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There has been continuous growing international interest in our 22 item Longer-term Unmet Needs after Stroke (LUNS) questionnaire.

The tool has been translated into multiple languages including Dutch, French, Chinese, Portuguese and many more to validate against their local population.

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The LUNS questionnaire[1] is a simple reliable tool to measure the longer-term problems affecting physical, social and mental well-being of stroke survivors. LUNS was developed by the ASR as part of a National Institute for Health Research funded programme grant. The study results shows that LUNS is acceptable to stroke patients and has good validity and test-retest reliability, therefore providing an effective method for identifying longer term unmet needs after stroke.

As recommended by the National Stroke Strategy and Accelerating Stroke Improvement Programme, LUNS can be used for identifying the longer term unmet needs for an individual stroke patient during a post stroke review. In addition, LUNS can also be used to provide a survey of the longer term unmet needs of stroke patients within a service, to evaluate how well a service is meeting the needs of its stroke patients.

Researchers in the Netherlands validated LUNS against the Dutch stroke population[2] and found it to be feasible, reliable and valid. Most recently, the preliminary data from the Korean translated version of the tool also showed good validity and reliability.


[1] LoTS care LUNS study team. Validation of the Longer-term Unmet Needs after Stroke (LUNS) monitoring tool: a multicentre study. Clinical Rehabilitation 2013;27(11):1020–1028.

[2] Groeneveld I, Arwert H, Goossens P, Vliet Vlieland T. The Longer-term Unmet Needs after Stroke Questionnaire: Cross-Cultural Adaptation, Reliability, and Concurrent Validity in a Dutch Population. Journal of Stroke and Cerebrovascular Diseases 2017;27(1).

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