Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,397 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
To evaluate the feasibility of a trial testing the efficacy of motivational interviewing and a telehealth self-management program in early stroke rehabilitation.
An exploratory randomized controlled trial.
Hospitalized care (inpatient rehabilitation) and community setting.
Using convenience sampling, first-time stroke patients with a mild stroke(So cherry picking because they might recover with the limited knowledge we have on recovery. Work on the hard cases like leaders do.) were recruited at a Level 1 Stroke Center inpatient rehabilitation unit and randomized into an intervention or treatment-as-usual group. Out of 24 eligible patients, 15 enrolled, and 10 completed the study (90% male; age=56 (14.5); intervention group n=6).
The intervention group participated in five, 30-minute motivational interviewing sessions delivered in person and over phone by a rehabilitation psychologist and a weekly, 6-session, group-based self-management program, called Improving Participation After Stroke Self-management program-TeleRehab (IPASS-TR), delivered by an occupational therapist and stroke survivor via Zoom. Motivational interviewing focused on discussing post-stroke concerns identified by participants. IPASS-TR focused on building self-management skills to improve post-stroke life participation with an emphasis on understanding and navigating the impact of the environment.
Feasibility (recruitment rate, attrition, resources used, acceptability, fidelity) data through observation, focus groups, and interviews. PROMIS Global Health, Stroke Impact Scale Perceived Recovery Scale, Patient Activation Measure, NeuroQoL Satisfaction with Social Roles, and Participation Strategies Self-Efficacy Scale.
Demographic and baseline outcome measures were similar between the groups. All outcome measures were feasible to use. Intervention attendance rate was 100%, and fidelity remained strong. Telehealth delivery required supports such as reminders and flexibility in scheduling. Participants were satisfied with the timing, structure, and content and reported emotional benefits and gain of new insights and knowledge. Perceived recovery showed moderate effect favoring the intervention group (r=0.54).
The feasibility of the trial and delivery supports the design of a larger scale trial. While preliminary, participant satisfaction and positive effects support the importance of integrating self-management focused interventions early on in stroke rehabilitation to support patients’ transition into their life with a long-term disability.(So you are not even talking recovery, just your FUCKING TYRANNY OF LOW EXPECTATIONS! You want survivors to agree to those low expectations because you are not willing to do the work to solve stroke. It's easier to just do the failure of the status quo and get paid rather than solve stroke? Hope you're OK with not recovering when you are the 1 in 4 per WHO that has a stroke
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