Patient-centered mobility outcome preferences according to individuals with stroke and caregivers: a qualitative analysis

Krishnan, Shilpa; Pappadis, Monique R.; Weller, Susan C.; Fisher, Steve; Hay, Catherine Cooper; Reistetter, Timothy

doi:10.1080/09638288.2017.1297855

Cited by 26 publications

(16 citation statements)

References 30 publications

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“…In the current qualitative study, interviews of stroke survivors and caregivers were only included if they discussed aspects related to vision. This cross-sectional study is a part of a larger patient-centered outcomes research study that collected data on stroke survivors and caregivers on their preferences and needs following stroke [ 22 ]. The University's Institutional Review Board approved this study.…”

Section: Methodsmentioning

confidence: 99%

Stroke Survivor and Caregiver Perspectives on Post-Stroke Visual Concerns and Long-Term Consequences

Smith

Pappadis

Krishnan

et al. 2018

Behavioural Neurology

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Approximately 800,000 people in the United States have a stroke annually. Up to two thirds of stroke survivors have some visual problems, which result in disability and can affect survivors' overall rehabilitation outcomes. Although some post-stroke visual impairments can be corrected and respond well to intervention, ocular signs can be subtle and may not be recognized or reported by the stroke survivor but rather by a vigilant caregiver. The purpose of this study was to explore the post-stroke visual concerns and consequences expressed by stroke survivors and caregivers. This study employed a qualitative design using semistructured interviews conducted with a convenience sample of stroke survivors and caregivers recruited from either a community support group or skilled nursing and long-term care facilities. Interviews were recorded and transcribed verbatim. Comparative content analysis was used to identify vision-related themes by two independent coders. All research team members completed quality checking of coding. Twenty participants (11 stroke survivors and 9 caregivers) expressed visual concerns or consequences following stroke: (1) eye movement problems, (2) perceptual issues, and (3) consequences of vision problems or issues, which affected their daily life/quality of life. Stroke survivors and caregivers reported receiving vision care from (1) eye doctors, (2) occupational therapists, and (3) other healthcare professionals. All vision care providers need to be observant of potential post-stroke visual concerns. Stroke survivors should have a thorough vision evaluation to optimize their independence in everyday activities and quality of life.

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Section: Methodsmentioning

confidence: 99%

Stroke Survivor and Caregiver Perspectives on Post-Stroke Visual Concerns and Long-Term Consequences

Smith

Pappadis

Krishnan

et al. 2018

Behavioural Neurology

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“…NVIVO was used to visualize qualitative data to support understanding. Formerly, others have also used narrative analysis in the stroke care setting as this method allows the assessment of language use, interpretation and reflexion regarding the content [ 18 , 19 ]. Synonyms were collated and expletives and conjunctions were omitted.…”

Section: Methodsmentioning

confidence: 99%

Acute stroke awareness of family physicians: translation of policy to practice

Harsányi

Balogh

Kolozsvári

et al. 2020

Health Res Policy Sys

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Background Translating clinical guidelines into routine clinical practice is mandatory to achieve population level improvement of health. Emergence of specific therapy for acute stroke yielded the ‘time is brain’ concept introducing the need for emergency treatment, pointing to the need for increasing stroke awareness of the general population. General practitioners (GPs) manage chronic diseases and could hence catalyse stroke awareness. In our study, the knowledge of general practitioners toward accurate identification of acute stroke candidacy was investigated. Methods GPs and residents in training for family medicine participated in a survey on a voluntary basis using supervised self-administration between the 1st of February 2018 and 31st July 2018. Two clinical cases of acute stroke that differed only regarding the patient’s eligibility for intravenous thrombolysis were presented. Participants answered two open-ended questions. Text analysis was performed using NVIVO software. Results Of the 127 respondents, 69 (54.3%) were female. The median age was 49 (34–62) years. The median time spent working after graduation was 14.5 (2–22.5) years. Board-certified GPs made up 77.2% of the sample. Qualitative analysis revealed stroke as the most frequent diagnosis for both cases. Territorial localization and possible aetiology were also established. Respondents properly identified eligibility for thrombolysis. Quantitative assessment showed that having the practice closer to the stroke centre increases the likelihood of adequate diagnosis for acute stroke. Conclusions Our results show that GPs properly diagnose acute stroke and identify intravenous thrombolysis candidates. Moreover, we found that a vigorous acute stroke triage system facilitates the translation of theory into practice.

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“…Second, older adults have a general tendency to stockpile essentials since it can help them relieve anxiety and reassure their quality of life and dignity, which indicates a potential demand for mobility solutions to retrieve these items even when older adults only marginally require them (Andersen, Raffin-Bouchal, & Marcy-Edwards, 2008). Third, older adults with serious health (e.g., dementia) and mobility (e.g., stroke) issues will likely require caretaker support and/or robotics rehabilitation rather than soft service robots (which we developed as a general-and not a chronic-mobility solution) in the home environment (Krishnan et al, 2018;Weber & Stein, 2018). The degree to which one believes that using a soft service robot does not require effort (Davis, 1989;Heerink et al, 2010).…”

Section: Samplingmentioning

confidence: 99%

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2020

THCI

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As the world's population increasingly ages, we need technological solutions such as robotics technology to assist older adults in their daily tasks. In this regard, we examine soft service robots' potential to help care for the elderly. To do so, we developed and tested the degree to which they would accept a soft service robot that catered to their functional needs in the home environment. We used embodied artificial to develop an in-house teleoperated human-sized soft service robot that performed object-retrieval tasks with a soft gripper. Using an extended technology acceptance model as a theoretical lens, we conducted a study with 79 older adults to examine the degree to which they would accept a soft service robot in the home environment. We found perceived ease of use, perceived usefulness, and subjective norms as significant predictors that positively influenced older adults' intention to adopt and use soft service robots. However, we also found that perceived anxiety and perceived likability did not significantly predict older adults' intention to adopt and use soft service robots. We discuss the implications, limitations, and future research directions that arise from these findings.

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Patient-centered mobility outcome preferences according to individuals with stroke and caregivers: a qualitative analysis

Cited by 26 publications

References 30 publications

Stroke Survivor and Caregiver Perspectives on Post-Stroke Visual Concerns and Long-Term Consequences

Stroke Survivor and Caregiver Perspectives on Post-Stroke Visual Concerns and Long-Term Consequences

Acute stroke awareness of family physicians: translation of policy to practice

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