https://www.sciencedirect.com/science/article/pii/S1052305718303823
Abstract
Background
Unmet
rehabilitation needs are common among stroke survivors. We aimed to
evaluate whether a comprehensive graphic “Rehab-Compass,” a novel
combination of structured patient-reported outcome measures, was
feasible and useful in facilitating a capture of patients'
rehabilitation needs in clinical practice.
Methods
A
new graphic overview of broad unmet rehabilitation needs covers
deficits in functioning, daily activity, participation, and quality of
life. It was constructed by using 5 patient-oriented, well-validated,
and reliable existing instruments with converted data into a 0 (worst
outcome) to 100 (best outcome) scale but unchanged in terms of variable
properties. Satisfaction of the Rehab-CompassTM was
studied by a qualitative interview of 9 patients with stroke and 3
clinicians. Practical feasibility and capacity of the instrument were
evaluated in a cross-sectional study with 48 patients at 5-month follow-ups after subarachnoid hemorrhage.
Results
The Rehab-CompassTM
identified and graphically visualized a panoramic view of the
multidimensional needs over time which was completed before clinical
consultation. The Rehab-CompassTM appeared to be feasible and
time-efficient in clinical use. The interviews of both patients and
clinicians showed high satisfaction when using the Rehab-CompassTM graph. In the studied stroke patients, the Rehab-CompassTM identified memory and processing information, fatigue, mood, and pain after subarachnoid hemorrhage as the most common problems.
Conclusions
The graphic Rehab-CompassTM
seems to be a feasible, useful, and time-saving tool for identification
of unmet rehabilitation needs among stroke survivors in clinical
practice. Further research is needed to make the Rehab-CompassTM more concise and evaluate the instrument among different stroke subgroups.
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