RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation

Autor: Rany Shamloul, Kumanan Wilson, Lise Zakutney, Karen H. Mallet, Tim Ramsay, Dar Dowlatshahi, Sean P. Dukelow, Dale Corbett, Grant Stotts, Julien Guerinet, Michael Pugliese, Michel Shamy
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
030506 rehabilitation
Speech-Language Pathology
medicine.medical_treatment
Psychological intervention
Social Sciences
Vascular Medicine
Consumer Electronics
Laryngology
Habits
0302 clinical medicine
Acute care
Medicine and Health Sciences
Medicine
Psychology
Prospective Studies
mHealth
Stroke
Language
Aged
80 and over
Multidisciplinary
Rehabilitation
Stroke Rehabilitation
Middle Aged
Mobile Applications
Patient Discharge
3. Good health
Neurology
Engineering and Technology
Female
0305 other medical science
Stroke recovery
Research Article
Adult
medicine.medical_specialty
Cerebrovascular Diseases
Science
Speech Therapy
Rehabilitation Medicine
03 medical and health sciences
Humans
Speech
Aged
Behavior
business.industry
Cognitive Psychology
Biology and Life Sciences
Linguistics
Retention rate
medicine.disease
Otorhinolaryngology
Physical therapy
Cognitive therapy
Cognitive Science
Electronics
business
030217 neurology & neurosurgery
Neuroscience
Zdroj: PLoS ONE, Vol 14, Iss 1, p e0210725 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: Introduction Stroke survivors frequently experience a range of post-stroke deficits. Specialized stroke rehabilitation improves recovery, especially if it is started early post-stroke. However, resource limitations often preclude early rehabilitation. Mobile technologies may provide a platform for stroke survivors to begin recovery when they might not be able to otherwise. The study objective was to demonstrate the feasibility of RecoverNow, a tablet-based stroke recovery platform aimed at delivering speech and cognitive therapy. Methods We recruited a convenience sample of 30 acute stroke patients to use RecoverNow for up to 3 months. Allied health professionals assigned specific applications based on standard of care assessments. Participants were encouraged to take home the RecoverNow tablets upon discharge from acute care. The study team contacted participants to return for a follow-up interview 3 months after enrollment. The primary outcome of interest was feasibility, defined using 5 facets: recruitment rate, adherence rate, retention rate, the proportion of successful follow-up interventions, and protocol deviations. We tracked barriers to tablet-based care as a secondary outcome. Results We successfully recruited 30 of 62 eligible patients in 15 weeks (48% recruitment rate). Participants were non-adherent to tablet-based therapy inside and outside of acute care, using RecoverNow for a median of 12 minutes a day. Retention was high with 23 of 30 patients participating in follow-up interviews (77% retention rate) and all but 3 of the 23 interviews (87%) were successfully completed. Only 2 major protocol deviations occurred: one enrollment failure and one therapy protocol violation. Barriers to tablet-based care were frequently encountered by study participants with many expressing the assigned applications were either too easy or too difficult. Conclusions Acute stroke patients are interested in attempting tablet-based stroke rehabilitation and are easily recruited early post-stroke. However, tablet-based therapy may be challenging due to patient, device and system-related barriers. Reducing the frequency of common barriers will be essential to keeping patients engaged in tablet-based therapy.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje