Speech Telerehabilition after stroke: Proof of Concept and Feasibility

项目总结/摘要 居住在农村地区的中风幸存者在获得急需的康复方面遇到了重大困难 尽管有保险和通常的护理来源。特别是在北卡罗来纳州东部农村地区， 该区域缺乏合格和有经验的服务提供者，严重影响了康复护理。 远程医疗是一种方法，已成功地用于治疗急性中风在农村NC匹配 在偏远地区的小型乡村医院寻求中风专家治疗的患者。大量的努力， 通过远程医疗解决慢性病传统初级保健的获取和利用问题 接近。不幸的是，在利用这种方法进行康复护理方面取得的进展较少。为 特别是中风，远程医疗已被用于治疗农村社区患者的急性中风事件 通过将他们与中风专家和偏远农村的患者进行匹配。到目前为止，同样的方法 还没有被用来改善这些患者获得中风后康复护理的机会。这个项目 旨在解决获取和使用中存在的中风后康复需求 农村社区中风幸存者的中风后康复。该项目的目标是 目标1：评估使用一个 远程康复方法在NC东部农村治疗中风幸存者失语症。操作步骤： 目标1：招募成功的衡量标准，从培训到远程康复治疗的进展，患者 坚持和保留将完成，以确定可行性的言语远程康复治疗设计 为居住在农村地区的中风幸存者。目的2：评价可接受性、可信度和满意度 在北卡罗来纳州东部农村使用远程康复方法治疗中风幸存者的失语症。 程序：针对目标2：可接受性、可信度和满意度量表的测量将按照以下步骤完成 为居住在农村地区的中风幸存者设计的言语远程康复治疗。 期望本研究能提供下列关键性资讯：1）可行性、可接受性、可信度 和满意度的远程康复治疗方法的失语症治疗管理的农村居民 东NC。该项目的长期目标是为这一中风人群制定治疗方案 他们在该地区缺乏合格的语言病理学家。最后，这项建议 将为失语症远程康复的更大规模研究提供初步数据， 农村居民和他们需要的治疗之间的关系。

PROJECT SUMMARY/ABSTRACT Stroke survivors residing in rural areas experience significant difficulties obtaining much needed rehabilitation care despite having insurance and a usual source of care. In rural eastern NC specifically, access to rehabilitation care is significantly impacted by a lack of qualified and experienced service providers in the region. Telemedicine is an approach that has been used successfully to treat acute stroke in rural NC by matching patients who seek care in small rural hospital with stroke specialists at distant facilities. Substantial efforts have emerged to address access to and utilization of traditional primary care for chronic disease via telemedicine approaches. Unfortunately, less progress has been made in utilizing this approach for rehabilitation care. For stroke specifically, telemedicine has been used to treat acute stroke events among patients in rural communities by matching them with stroke specialists with patients in distant rural facilities. To date, the same approaches have not been used to improve access to post-stroke rehabilitation care for these same patients. This project has been designed to address the need for post-stroke rehabilitation that exists in access to and utilization of post-stroke rehabilitation among stroke survivors in rural communities. The objectives of this project will be achieved by the completion of the following specific aims: Aim 1: To evaluate the feasibility of using a telerehabilitation approach in rural eastern NC to treat aphasia among stroke survivors. Procedures: For Aim 1: Measures of recruitment success, advancement from training to telerehabilitation treatment, patient adherence and retention will be completed to determine feasibility a speech telerehabilitation treatment designed for stroke survivors residing in rural areas. Aim 2: To evaluate the acceptability, credibility and satisfaction of using a telerehabilitation approach in rural eastern NC to treat aphasia among stroke survivors. Procedures: For Aim 2: Measures of acceptability, credibility and satisfaction scales will be completed following a speech telerehabilitation treatment designed for stroke survivors residing in rural areas. It is expected that this project will provide critical information about: 1) the feasibility, acceptability, credibility and satisfaction with a telerehabilitation therapy approach for aphasia treatment administered to rural residents of eastern NC. The long-term goals of this project are to develop a therapeutic protocol for this stroke population who suffer from the availability of qualified Speech-Language Pathologists in the region. Lastly, this proposal will provide preliminary data to use for larger scale studies of telerehabilitation for aphasia to provide a bridge between rural residents and the treatments they need.