F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology - a feasibility study.
F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology - a feasibility study.
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DOI：
10.1186/s12883-020-01968-x
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发表时间：
2020-10-23
期刊：
影响因子：
2.6
通讯作者：
Ytterberg C
中科院分区：
文献类型：
--
作者：
Guidetti S;Gustavsson M;Tham K;Andersson M;Fors U;Ytterberg C
在全球范围内，信息和通信技术(ICT)的使用越来越多，包括移动电话、平板电脑和计算机，这些技术正在融入人们的日常活动。开发了一种名为F@ce的基于信息和通信技术的干预措施，以提供中风康复过程的结构，并通过整合使用短信警报的全球问题解决战略来促进变化。这项研究的目的是评估i)F@Ce在中风后住院和初级保健康复中的可行性，ii)所使用的研究设计和结果测量，以及iii)干预的保真度、依从性和可接受性。由从事神经康复工作的职业治疗师和物理治疗师组成的三个小组参加了F@ce的预备工作坊，然后招募了10名中风患者参加干预。目标是使用加拿大职业表现测量(COPM)设定的，中风患者在8周内每天对与这三个目标相关的活动的表现和满意度进行评级。采用COPM、卒中影响量表、Frenchay活动指数、生活满意度检查表、自我效能量表、医院焦虑和抑郁量表、疲劳严重程度量表、随访调查、网络平台和日志上的每日评分收集纳入后4周和8周的数据。所有参与者的主要结果(COPM)得分都有所增加，其中4名参与者在表现方面和6名参与者在满意度方面发现了临床上有意义的≥2分的改善。总体来说，F@ce组件的保真度良好。对F@ce网络平台的回复率为44%-100%(平均78%)。所有与会者都表示，F@ce支持他们康复。结果表明，F@ce最有益的部分是以人为本、设定目标的过程和短信提醒。所有参与者都对F@ce感到满意，并强调了每天收到关于他们目标的通知的好处。这鼓励了他们更加积极主动。唯一提到的缺点是，他们觉得有义务去实践，尽管这被描述为“一种积极的义务”。补充信息附于本文件10.1186/s12883-020-01968-x。
Globally, there is a growing use of Information and Communication Technology (ICT), including mobile phones, tablets and computers, which are being integrated into people’s daily activities. An ICT-based intervention called F@ce was developed in order to provide a structure for the process in stroke rehabilitation and facilitate change by integrating a global problem-solving strategy using SMS alerts. The aim of the study was to evaluate the feasibility of i) F@ce within in-patient and primary care rehabilitation after stroke, ii) the study design and outcome measures used, and iii) the fidelity, adherence and acceptability of the intervention. Three teams comprising occupational therapists and physiotherapists who work in neurological rehabilitation participated in a preparatory workshop on F@ce and then enrolled 10 persons with stroke to participate in the intervention. Goals were set using the Canadian Occupational Performance Measure (COPM) and the participants with stroke rated their performance and satisfaction with the activities associated with the three goals every day for 8 weeks. Data were collected at inclusion, at four and 8 weeks, using the COPM, Stroke Impact Scale, Frenchay Activities Index, Life Satisfaction Checklist, Self-Efficacy Scale, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, follow-up survey, daily ratings on the web platform and logbooks. All of the participants showed increased scores in the primary outcome (COPM) and a clinically meaningful improvement of ≥2 points was found in four participants regarding performance and in six participants regarding satisfaction. Overall fidelity to the components of F@ce was good. The response rates to the F@ce web platform were 44–100% (mean 78%). All of the participants stated that F@ce had supported their rehabilitation. The results indicate that the most beneficial part of F@ce was the person-centred, goal-setting process and SMS alerts. All participants were satisfied with F@ce and highlighted the benefits of receiving daily alerts about their goals. This encouraged them to be more active. The only downside mentioned was that they felt under an obligation to practice, although this was described as “a positive obligation”. Supplementary information accompanies this paper at 10.1186/s12883-020-01968-x.
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影响因子：
3.5
作者：
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通讯作者：
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DOI：
10.1080/11038128.2019.1573917
发表时间：
2019-03-12
影响因子：
1.9
作者：
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通讯作者：
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