A feasibility study of a mobile phone supported family-centred ADL intervention, F@ce™, after stroke in Uganda

Kamwesiga, Julius; Eriksson, Gunilla; Tham, Kerstin; Fors, Uno; Ndiwalana, Ali; Koch, Lena von; Guidetti, Susanne

doi:10.1186/s12992-018-0400-7

Cited by 56 publications

(101 citation statements)

References 47 publications

(55 reference statements)

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“…Areas that supported feasibility were as follows: findings related to acceptability indicated that the intervention, which included individual support for two months, was perceived to be appropriate according to patients' needs. Similar results, concerning intervention duration, was found in a study using SMS reminders in stroke rehabilitation [27]. Regarding the area of demand, patients expressed interest and their actual use of RemindMe showed that it was used to support activities in everyday life.…”

Section: Discussionsupporting

confidence: 81%

Feasibility of an Intervention for Patients with Cognitive Impairment Using an Interactive Digital Calendar with Mobile Phone Reminders (RemindMe) to Improve the Performance of Activities in Everyday Life

Andreassen

Hemmingsson

Boman

et al. 2020

IJERPH

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The aim of this study is to increase evidence-based interventions by investigating the feasibility of an intervention using an interactive digital calendar with mobile phone reminders (RemindMe) as support in everyday life. Qualitative and quantitative data were collected from participating patients (n = 8) and occupational therapists (n = 7) from three rehabilitation clinics in Sweden. The intervention consisted of delivering the interactive digital calendar RemindMe, receiving an individualized introduction, a written manual, and individual weekly conversations for two months with follow-up assessments after two and four months. Feasibility areas of acceptability, demand, implementation, practicality, and integration were examined. Patients expressed their interest and intention to use RemindMe and reported a need for reminders and individualized support. By using reminders in activities in everyday life their autonomy was supported. The study also demonstrated the importance of confirming reminders and the possible role of habit-forming. Occupational therapists perceived the intervention to be useful at the rehabilitation clinics and the weekly support conversations enabled successful implementation. This study confirmed the importance of basing and tailoring the intervention to patients’ needs and thus being person-centered.

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Section: Discussionsupporting

confidence: 81%

Feasibility of an Intervention for Patients with Cognitive Impairment Using an Interactive Digital Calendar with Mobile Phone Reminders (RemindMe) to Improve the Performance of Activities in Everyday Life

Andreassen

Hemmingsson

Boman

et al. 2020

IJERPH

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“…This study was a sub-study of a larger overall clinical study (F@ce), described elsewhere [28]. The study was a collaborative project between Karolinska Institutet (KI) in Stockholm (Division of Occupational Therapy), Sweden; Stockholm University, Sweden (SMS-system development and related services); and Uganda Allied Health Examinations Board (coordination of local OTs).…”

Section: Methodsmentioning

confidence: 99%

“…F@ce stands for Face-to-face (F) with a collaboration between the therapist and a client during all the different phases, including Assessment (@), Collaboration (C) and Evaluation (E). The F@ce™ intervention integrates the principles of client-centred practice with goal setting involving daily occupations that the person need and want to do in everyday life during the entire rehabilitation process and has in a feasibility study been found to improve primary outcomes (performance and satisfaction of valued daily activities in everyday life assessed using the Canadian Occupational Performance Measure (COPM), as well as self-efficacy [28].…”

