Saturday, March 19, 2022

Incentives for uptake of and adherence to outpatient stroke rehabilitation services: A 3-arm randomized controlled trial.

Survivors don't need incentives. Give them 100% recovery protocols and they will be incentivized because they know recovery is the end result. Whatever crapola guidelines you're giving them today are worthless because all they are are guesses on what works. Survivors don't want guesses, they expect you to KNOW EXACTLY HOW TO GET THEM RECOVERED.

Incentives for uptake of and adherence to outpatient stroke rehabilitation services: A 3-arm randomized controlled trial.

Archives of Physical Medicine and Rehabilitation , Volume 103(1) , Pgs. 1-7.

NARIC Accession Number: J88371.  What's this?
ISSN: 0003-9993.
Author(s): Matchar, David B.; Young, Sherry H. Y.; Sim, Rita; Yu, Christine J. Y.; Yan, Xiaoxi; De Silva, Deidre A.; Chakraborty, Bibhas.
Publication Year: 2022.
Number of Pages: 7.
Abstract: Study explored whether rehabilitation uptake and adherence can be increased by providing coordinated transportation (increased convenience) and eliminating out-of-pocket costs (reduced expense). Participants were 266 Singaporeans or permanent residents 21 years or older who were diagnosed as having stroke and were discharged home with physician’s recommendation to continue outpatient rehabilitation. Participants were randomized to a Transportation Incentives arm (T), which provides free transportation services, a Transportation & Sessions Incentives arm (T&S), offering free transportation and prescribed stroke rehabilitation sessions, and a control arm, Education (E), consisting of a stroke rehabilitation educational program. The primary study outcome was uptake of outpatient rehabilitation services (ORS) among patients poststroke and key predefined secondary outcomes being number of sessions attended and adherence to prescribed sessions. Uptake rate of ORS was 73.0 percent for E, 81.8 percent for T, and 84.3 percent for T&S. Differences of T and T&S vs E were not statistically significant. However, average number of rehabilitation sessions attended were significantly higher in both intervention arms: 5.50 for T and 7.51 for T&S vs 3.26 for E. Kaplan-Meier analysis indicated that persistence was higher for T&S compared with E. This study demonstrated a possibility in increasing the uptake of and persistence to stroke ORS with free transportation and sessions. Incentivizing survivors of stroke to take up ORS is a new strategy worthy of further exploration for future policy change in financing ORS or other long-term care services.
Descriptor Terms: ACCESS TO CARE, COMPLIANCE, COSTS, REHABILITATION, STROKE, TRANSPORTATION ACCESSIBILITY.


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

Citation: Matchar, David B., Young, Sherry H. Y., Sim, Rita, Yu, Christine J. Y., Yan, Xiaoxi, De Silva, Deidre A., Chakraborty, Bibhas. (2022). Incentives for uptake of and adherence to outpatient stroke rehabilitation services: A 3-arm randomized controlled trial.  Archives of Physical Medicine and Rehabilitation , 103(1), Pgs. 1-7. Retrieved 3/19/2022, from REHABDATA database.

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