Send your doctor after this because there really are no evidence based stroke protocols out there and if someone can find some a miracle has occurred.
http://www.imedicalapps.com/2016/05/scoping-review-stroke-rehab-apps/#
Marcia Frellick
Designing, implementing and evaluating mobile health
technologies for managing chronic conditions in older adults: A Scoping
Review
1. What was the motivation behind your study?
This scoping review was conducted in advance of our design and build of a mobile health app to support an interprofessional nurse-led team approach in the delivery of community-based stroke rehabilitation
in home care. The app, called MyST (short for My Stroke Team), was
inspired by the end-users it was actually designed to serve (See:
https://www.youtube.com/watch?v=W8u9w-ZywRg). MyST will be implemented
within the context of an intervention that promotes optimal aging at
home for older adults with multiple chronic conditions (MCC). Refer to: achru
2. Describe your study.
We
systematically mapped the breadth of research related to three topic
areas: mobile and electronic devices, technology based healthcare
delivery, and aging populations and/or chronic conditions. From the
research question “What are the current practices and recommendations
for designing, implementing and evaluating mHealth solutions to support
older adults living in their homes?” we identified 42 studies. Next,
using a descriptive analytical method, we extracted and charted data. We
then presented key lessons and recommendations, identified gaps and
suggested directions for future work.
3. What were the results of the study?
To
ensure success, a user-centered, collaborative, interdisciplinary and
iterative approach is imperative to enhance feasibility, acceptability
and usability of mHealth innovations. Implementation within systems or
organizations requires a thorough understanding of culture, values and
context readiness from researchers. Notably, the implementation science
of mHealth technologies in home-based care for older adults and
self-management of chronic conditions are important areas for further
research.
4. What is the main point that readers should take away from this study?
Despite
robust interest in mHealth innovations, more research is still
required. With most of the recent studies being pilots or feasibility
studies, there is only a limited ability to explore impact. To truly
advance our understanding of these innovations, their role within
healthcare, and to permit future framework development, we will require
larger studies, perhaps employing a cohort design. As well, frameworks
will be needed to guide the iterative process of development and to facilitate knowledge transfer between developers, healthcare experts and end users.
5. What was the most surprising finding from your study?
Most
surprising was the lack of studies that addressed how mHealth
innovations can support community-dwelling older adults with MCC, their
family caregivers and their home care providers. Given the current size
and projected growth of this demographic, this was startling. In a
context where policy initiatives are targeted toward promoting aging in
place, the potential for mHealth innovations are considerable. The
combination of mobility and technology is powerful and it enables care
supports, for both clients and providers, which are personal, efficient
and available at any location.
6. What are the next steps? How do you envision this work ultimately translating into clinical practice or affecting R&D?
Our first priority is to implement MyST in a real world practice setting alongside an interprofessional intervention to support home-based stroke rehabilitation.
As with all projects directed through the Aging, Community and Health
Research Network (ACHRU), the goal is to accelerate the transition of
research results into practice by conducting simultaneous implementation
and evaluation of interventions and by partnering with users,
stakeholders and decision-makers through all phases of research.
This
Q&A was contributed by Dr. Jenny Ploeg, RN, PhD (Professor, School
of Nursing at McMaster University) and Dr. Maureen Markle-Reid, RN, PhD
(Associate Professor, School of Nursing, McMaster University). They are
co-scientific directors of the Aging, Community and Health Research Unit
(ACHRU), funded by the Canadian Institutes of Health Research Signature
Initiative in Community Based Primary Healthcare and the Ontario
Ministry of Health and Long Term Care Health System Research Fund.
Follow the ACHRU on Twitter to learn more.
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