Deans' stroke musings: The measure of stroke environment (MOSE): Development and validation of the MOSE in post-stroke populations with and without aphasia

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, January 14, 2018

The measure of stroke environment (MOSE): Development and validation of the MOSE in post-stroke populations with and without aphasia

No clue.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77368&phrase=no&rec=135306&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(5) , Pgs. 348-357.

NARIC Accession Number: J77368. What's this?
ISSN: 1074-9357.
Author(s): Babulal, Ganesh M.; Connor, Lisa T..
Publication Year: 2016.
Number of Pages: 10.
Abstract: Article describes the development and psychometric properties of a new environmental measure that identifies barriers and facilitators in receptivity, physical environment, and communication for post-stroke populations, including survivors with aphasia. The Measure of Stroke Environment (MOSE) was developed using information from semi-structured interviews and three pilot studies. It contains 47 items across 33 questions in three domains (receptivity, physical environment, and communication). The MOSE is able to determine how frequently a stroke survivor faces challenges in their environment and how that impacts his or her participation. Reliability and validity were assessed in 43 post-stroke participants. Internal consistency reliability was high (.83 to .85) across each domain and over the entire assessment (.91). Convergent validity showed moderate correlation with the Stroke Impact Scale (.33 to .37), the National Institute of Health Stroke Scale (-.31 to -.46), and the Boston Diagnostic Aphasia Examination (.55 to .61). Subjects with aphasia had significantly lower scores on the communication domain. Stroke survivors with (26 percent overall difficulty) and without aphasia (31 percent overall difficulty) continue to experience difficulty 2 or more years post-stroke. The MOSE offers a brief, reliable, and valid assessment of environmental barriers and facilitators to participation for post-stroke survivors reintegrating into their communities. Stroke survivors with very mild deficits continue to experience barriers from the environment many years post-stroke. These barriers are not typically identified during the rehabilitation process but persist post-reintegration.
Descriptor Terms: APHASIA, BARRIERS, COMMUNICATION, COMMUNITY INTEGRATION, COMMUNITY LIVING, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Babulal, Ganesh M., Connor, Lisa T.. (2016). The measure of stroke environment (MOSE): Development and validation of the MOSE in post-stroke populations with and without aphasia. Topics in Stroke Rehabilitation , 23(5), Pgs. 348-357. Retrieved 1/14/2018, from REHABDATA database.