Section: Introductionmentioning

confidence: 99%

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation

Fors

Kamwesiga

Eriksson

et al. 2019

BMC Med Inform Decis Mak

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Background According to WHO stroke is a growing societal challenge and the third leading cause of global disease-burden estimated using disability-adjusted life years. Rehabilitation after stroke is an area of mutual interest for health care in many countries. Within the health care sector there is a growing emphasis on ICT services to provide clients with easier access to information, self-evaluation, and self-management. ICT-supported care programs possible to use in clients’ home environments are also recommended when there are long distances to the health care specialists. The aim of this study was to evaluate the technical usability of a SMS-based reminder system as well as user opinions when using such a system to assist clients to remember to perform daily rehabilitation activities, to rate their performance and to allow Occupational therapists (OT’s) to track and follow-up clients’ results over time. Methods Fifteen persons with stroke were invited to participate in the study and volunteered to receive daily SMS-based reminders regarding three activities to perform on a daily basis as well as answer daily SMS-based questions about their success rate during eight weeks. Clients, a number of family members, as well as OTs were interviewed to evaluate their opinions of using the reminder system. Results All clients were positive to the reminder system and felt that it helped them to regain their abilities. Their OTs agreed that the reminder and follow-up system was of benefit in the rehabilitation process. However, some technical and other issues were limiting the use of the system for some clients. The issues were mostly linked to the fact that the SMS system was based on a Swedish phone number, so that all messages needed to be sent internationally. Conclusion In conclusion, it seems that this type of SMS-based reminder systems could be of good use in the rehabilitation process after stroke, even in low income counties where few clients have access to Internet or smart phones, and where access to healthcare services is limited. However, since the results are based on clients’, OTs’ and family members’ expressed beliefs, we suggest that future research objectively investigate the intervention’s beneficial effects on the clients’ physical and cognitive health. Electronic supplementary material The online version of this article (10.1186/s12911-019-0847-3) contains supplementary material, which is available to authorized users.

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“…The process evaluation was carried out by two evaluators within the context of a research project in Uganda. The purpose of the main research project was to evaluate the feasibility of a model for mobile phone-supported and family-centred rehabilitation intervention to increase functioning in daily activities for persons living with the consequences of stroke, as well as participation in everyday life for persons with stroke and their family members [27].…”

Section: Methodsmentioning

confidence: 99%

What’s in it for me? A process evaluation of the implementation of a mobile phone-supported intervention after stroke in Uganda

Teriö

Eriksson

Kamwesiga³

et al. 2019

BMC Public Health

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Background The prevalence of stroke in Uganda is increasing. In stroke rehabilitation, information and communication technology has been shown to have potential in improving service delivery in high-income countries but there is limited knowledge of its use and impact in low-income countries. The aim of the study was to evaluate the implementation process of a mobile phone-supported family-centred rehabilitation intervention and to gain knowledge on the mechanisms of impact as well as the contextual factors that might have affected the implementation process and its outcome. Method This was a single-case study design using the integrated Promoting Action on Research Implementation in Health Services framework and the Medical Research Council guidance as frameworks . Quantitative process data was derived from 14 log books used by occupational therapists during the implementation. Qualitative semi-structured interviews were conducted with 12 implementers in different professions, 12 months into the implementation, in order to obtain the primary data. Secondary data was derived from six semi-structured interviews conducted directly after pre-intervention workshops and 6 months later. The framework method was used in the data analysis. Results In 11 out of 14 cases, the clients were compliant with the intervention. Yet, challenges such as technical problems were reported. The target of conducting 16 phone calls for each client was achieved to 74%. Eight categories emerged from the qualitative analysis of the interviews including: 1) perceptions on facilitation, 2) using scientific and experience-based knowledge, 3) tailoring the intervention, 4) supportive working culture, 5) barriers to the service delivery, 6) implementers’ interaction with the intervention, 7) perceptions on motivations and values, and 8) improving the model and enabling sustainability. Mechanisms contributing to the implementation of the intervention included engaged facilitators and motivated participants. Challenges in the client recruitment and poor information dissemination were some of the mechanisms impeding the implementation. Conclusions The intervention was partially delivered in accordance with the logic model for the project, where the implementation process was influenced by several barriers in the context such as technical setbacks. However, there were also several mediators in the process driving the project forward, including strong facilitation and motivated participants. Electronic supplementary material The online version of this article (10.1186/s12889-019-6849-3) contains supplementary material, which is available to authorized users.

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A feasibility study of a mobile phone supported family-centred ADL intervention, F@ce™, after stroke in Uganda

Cited by 56 publications

References 47 publications

Feasibility of an Intervention for Patients with Cognitive Impairment Using an Interactive Digital Calendar with Mobile Phone Reminders (RemindMe) to Improve the Performance of Activities in Everyday Life

Feasibility of an Intervention for Patients with Cognitive Impairment Using an Interactive Digital Calendar with Mobile Phone Reminders (RemindMe) to Improve the Performance of Activities in Everyday Life

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation

What’s in it for me? A process evaluation of the implementation of a mobile phone-supported intervention after stroke in Uganda

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