Comparison of equipment prescriptions in the toilet/bathroom by occupational therapists using home visits and digital photos, for patients in rehabilitation

Sim, Sharon; Barr, Christopher; George, Stacey

doi:10.1111/1440-1630.12121

Cited by 24 publications

(30 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This strategy lessens the cost and time burdens associated with home visits for healthcare providers who are based in hospitals or rehabilitation institutions 53 . The results of this study demonstrate that trained VHVs can be part of the rehabilitation team that improves the functional performance of disabled people in the community, particularly in developing countries.…”

Section: Resultsmentioning

confidence: 99%

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Chinchai¹,

Khamwong²

2017

S. Afr. j. occup. ther

View full text Add to dashboard Cite

INTRODUCTION: Stroke can cause long-term disabilities to survivors. Rehabilitation is an on-going process and should, ideally, be provided to these people in their homes. This study aimed to investigate the effect that rehabilitation education provided to village health volunteers (VHVs) would have on walking speed and upper extremity (UE) function in stroke survivors who stay at home in Thailand. METHODS: Participants were recruited by purposive sampling, which included 27 stroke survivors from four municipalities in Chiang Mai and Lamphun provinces. The measuring instruments used were the Ten-Meter Walk Test and the UE motor domain of the Fugl-Meyer Assessment. Researchers presented a 7-hour rehabilitation education programme to VHVs, who then made weekly1-hour visits to the homes of stroke survivors to implement the rehabilitation programme over eight weeks. Data were collected within seven days before and again after the 8-week programme. RESULTS: Descriptive statistics and the paired t-test were applied to analyse the data. Results showed that the participants used significantly less walking time from pre-test ( X =34.73 ±8.48) to post-test ( X =32.18±9.32) (p<0.05). However, the score of UE function at pre-test (X=36.81±9.59) was not significantly different from that at post-test (X =37.26±9.67). CONCLUSION: The findings suggest that trained VHVs can be part of the rehabilitation team and contribute to improved functional performance for disabled stroke survivors, particularly in developing countries. Key words: Hand function, gait speed, Home visit, motor function after stroke, community rehabilitation, home-based rehabilitation

show abstract

Section: Resultsmentioning

confidence: 99%

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Chinchai¹,

Khamwong²

2017

S. Afr. j. occup. ther

View full text Add to dashboard Cite

show abstract

“…It may support less experienced occupational therapists identify need or best options and aid communication. It could prompt need for a pre‐discharge home visit, but also consider alternatives, such as access visits, technology supported home environment reviews (Money et al ., ; Sim, Barr & George, ), collaborative pathways to community‐based therapists or new models of post‐acute services linked to the hospital setting. A tool may also integrate theoretical models.…”

Section: Discussionmentioning

confidence: 99%

Pre‐discharge home visits: A qualitative exploration of the experience of occupational therapists and multidisciplinary stakeholders

Godfrey

Cornwell

Eames

et al. 2019

Aus Occup Therapy J

View full text Add to dashboard Cite

Introduction The evidence base surrounding occupational therapy pre‐discharge home visits discusses current practices, potential beneficial outcomes and limitations. However, research is limited, regarding how clinical teams determine which patients receive this service. This study aims to explore perceptions of occupational therapists and multidisciplinary stakeholders concerning pre‐discharge home visits through their experiences and current practice in the Australian context. Method A qualitative descriptive approach, using thematic analysis, was employed. Four focus groups were included, comprising 27 health professionals: novice occupational therapists (n = 6), experienced occupational therapists (n = 8), occupational therapy managers (n = 5), and multidisciplinary team members (n = 8). Results Three key themes relating to pre‐discharge home visits in clinical practice emerged. The first theme of ‘Recognition of Clinical Factors’ reflected that aspects of the person's occupational performance, environmental and care needs, were prime indicators considered for a pre‐discharge home visit. Secondly, ‘Contextual and Pragmatic Influences’, described clinical setting realities as being significant considerations and strongly mediating practice. A third theme of ‘Perceptions of Value’ showed awareness of the utility of pre‐discharge home visits, while also recognising need to enhance ongoing practice. Conclusion This qualitative study provides information on factors influencing decision‐making regarding pre‐discharge home visits from the hospital setting. Clinical factors were presented as key considerations, but clinicians’ experiences and perceptions of contextual influences suggest an explanatory factor for practice variation. While multidisciplinary stakeholders’ broadly demonstrated similar rationales for pre‐discharge home visits as those of occupational therapists, therapists’ decision‐making processes for pre‐discharge home visits were shaped by their experience level. Clinicians’ experience finds pre‐discharge home visits to have value and in the absence of clear evidence‐based criteria for whom this element of practice should be provided, participants supported the development of a decision‐making support tool to assist in decision‐making.

show abstract

“…72 The use of digital photos has also been investigated as a reliable method for making accurate prescriptions for equipment in the bathroom and toilet areas as compared to conventional PHVs. 73 As these technologies evolve, they have potential to improve access to PHV as a virtual therapeutic activity and may decrease associated costs.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

From Hospital to Home to Participation: A Position Paper on Transition Planning Poststroke

Miller

Lin

Neville

2019

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

Based on a review of the evidence, members of the American Congress of Rehabilitation Medicine Stroke Group's Movement Interventions Task Force offer these five recommendations to help improve transitions of care for patients and their caregivers: (1) improving communication processes, (2) utilizing transition specialists, (3) implementing a patient-centered discharge checklist, (4) utilizing standardized outcome measures, and (5) establishing partnerships with community wellness programs. Due to changes in healthcare policy, there are incentives to improve transitions during stroke rehabilitation. Although transition management programs often include multidisciplinary teams, medication management, caregiver education, and follow-up care management, there is a lack of a comprehensive and standardized approach to implement transition management protocols during post-stroke rehabilitation. This article uses the Transitions of Care (TOC) model to conceptualize how to facilitate a comprehensive patient-centered hand-off at discharge to maximize patient functioning and health. Specifically, this article reviews current guidelines and provides an evidence summary of several commonly cited approaches (early supported discharge, planned pre-discharge home visits, discharge checklists) to manage TOC, followed by a description of documented barriers to effective transitions. Patient-centered and standardized transition management may improve community integration, activities of daily living performance, and quality of life for stroke survivors while also decreasing hospital readmission rates during the transition from hospital to home to community.

show abstract

Comparison of equipment prescriptions in the toilet/bathroom by occupational therapists using home visits and digital photos, for patients in rehabilitation

Cited by 24 publications

References 22 publications

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Pre‐discharge home visits: A qualitative exploration of the experience of occupational therapists and multidisciplinary stakeholders

From Hospital to Home to Participation: A Position Paper on Transition Planning Poststroke

Contact Info

Product

Resources

About