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Huijbregts MP, McEwen S, Taylor D. Exploring the feasibility and efficacy of a telehealth stroke self-management programme: a pilot study. Physiother Can. 2009;61(4):210-20doi: 10.3138/physio.61.4.210.
Huijbregts, M. P., McEwen, S., & Taylor, D. (2009). Exploring the feasibility and efficacy of a telehealth stroke self-management programme: a pilot study. Physiotherapy Canada. Physiotherapie Canada, 61(4), 210-20. https://doi.org/10.3138/physio.61.4.210
Huijbregts, Maria P J, et al. "Exploring the feasibility and efficacy of a telehealth stroke self-management programme: a pilot study." Physiotherapy Canada. Physiotherapie Canada vol. 61,4 (2009): 210-20. doi: https://doi.org/10.3138/physio.61.4.210
Huijbregts MP, McEwen S, Taylor D. Exploring the feasibility and efficacy of a telehealth stroke self-management programme: a pilot study. Physiother Can. 2009;61(4):210-20. doi: 10.3138/physio.61.4.210. Epub 2009 Nov 12. PMID: 20808482; PMCID: PMC2793695.
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Physiother Can. 2009;61(4):210-20. doi: 10.3138/physio.61.4.210. Epub 2009 Nov 12.

Exploring the feasibility and efficacy of a telehealth stroke self-management programme: a pilot study.

Physiotherapy Canada. Physiotherapie Canada

Maria P J Huijbregts, Sara McEwen, Denise Taylor

Affiliations

  1. Risk and Patient Safety, Baycrest Geriatric Healthecare System Toronto, ON, Canada. [email protected]

PMID: 20808482 PMCID: PMC2793695 DOI: 10.3138/physio.61.4.210

Abstract

PURPOSE: Moving On after STroke (MOST) is an established self-management programme for persons with stroke and their care partners. Through 18 sessions over 9 weeks, each including discussion and exercise, participants learn about goal-setting, problem-solving, exercise, and community-reintegration skills. This study was undertaken to evaluate the feasibility and efficacy of telehealth delivery of MOST.

METHOD: Efficacy was evaluated using an experimental non-randomized trial comparing a telehealth MOST intervention group (T-MOST) (n = 10) with a waiting list control group (WLC) (n = 8). Outcome measures included the Berg Balance Scale (BBS), the Reintegration to Normal Living Index, the Stroke-Adapted Sickness Impact Profile, Goal Attainment Scaling, and the Geriatric Depression Scale. The feasibility evaluation included attendance rates, focus groups, and facilitator logs. In MOST Telehealth, one co-facilitator was local and the other was connected by videoconference.

RESULTS: Attendance rates for persons with stroke (83.9%, SD = 2.6) and care partners (76.7%, SD = 2.9) and participant and facilitator experiences indicated feasibility of this mode of programme delivery. There was a significant difference in BBS scores between the T-MOST group and the WLC group (mean difference -4.27, 95%CI: -6.66 to -1.87). Participants reported additional benefits, including increased motivation and awareness of partners' needs. Videoconferencing was reported to decrease their sense of isolation.

CONCLUSION: It appears feasible to deliver the MOST programme with two facilitators, one connected by videoconference and one in person. In addition, preliminary evidence suggests that the programme is associated with improved well-being in persons with stroke and their care partners. Practitioners delivering self-management programmes may consider wider dissemination using videoconferencing.

Keywords: community reintegration; participation; self-management; stroke; telehealth

References

  1. Aust J Rural Health. 2002 Feb;10(1):65-72 - PubMed
  2. Disabil Rehabil. 2000 Jul 10;22(10):456-63 - PubMed
  3. Disabil Rehabil. 2006 Jul 15-30;28(13-14):841-7 - PubMed
  4. Stroke. 1992 Apr;23(4):527-31 - PubMed
  5. Arch Phys Med Rehabil. 2000 Feb;81(2):205-9 - PubMed
  6. Top Stroke Rehabil. 2008 Sep-Oct;15(5):503-20 - PubMed
  7. Am J Orthopsychiatry. 2000 Apr;70(2):169-81 - PubMed
  8. J Chronic Dis. 1981;34(12):585-97 - PubMed
  9. Arch Phys Med Rehabil. 2002 Aug;83(8):1035-42 - PubMed
  10. Rural Remote Health. 2005 Apr-Jun;5(2):356 - PubMed
  11. Arch Phys Med Rehabil. 1992 Nov;73(11):1073-80 - PubMed
  12. Arthritis Care Res. 1998 Dec;11(6):448-54 - PubMed
  13. Stroke. 1988 Sep;19(9):1101-7 - PubMed
  14. J Am Geriatr Soc. 1975 Oct;23(10):433-41 - PubMed
  15. Disabil Rehabil. 1999 May-Jun;21(5-6):258-68 - PubMed
  16. J Am Geriatr Soc. 1992 Jun;40(6):574-8 - PubMed
  17. Med Sci Sports Exerc. 2003 Aug;35(8):1271-8 - PubMed
  18. J Gerontol A Biol Sci Med Sci. 1999 Dec;54(12):M641-7 - PubMed
  19. Arch Phys Med Rehabil. 1988 Aug;69(8):583-90 - PubMed
  20. J Consult Clin Psychol. 1984 Apr;52(2):180-9 - PubMed
  21. Stroke. 1993 Jan;24(1):58-63 - PubMed
  22. Age Ageing. 1979 Aug;8(3):167-72 - PubMed
  23. Stroke. 1999 Dec;30(12):2585-91 - PubMed
  24. Qual Health Res. 2005 Nov;15(9):1277-88 - PubMed
  25. J Clin Epidemiol. 2003 Aug;56(8):736-43 - PubMed
  26. Scand J Rehabil Med. 1988;20(1):17-24 - PubMed
  27. J Telemed Telecare. 2003;9(6):311-20 - PubMed
  28. NeuroRehabilitation. 2003;18(2):135-46 - PubMed
  29. J Telemed Telecare. 2004;10(4):199-205 - PubMed
  30. Phys Ther. 1996 Jun;76(6):576-83; discussion 584-5 - PubMed
  31. NeuroRehabilitation. 2003;18(2):93-102 - PubMed
  32. Phys Ther. 1997 Aug;77(8):812-9 - PubMed
  33. J Aging Health. 1999 Feb;11(1):96-124 - PubMed
  34. J Psychiatr Res. 1982-1983;17(1):37-49 - PubMed
  35. J Telemed Telecare. 2004;10(2):118-20 - PubMed
  36. Caring. 2002 Mar;21(3):16-21 - PubMed
  37. Patient Educ Couns. 1993 May;20(2-3):177-87 - PubMed
  38. Stroke. 1997 Nov;28(11):2155-61 - PubMed
  39. J Telemed Telecare. 2000;6(5):263-7 - PubMed
  40. J Contin Educ Health Prof. 2003 Winter;23(1):38-47 - PubMed
  41. Appl Nurs Res. 2005 May;18(2):77-81 - PubMed

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