Stroke, Telemedicine
Conditions
Keywords
Stroke, Tele-rehabilitation, Activities of Daily Living
Brief summary
To explore the reliability of remote Longshi Scale assessment with smartphone video calls by comparing the consistency of remote assessment and bedside assessment, as well as the test-retest reliability of the remote assessment. The evaluation duration of these two methods was recorded and the level of satisfaction of patients and evaluators was investigated.
Interventions
None listed
Sponsors
Shenzhen Second People's Hospital
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* a.Stroke survivors 1. aged 18 and above; 2. diagnosed with cerebral infraction or intracerebral hemorrhage; 3. stroke onset2 weeks; 4. stable vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation and temperature); 5. voluntary or guardian consent to participate in the study. b.Evaluators <!-- --> 1. registered rehabilitation practitioner; 2. experience in rehabilitation scientific research or education related work for more than two years
Exclusion criteria
* a.Stroke survivors 1. brain tumor, Parkinson's disease or active epilepsy within past three months; 2. a history of mental illness such as mania or delirium; 3. participation in any other clinical study. b.Evaluators <!-- --> 1. unable to finish the training of Longshi Scale or use smartphones proficiently.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consistency of the disability degree evaluated using the remote assessment and the bedside assessment of Longshi Scale. | Within 24 hours | Weighted kappa(wK) and Bland-Altman were used to determined the consistency between the results of remote assessment method and bedside assessment method. The interpretation of wK scores was in accordance with published standards (values\>0.75 indicating excellent agreement beyond chance; 0.4\ 0.75, moderate agreement beyond chance; \<0.4, poor agreement beyond chance). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The test-retest reliability of the remote video assessment | Within 24 hours after first evaluation | the result of remote assessment test-retest was analyzed by Weighted kappa(wK) scores.The interpretation of wK scores was in accordance with published standards (values\>0.75 indicating excellent agreement beyond chance; 0.4\ 0.75, moderate agreement beyond chance; \<0.4, poor agreement beyond chance). |
| Satisfaction survey of remote assessment | Within 24 hours after the remote assessment | The satisfaction survey data were summarized as mean±standard deviation, and also summarized as the percentage of satisfaction categories. |
| Assessment duration | Within 24 hours | The assessment duration was analyzed by independent t-test. |
Countries
China
Outcome results
None listed