Stroke Sequelae
Conditions
Keywords
rehabilitation, stroke
Brief summary
Objective: Evaluate the feasibility of a multidisciplinary telerehabilitation for chronic stroke patients. Design: Chronic stroke patients eligible for multidisciplinary rehabilitation funded by the Social Insurance Institution were enrolled between September 2017 and March 2018 in a consecutive basis to receive a mixed program of inpatient rehabilitation and telerehabilitation in their homes or a traditional inpatient rehabilitation only. Intervention: A rehabilitation course with a 3-day inpatient stay followed by an 8-week telerehabilitation period completed by 2-day evaluation stay in a rehab center. The control group received conventional multidisciplinary rehabilitation for two weeks in an inpatient setting. Outcome and measures: Change in the Finnish version of Functional Status Questionnaire (FSQFin), the World Health Organization Quality of Life - Short version (WHOQOL-Bref), the Barthel Index, the Beck Depression Inventory (BDI21), and the Goal Attainment Scale (GAS) and a patient satisfaction questionnaire.
Interventions
Short inpatient multidisciplinary rehabilitation followed by home-based telerehabilitation and a short evaluation period at the end of it.
Multidisciplinary inpatient rehabilitation, no adjustments due to the study.
Sponsors
Study design
Intervention model description
Consecutive sampling
Eligibility
Inclusion criteria
* chronic stroke (6 months or more) patient living in home * eligible to receive rehabilitation funded by the Social Insurance Institution (meets the criteria of chronic disability and need for rehabilitation) * for intervention group: capable to use a personal computer and telecommunication
Exclusion criteria
* no access or capability to use a personal computer * significant problems in hearing, seeing or understanding information related to the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Finnish version of the Functional Status Questionnaire (FSQfin) | 8 weeks | Functional Status Questionnaire for evaluating self-management in home. Includes three dimensions: self-care, mobility and domestic life. Scale range for each dimension is 0-100 and higher scores indicate better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| World Health Organization Quality of Life - short version (WHOQOL-Bref) | 8 weeks | Quality of life assessment. Includes four dimensions: physical health, psychological health, social relationships and environment. Scale range for each dimension is 0-100 and higher scores indicate better outcome. |
| Beck Depression Inventory (BDI 21) | 8 weeks | The Beck Depression Inventory for mood assessment. Scale range is 0-63 and higher scores indicate worse outcome. |
| Barthel Index | 8 weeks | for assessing need for help in basic activities of daily living. Scale range is 0-100 and higher scores indicate better outcome. |
Countries
Finland