An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke
An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke
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DOI：
10.3109/09638288.2010.481345
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发表时间：
2010-01-01
影响因子：
2.2
通讯作者：
Holmes, Paul S.
中科院分区：
文献类型：
--
作者：
Ewan, Louise M.;Kinmond, Kathryn;Holmes, Paul S.
目的.探讨八个人的经验和反应，参加个性化的观察为基础的干预中风康复。8名经历过脑血管意外的参与者被招募到一个为期16周的基于观察的干预。参与者接受了面对面的采访，以探讨他们的反应，和经验，参加干预。从干预过程和早期研究中得出的主题清单为访谈提供了一个临时结构。所有的访谈记录，编码和分析使用归纳内容分析，以探讨这些参与者的观察干预的影响。出现了三个主要主题：身体功能，行为变化和DVD内容。还确定了较低层次的主题。其中包括：与物理治疗师的互动;完成任务的能力;以及增加参与日常生活活动的动机。研究结果表明，与个性化和有意义的运动行为相关联的行动观察计划可以为受中风影响的个体提供有效的干预，作为激励剂（重新）参与他们认为中风后无法进行的活动。也有证据表明对心理健康和运动功能有积极影响。
Purpose. To explore eight individuals' experiences and responses to taking part in a personalised observation-based intervention for stroke rehabilitation.Methods. Eight participants who had experienced a cerebrovascular accident were recruited to a 16-week observation-based intervention. Participants were interviewed face-to-face to explore their responses to, and experiences of, taking part in the intervention. A list of topics, derived from the intervention process and earlier studies provided a provisional structure for the interview. All interviews were transcribed, coded and analysed using inductive content analysis to explore the impact of the observational intervention for these participants.Results. Three main themes emerged: physical function, behaviour change and DVD content. Lower order themes were also identified. These included: interaction with the physiotherapist; ability to complete tasks; and increased motivation to (re)engage in activities of everyday living.Conclusion. The findings suggest that a programme of action observation, linked to individualised and meaningful motor behaviours can provide a valid intervention for individuals affected by stroke by serving as a motivating agent to (re)engage in activities which they had believed they could not perform following their stroke. There was also evidence for positive affect on psychological wellbeing and motor function.