Deans' stroke musings: Ecological momentary assessment of real-world functional behaviors in individuals with stroke: A longitudinal observational study

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.

Monday, August 22, 2022

Ecological momentary assessment of real-world functional behaviors in individuals with stroke: A longitudinal observational study

I consider assessment research to be useless, do the research that delivers the functions you are assessing.

Ecological momentary assessment of real-world functional behaviors in individuals with stroke: A longitudinal observational study

Archives of Physical Medicine and Rehabilitation , Volume 103(7) , Pgs. 1327-1337.

NARIC Accession Number: J89442. What's this?
ISSN: 0003-9993.
Author(s): Bui, Quoc; Kaufman, Katherine J.; Pham, Vy; Lenze, Eric J.; Lee, Jin-Moo; Mohr, David C.; Fong, Mandy W. M.; Metts, Christopher L.; Tomazin, Stephanie E.; Wong, Alex W. K..
Publication Year: 2022.
Number of Pages: 11.

Abstract:

Study aimed to validate and characterize real-world functional behaviors in individuals after stroke by using ecological momentary assessment (EMA) as a real-time assessment of functional behaviors in natural contexts. A total of 212 individuals with mild-to-moderate stroke were assessed 5 times daily for 14 days with EMA surveys to determine what, with whom, and where individuals were doing activities and appraise mental, somatic, and cognitive symptoms. Participants also completed standardized assessments during laboratory visits, including Lawton Instrumental Activities of Daily Living Scale, Activity Card Sort, Patient-Reported Outcome Measurement Information System, and Quality of Life in Neurological Disorders. Wilcoxon rank-sum tests, Fisher exact tests, and Spearman correlations were used to analyze data. A total of 14,140 EMA surveys were analyzed. Individuals were home 78 percent of the time; primarily participated in passive, unproductive activities (27 percent), especially watching television and resting; and participated least in physical activities (4 percent). EMA was sensitive to indicators of poststroke disability; unemployed individuals reported fewer vocational activities but more activities of daily living (ADL) and passive activities than employed counterparts. Users of mobility devices and individuals with cognitive problems spent significantly less time on vocational activities and more on ADL than nonusers and those without cognitive problems. Results supported the validity of EMA methods in stroke, with small-to-moderate correlations of EMA with in-laboratory measures of daily functioning and very large correlations between EMA and in-laboratory measures of symptoms, especially those measuring same constructs.
Descriptor Terms: BEHAVIOR, DAILY LIVING, EVALUATION TECHNIQUES, FUNCTIONAL EVALUATION, LONGITUDINAL STUDIES, MEASUREMENTS, STROKE.

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

Citation: Bui, Quoc, Kaufman, Katherine J., Pham, Vy, Lenze, Eric J., Lee, Jin-Moo, Mohr, David C., Fong, Mandy W. M., Metts, Christopher L., Tomazin, Stephanie E., Wong, Alex W. K.. (2022). Ecological momentary assessment of real-world functional behaviors in individuals with stroke: A longitudinal observational study. Archives of Physical Medicine and Rehabilitation , 103(7), Pgs. 1327-1337. Retrieved 8/22/2022, from REHABDATA database.