Implementation and Effects of an Information Technology–Based Intervention to Support Speech and Language Therapy Among Stroke Patients With Aphasia: Protocol for a Virtual Randomized Controlled Trial

Kim, Esther; Laird, Laura; Wilson, Chanelle; Bieg, Till; Mildner, Philip; Möller, Sebastian; Schatz, Raimund; Schwarz, Stephanie; Spang, Robert P.; Voigt-Antons, Jan‐Niklas; Rochon, Elizabeth

doi:10.2196/30621

Cited by 7 publications

(3 citation statements)

References 29 publications

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“…Other challenges mean insufficient internet capacity and speed requiring for TR, especially among Chen et al, 2020;Cramer et al, 2019;Escalante-Gonzalbo et al, 2021;Guillén-Climent et al, 2021;Jonghyun Kim et al, 2020;Park et al, 2019;Qiu et al, 2020;Rogers et al, 2019;Sarfo, Adusei, et al, 2018;Smith & Tomita, 2020;Szturm et al, 2021;Thielbar et al, 2020; (Faria et al, 2020;Gil-Pagés et al, 2018;Isernia et al, 2019;Lawson et al, 2020;Torrisi et al, 2019;Withiel et al, 2019) Aphasia/linguistic communication disorders Chronic 236 30-120 1-6 4-24 20-100 (Braley et al, 2021;Cherney et al, 2021;Dial et al, 2019;E. S. Kim et al, 2021;Kurland et al, 2018;Maresca et al, 2019;Meltzer et al, 2018;Øra et al, 2020;Peñaloza et al, 2021;Uslu et al, 2020) Total: 995 15-120 1-7 1-24 1.25-100 patients living in homes with different infrastructure.…”

Section: Summarizing Resultsmentioning

confidence: 99%

“…More recently, Kim et al (2021) proposed a protocol to support speech/language therapy of stroke patients. The TR group will utilize a tabletbased app for aphasia patients to practice exercises using evidence-based anomia treatments, phonological components, and semantic feature analysis during weekdays (1 h/day) over 5 weeks.…”

Section: Speech and Language Rehabilitationmentioning

confidence: 99%

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Recent trends in telerehabilitation of stroke patients: A narrative review

Nikolaev

2022

NRE

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BACKGROUND: Stroke is the main reason for disabilities worldwide leading to motor dysfunction, spatial neglect and cognitive problems, aphasia, and other speech-language pathologies, reducing the life quality. To overcome disabilities, telerehabilitation (TR) has been recently introduced. OBJECTIVE: The aim of this review was to analyze current TR approaches for stroke patients’ recovery. METHODS: We searched 6 online databases from January 2018 to October 2021, and included 70 research and review papers in the review. We analyzed TR of 995 individuals, which was delivered synchronously and asynchronously. RESULTS: Findings show TR is feasible improving motor function, cognition, speech, and language communication among stroke patients. However, the dose of TR sessions varied significantly. We identified the following limitations: lack of equipment, software, and space for home-based exercises, insufficient internet capacity and speed, unavailability to provide hands on guidance, low digital proficiency and education, high cognitive demand, small samples, data heterogeneity, and no economic evaluation. CONCLUSIONS: The review shows TR is superior or similar to conventional rehabilitation in clinical outcomes and is used as complementary therapy or as alternative treatments. More importantly, TR provides access to rehabilitation services of a large number of patients with immobility, living in remote areas, and during COVID-19 pandemic or similar events.

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Section: Summarizing Resultsmentioning

confidence: 99%

Section: Speech and Language Rehabilitationmentioning

confidence: 99%

Recent trends in telerehabilitation of stroke patients: A narrative review

Nikolaev

2022

NRE

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“…As this study was designed and conducted in 2016, the research group did not have access to the literature focusing on developing aphasia-friendly technology that has been published in recent years. To improve the system, in the next design or update round of the studies by Davoody et al [41], these studies [56][57][58][59] will be considered. These studies can be used to incorporate different elements of this research into the development or adaptation of the care and rehabilitation planning tool to assess its usability with people with aphasia.…”

Section: Limitationsmentioning

confidence: 99%

Evaluation of an Electronic Care and Rehabilitation Planning Tool With Stroke Survivors With Aphasia: Usability Study (Preprint)

Davoody¹,

Eghdam²,

Koch³

et al. 2022

Preprint

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BACKGROUND Patients with chronic illnesses with physical and cognitive disabilities, particularly stroke survivors with aphasia, are often not involved in design and evaluation processes. As a consequence, existing eHealth services often do not meet the needs of this group of patients, which has resulted in a digital divide. OBJECTIVE The aim of this study was to examine the effectiveness and user satisfaction of an electronic care and rehabilitation planning tool from the perspective of stroke survivors with aphasia. This would help us gain knowledge on how such a tool would need to be adapted for these patients for further development. METHODS Usability tests were conducted with 9 postdischarge stroke survivors with aphasia. Effectiveness was measured using task-based tests, and user satisfaction was studied through qualitative interviews at the end of each test. All tests were audio recorded, and each test lasted approximately 1 hour. The data were analyzed using qualitative content analysis. As the tool can be used by stroke survivors either independently or with some support from their next of kin or care professionals, the research group decided to divide the participants into 2 groups. Group 1 did not receive any support during the tests, and group 2 received some minor support from the moderator. RESULTS The results showed that the care and rehabilitation planning tool was not effective for stroke survivors with aphasia, as many participants in group 1 did not accomplish the tasks successfully. Despite several usability problems and challenges in using the tool because of patients’ disabilities, the participants were positive toward using the tool and found it useful for their care and rehabilitation journey. CONCLUSIONS There is a need to involve patients with chronic illnesses more in the design and evaluation processes of health information systems and eHealth services. eHealth services and health information systems designed for this group of patients should be more adaptable and flexible to provide them with appropriate functionalities and features, meet their needs, and be useful and easy to use. In addition, the design and evaluation processes should be adapted, considering the challenges of this patient group. CLINICALTRIAL

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