extreme unmet needs: a two stage, three-round modified Delphi study - Andrew G Ross
• Making Research Summaries Accessible to People with Aphasia Following Stroke: An International Co-design Study. - Sarah J Wallace
• Co-design of a multicomponent digital Care Assistant and support Program for people after Stroke or transient ischaemic attack (CAPS). - Jan Cameron

• Keynote: Update on ICH Care - Timothy Kleinig
• Early, Minimally Invasive Intracerebral Haemorrhage Evacuation: a Phase 2a Feasibility, Safety and Promise of Surgical Efficacy Study. - Timothy J Kleinig
• The Role of Decompressive Craniectomy Following Microsurgical Repair of a Ruptured Aneurysm: Analysis of a South Australian Cerebrovascular Registry - Tom O'Donohoe
• Early Reperfusion after Pre-hospital Thrombolysis - Candice Menezes
• Developing a Desirability of Outcome Ranking Measure for the Melbourne Mobile Stroke Unit Telemedicine Trial - Hannah Johns

• Keynote: Inflammation and Stroke events – an unresolved controversy (the CASPER Trial) - Anthony Keech
• Atrial Fibrillation and Anticoagulation in Patients Hospitalised for Stroke in the REGIONS Care Study - Syrah Ranta
• Evaluation of a physical activity and diet intervention delivered by telehealth for the secondary prevention of stroke: A Process evaluation of the ENAbLE Pilot Trial using the RE-AIM framework. - Karly Zacharia
• Evaluation of the health service delivered secondary prevention program: Supporting Lifestyle and Activity Modification after TIA (SLAM-TIA) - Heidi Janssen
• Stroke Management in Australian General Practices: a Data Linkage Study - Muideen Olaiya

Chairs: Sarah Wallace, Elisha Deegan & Adrian O’Malley

The conference scientific committee has selected the best co-design abstracts to be presented.

At the end of the session, the co-design research abstract speakers join a panel with session facilitators for discussion and interactive Q&A for all conference attendees. 

Facilitated by:

Elisha Deegan, Lived-experience contributor

Adrian O’Malley, Lived-experience contributor

Sarah Wallace, University of Queensland researcher

• Developing a Home-based, Carer-Supported Exercise Program in Australia; Perceptions of People After Stroke and Carers on the Features of Acceptability. - Emelyn Jovic
• STOPstroke - A community-based research priority setting project for stroke prevention - Christine Farmer
• What are the Highest Priority Challenges for People with Communication Disability after Discharge? - John E Pierce
• Co-design of Processes to Assist Research Dissemination to People with Aphasia - Emily Brogan

Participants: Bruce Campbell and Teddy Wu