Testing a home-telehealth programme for US veterans recovering from stroke and their family caregivers
| Autor: | Teresa Lyles, Nannette Hoffman, Rita Kobb, Neale R. Chumbler, Barbara J. Lutz |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Pilot Projects Telehealth Patient Care Planning Interviews as Topic Disability Evaluation Patient satisfaction Nursing Brief Psychiatric Rating Scale Humans Medicine Stroke health care economics and organizations Depression (differential diagnoses) Aged Veterans Aged 80 and over Rehabilitation Depression business.industry Family caregivers Stroke Rehabilitation Continuity of Patient Care Middle Aged medicine.disease Telemedicine United States humanities Clinical trial Caregivers Patient Satisfaction Family medicine Accidental Falls business |
| Zdroj: | Disability and Rehabilitation. 31:402-409 |
| ISSN: | 1464-5165 0963-8288 |
| DOI: | 10.1080/09638280802069558 |
| Popis: | The study purpose was to implement a stroke-specific, care coordination home telehealth (CCHT) programme for US veterans with stroke and their family caregivers.In a non-randomized open trial using a mixed methods design, we tested the utility of a stroke-specific, home telehealth programme with 18 veterans and 14 caregivers for 14 days. Programme questions assessed physical impairment, depressive symptoms, and fall prevalence among veterans, and burden level among family caregivers. Nine veterans and six caregivers completed post-programme interviews exploring their experiences with telehealth.During the 14-day trial, 55% of the veterans screened positive for depression at least once, 36% of the caregivers had clinically significant burden, half of the veterans and caregivers reported post-stroke concerns, and 90% believed post-stroke contact from a care coordinator would have been helpful. In the interviews, seven veterans indicated they had fallen or almost fallen post-stroke. Themes centred on tailoring CCHT to individual needs, coordinating with support services, identifying safety issues, and providing information about stroke prevention.Home telehealth offers innovative ways to target post-stroke rehabilitation programmes to the needs and concerns of patients and their caregivers, and should include regular real-time contact between stroke patients and their healthcare providers. |
| Databáze: | OpenAIRE |
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