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Table 1 Consent options for the HeadPoST trial

From: Head Position in Stroke Trial (HeadPoST) – sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial

Hierarchy of consent options proposed in this study

1.

Cluster guardian consent or appropriate approval (e.g., signed by general manager or chief executive of hospital or by head of neurology/stroke department) for the randomised head position to be the usual nursing care for patients with acute stroke, obtained before commencement of the study

With any of the following:

2.

a. Recommended: Opt-out consent obtained from patients for the collection of data through in-person assessment and extraction of information from medical records during the hospital stay and follow-up, and release of personal information to allow centralised follow-up at 90 days after initial admission to the hospital for research purposes

b. Alternative: Individual patient consent for collection of in-hospital data and for release of personalised information for research purposes to allow centralised follow-up at 90 days after the initial admission to the hospital