Stroke and Telerehabilitation: A Brief Communication

Bashir, Ayisha

doi:10.2196/18919

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Specialists agree that the digital assistant could partly compensate the shortage of specialists and availability of rehabilitation services, reduce costs, and promote patient participation. Both patients and professionals have shown acceptance of and satisfaction with telerehabilitation interventions, but there are still many barriers [ 28 ]. One of the themes that emerged in all the discussions was assessment.…”

Section: Discussionmentioning

confidence: 99%

“…ICT has the potential to effectively provide home-based telerehabilitation services, improve patient education, and provide a means of interaction [ 32 ]. Reduction in the availability of poststroke rehabilitation caused by SARS-CoV-2 has serious consequences, indicating that telerehabilitation could be 1 of the solutions as an alternative for therapeutic interventions [ 28 , 33 ]. Health care professionals proposed that the app could also be not only a digital assistant but also a tool to reduce the number of contact hours or increase the intensity of home-based rehabilitation, provide an alternative format to traditional written recommendations for continuing rehabilitation at home, provide feedback, and serve as a guide for the caregivers of patients with stroke.…”

Section: Discussionmentioning

confidence: 99%

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Use of the Digital Assistant Vigo in the Home Environment for Stroke Recovery: Focus Group Discussion With Specialists Working in Neurorehabilitation

Epalte¹,

Grjadovojs²,

Bērziņa³

2023

JMIR Rehabil Assist Technol

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Background There is a lack of resources for the provision of adequate rehabilitation after a stroke, thus creating a challenge to provide the necessary high-quality, patient-centered, and cost-efficient rehabilitation services at a time when they are needed the most. Tablet-based therapeutic programs present an alternative way to access rehabilitation services and show a new paradigm for providing therapeutic interventions following a stroke anytime and anywhere. The digital assistant Vigo is an artificial intelligence–based app that provides an opportunity for a new, more integrative way of carrying out a home-based rehabilitation program. Considering the complexity of the stroke recovery process, factors such as a suitable population, appropriate timing, setting, and the necessary patient-specialist support structure need to be thoroughly researched. There is a lack of qualitative research exploring the perspectives of professionals working in neurorehabilitation of the content and usability of the digital tool for the recovery of patients after a stroke. Objective The aim of this study is to identify the requirements for a tablet-based home rehabilitation program for stroke recovery from the perspective of a specialist working in stroke rehabilitation. Methods The focus group study method was chosen to explore specialists’ attitudes, experience, and expectations related to the use of the digital assistant Vigo as a home-based rehabilitation program for stroke recovery in domains of the app’s functionality, compliance, usability, and content. Results In total, 3 focus groups were conducted with a participant count of 5-6 per group and the duration of the discussion ranging from 70 to 80 minutes. In total, 17 health care professionals participated in the focus group discussions. The participants represented physiotherapists (n=7, 41.2%), occupational therapists (n=7, 41.2%), speech and language therapists (n=2, 11.8%), and physical medicine and rehabilitation physicians (n=1, 5.9%). Audio and video recordings of each discussion were created for further transcription and analysis. In total, 4 themes were identified: (1) the clinician’s views on using Vigo as a home-based rehabilitation system, (2) patient-related circumstances facilitating and limiting the use of Vigo; (3) Vigo’s functionality and use process (program creation, individual use, remote support); and (4) complementary and alternative Vigo use perspectives. The last 3 themes were divided further into 10 subthemes, and 2 subthemes had 2 sub-subthemes each. Conclusions Health care professionals expressed a positive attitude toward the usability of the Vigo app. It is important that the content and use of the app be coherent with the aim to avoid (1) misunderstanding its practical use and the need for integration in practice and (2) misusing the app. In all focus groups, the importance of close involvement of rehabilitation specialists in the process of app development and research was highlighted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of the Digital Assistant Vigo in the Home Environment for Stroke Recovery: Focus Group Discussion With Specialists Working in Neurorehabilitation

