Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Tuesday, May 30, 2017

Developing a stroke rehabilitation exercise adherence measure: StREAM : a self-report tool assessing the likelihood of adherence

Once again nothing for your therapist and doctor to do to get you recovered. This allows the medical profession to blame you for your lack of recovery.

Author: Bollen, Jessica Charlotte
Awarding Body: Exeter and Plymouth Peninsula Medical School
Current Institution: Exeter and Plymouth Peninsula Medical School
Date of Award: 2017
Availability of Full Text:
Full text unavailable from EThOS. Please contact the current institution’s library for further details.
Adherence is necessary to establish the effectiveness of rehabilitation exercises for those with long term conditions, but measuring it is problematic. Adherence is vital when attempting to measure and understand how an intervention works; without appropriate levels of adherence it is not possible to conduct a fair test of an intervention since failure to find benefit may be due to poor adherence rather than an ineffective intervention. There are no gold standard measures, and objective measurement devices are fallible. Without an accurate way to assess if participants are adherent to their exercise programs the efficacy of the programme cannot be assessed. Therefore the objective of this PhD was to develop a psychometrically valid and reliable self-report adherence measure to assess the likelihood of adherence for stroke survivors called the Stroke Rehabilitation Exercise Adherence Measure, (StREAM). A large systematic review was conducted to synthesise the existing evidence for self-report measures of adherence to prescribed unsupervised exercise programmes. The review found many measures but few possessed acceptable any tested psychometric properties and therefore the need for a psychometrically sound adherence measure to assess the likelihood of adherence was highlighted. To ensure StREAM had robust content validity stroke survivors (n=16), physiotherapists (n=3), and exercise professionals (n=2) were interviewed. Items were created from salient phases in the interviews which were then discussed at two focus groups of stroke survivors. This ensured items in StREAM were suitable and comprehensible to the target population.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
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