Secondary Outcome(s)
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Change in the community integration of stroke patients.
[Time Frame: Baseline and end of the intervention (6 months from baseline)]
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Change in prevalence and severity of anxiety.
[Time Frame: Baseline and end of intervention (6 months from baseline)]
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Change in team functioning.
[Time Frame: At three months into the intervention study and upon completion of the study (16 months)]
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Changes in the degree of physical functioning related to stroke.
[Time Frame: Baseline and the end of the intervention (6 months from baseline)]
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Change in the self efficacy of stroke survivors.
[Time Frame: Baseline and end of the intervention (6 months from baseline)]
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Change in level of integration between home care providers.
[Time Frame: At three months into the intervention study and upon completion of the study (16 months)]
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Change in the costs of use of health services by stroke survivors and family caregivers
[Time Frame: Baseline and end of intervention (6 months from baseline)]
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Change in the prevalence and severity of depression symptoms in stroke survivors and family caregivers.
[Time Frame: Baseline and the end of the intervention (6 months from baseline)]
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Change in the degree of strain of family caregiver.
[Time Frame: Baseline and the end of the intervention (6months from baseline)]
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