Epalte¹,

Grjadovojs²,

Bērziņa³

2023

JMIR Rehabil Assist Technol

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“…45 Delivery, management, and coordination of nursing care services using telecommunications is useful in post-stroke management; however, quality of evidence on use of TR in post-stroke care remains low. 46…”

Section: Telerehabilitation For Stroke Patientsmentioning

confidence: 99%

Telerehabilitation: An Overview

Ganapathy¹

2021

TMT

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Rehabilitation is a major component of health sciences, and is the process of restoring an incapacitated individual to a normal life through training and therapy. Globally, 2.4 billion people may currently require rehabilitation. In 60 to 70% of countries, existing rehabilitation services have been disrupted due to the coronavirus disease 2019 (COVID-19) pandemic. Even after lockdowns and with vaccinations, some form of physical distancing is likely to be part of the new normal. Concurrently, there is an exponential growth of telehealth. This global overview will demonstrate that telerehabilitation (TR) is likely to be a distinct stand-alone sub-specialty of telehealth. Details of setting up TR, methods, and components are discussed, and clinical indications, limitations, advantages, disadvantages, challenges, and barriers to implementation and technological advances in TR are highlighted followed by an in-depth study of the literature from India.

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“…During the COVID‐19 pandemic, these clinic‐based stroke rehabilitation services were closed due to social distancing restrictions and isolation regulations (Bashir, 2020). Some stroke survivors tend to avoid social activities and prefer not to attend clinic‐based follow‐ups (Burns et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Improving post‐acute stroke follow‐up care by adopting telecare consultations in a nurse‐led clinic: Study protocol of a hybrid implementation‐effectiveness trial

Wong,

Kwok,

Wong

et al. 2023

Journal of Advanced Nursing

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AimTo evaluate the clinical effectiveness and implementation strategies of telecare consultations in post‐stroke nurse‐led clinics.BackgroundTelecare consultations could be an alternative to conventional in‐person consultations and improve continuity of care for stroke survivors following their discharge from hospital. Previous studies utilizing telecare consultations only focused on testing their clinical effectiveness on stroke survivors; the appropriateness and feasibility of adopting this new delivery modality in a real‐world setting were not examined.DesignA Type II hybrid effectiveness‐implementation design will be adopted.MethodsEligible stroke survivor participants will be randomly assigned to the intervention group (telecare consultation) or control group (usual in‐person clinic consultation). Both groups will receive the same nursing intervention but delivered through different channels. The Reach, Effectiveness, Adoption, Implementation, Maintenance framework will be used to evaluate the clinical effectiveness and implementation outcomes. The primary outcome is the non‐inferiority of the degree of disability between the two groups at 3 months into the intervention and at 3 months post‐intervention. The paper complies with the SPIRIT guidelines for study protocols adapted for designing and reporting parallel group randomized trials.ConclusionThe findings of this study will provide key insights into the processes for implementing and adopting telecare consultations into long‐term services for post‐stroke patients.ImpactThis study contributes to the translation of telecare consultations for stroke survivors into real‐life settings. If effective, this program may provide guidance for expanding telecare consultations to other post‐stroke nurse‐led clinics or to patients with other chronic diseases.Trial RegistrationThis study has been registered at clinicaltrials.gov (identifier: NCT05183672). Registered on 10 January 2022.

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Stroke and Telerehabilitation: A Brief Communication

Cited by 5 publications

References 15 publications

Use of the Digital Assistant Vigo in the Home Environment for Stroke Recovery: Focus Group Discussion With Specialists Working in Neurorehabilitation

Use of the Digital Assistant Vigo in the Home Environment for Stroke Recovery: Focus Group Discussion With Specialists Working in Neurorehabilitation

Telerehabilitation: An Overview

Improving post‐acute stroke follow‐up care by adopting telecare consultations in a nurse‐led clinic: Study protocol of a hybrid implementation‐effectiveness trial

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