Feasibility of a novel web-based neuropsychological rehabilitation programme for stroke patients

 You wouldn't need psychological help if you had EXACT 100% RECOVERY PROTOCOLS! Don't you fucking idiots ever think at all?

Oops, I'm not playing by the polite rules of Dale Carnegie,  'How to Win Friends and Influence People'. 

Telling stroke medical persons they know nothing about stroke is a no-no even if it is true. 

Politeness will never solve anything in stroke. Yes, I'm a bomb thrower and proud of it. Someday a stroke 'leader' will try to ream me out for making them look bad by being truthful , I look forward to that day.

Feasibility of a novel web-based neuropsychological rehabilitation programme for stroke patients

Authors

• Outi VuoriDivision of Neuropsychology, HUS Neurocenter, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
• Heidi WikDivision of Neuropsychology, HUS Neurocenter, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
• Annamaria WikströmDivision of Neuropsychology, HUS Neurocenter, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
• Hanna JokinenDivision of Neuropsychology, HUS Neurocenter, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland
• Marja HietanenDivision of Neuropsychology, HUS Neurocenter, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
• Eeva-Liisa KallioDivision of Neuropsychology, HUS Neurocenter, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

DOI: 

https://doi.org/10.2340/jrm.v57.43275

Keywords: 

cognition, neuropsychology, psychoeducation, rehabilitation, stroke, telerehabilitation, web-based rehabilitation

Abstract

Objective: To evaluate the implementation and feasibility of the Neuropsychological Digital Care Pathway (NP-DCP), a novel, professional-guided web-based rehabilitation programme for the rehabilitation of cognitive and emotional symptoms following stroke and to identify factors associated with adherence and user experience.

Design: Retrospective registry study.

Subjects: 133 stroke patients (≥ 18 years) with mild to moderate cognitive impairment at the Neurocenter, Helsinki University Hospital, Finland, referred to the NP-DCP between April 2019 and April 2020.

Methods: The NP-DCP adherence data (completers, dropouts, non-starters) and feedback from programme completers were analysed along with demographic and clinical characteristics.

Results: Of the referred patients, 114 (86%) started the programme; of these, 79 (68%) completed it. The average completion time was 82.3 days. Referral on discharge from acute care was associated with higher adherence (p = 0.019). Women were more likely to start the programme than men (p = 0.012). Usability and content were rated good to excellent (mean 4.1–4.4/5), with participants with basic education more satisfied than those with higher education (p = 0.033).

Conclusion: The NP-DCP demonstrated high engagement and user satisfaction, suggesting it is a feasible tool for stroke rehabilitation, thus adding a promising new method to existing services. Early referral may improve adherence.