Adherence of stroke patients with an online brain training programme: the role of health professionals' support
| Autor: | C. H. Kromme, E. Stevens, Jorit J. L. Meesters, A.J. (Arend) de Kloet, T. P. M. Vliet Vlieland, P. H. Goossens, Monique A.M. Berger, Manon M. Wentink, Guido P. H. Band, Ron Wolterbeek |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty ondersteuning Logistic regression law.invention supervision 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) brain training cognitieve revalidatie Medicine Humans Cognitive Dysfunction adherence Cognitive skill Cognitive rehabilitation therapy Stroke Aged Community and Home Care support business.industry Rehabilitation Stroke Rehabilitation Cognition beroerte Middle Aged hersentraining medicine.disease Cognitive Remediation Cognitive remediation therapy Therapy Computer-Assisted Physical therapy Patient Compliance Female Neurology (clinical) supervisie cognitive rehabilitation 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Topics in Stroke Rehabilitation, 25(5), 359-365 Topics in Stroke Rehabilitation Topics in Stroke Rehabilitation, 25(5), 359-365. Abingdon: Taylor & Francis |
| ISSN: | 1074-9357 |
| Popis: | Background: Computer-based cognitive rehabilitation is used to improve cognitive functioning after stroke. However, knowledge on adherence rates of stroke patients is limited. Objective: To describe stroke patients’ adherence with a brain training program using two frequencies of health professionals’ supervision. Methods: This study is part of a randomized controlled trial comparing the effect of the brain training program (600 min playtime with weekly supervision) with a passive intervention in patients with self-perceived cognitive impairments after stroke. Patients randomized to the control condition were offered the brain training after the trial and received supervision twice (vs weekly in intervention group). Adherence was determined using data from the study website. Logistic regression analyses were used to examine the impact of supervision on adherence. Results: 53 patients allocated to the intervention group (group S8; 64% male, mean age 59) and 52 patients who were offered the intervention after the trial (group S2; 59% male, mean age 59) started the brain training. The median playtime was 562 min (range 63–1264) in group S8 vs. 193 min (range 27–2162) in group S2 (p < 0.001, Mann Whitney U). Conclusions: The overall adherence of stroke patients with a brain training was low and there are some implications that systematic, regular interaction with a supervisor can increase training adherence of stroke patients with a restitution-focused intervention performed at home. “This is an Accepted Manuscript of an article published by Taylor & Francis in "Topics in Stroke Rehabilitation" on 04/17/18, available online: https://doi.org/10.1080/10749357.2018.1459362. LinkedIn: https://www.linkedin.com/in/joritmeesters/ https://www.linkedin.com/in/moniqueberger/ https://www.linkedin.com/in/arend-de-kloet-4329102/ |
| Databáze: | OpenAIRE |
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