Deans' stroke musings: Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT)

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.

Friday, February 23, 2024

Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT)

No clue what metacognitive strategy use is. And the only goal for survivors is 100% recovery! Don't you dare dumb that down just because it's not possible yet

Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT)

Topics in Stroke Rehabilitation. Volume 30(5), Pgs. 512-521.

NARIC Accession Number: J93415. What's this?
Author(s): Kersey, Jessica, Kringle, Emily, Setiawan, I Made A., Parmanto, Bambang, Skidmore, Elizabeth R..
Publication Year: 2023.
Abstract: This randomized controlled trial (RCT) examined whether strategy training using a mobile health platform (iADAPT) is feasible during inpatient stroke rehabilitation and following discharge. Strategy training is a rehabilitation intervention that involves 5 essential elements: (1) client-selected activity-focused goals(100% recovery is the only goal in stroke, you don't even need to ask the question, unless you are trying to justify your failure to have protocols for that!), (2) self-evaluation, (3) metacognitive strategy use, (4) guided discovery, and (5) generalization of learned strategies and skills to meaningful daily activities. Thirty-one participants were randomized to receive strategy training using either the iADAPT application or a workbook. Participants in both groups received 7 in-person sessions during inpatient rehabilitation and 3 remote sessions following discharge. Descriptive statistics were calculated to examine acceptance, attendance, and adherence, and within-group effect sizes on satisfaction and disability. Participants in the iADAPT group attended fewer total intervention sessions (5.5, workbook = 9.0) but attempted a similar number of goals (7.6, workbook = 8.2). Both groups reported similar satisfaction with in-person intervention, but the mobile health group reported greater satisfaction with remote intervention. Considering these promising feasibility metrics and the benefits of mobile health, the authors conclude that it is worth continuing to explore the efficacy of strategy training using a mobile health platform.
Descriptor Terms: FEASIBILITY STUDIES, INTERVENTION, OUTCOMES, REHABILITATION SERVICES, SERVICE DELIVERY, STROKE, TELEREHABILITATION, TRAINING.

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Citation: Kersey, Jessica, Kringle, Emily, Setiawan, I Made A., Parmanto, Bambang, Skidmore, Elizabeth R.. (2023.) Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT). Topics in Stroke Rehabilitation., 30(5), Pgs. 512-521. Retrieved 2/23/2024, from REHABDATA database.