RecoverNow: A patient perspective on the delivery of mobile tablet-based stroke rehabilitation in the acute care setting

Mallet, K; Shamloul, R; Pugliese, M; Power, E; Corbett, D; Hatcher, S; Shamy, M; Stotts, G; Zakutney, L; Dukelow, S; Dowlatshahi, D

RecoverNow: A patient perspective on the delivery of mobile tablet-based stroke rehabilitation in the acute care setting

Mallet, K Shamloul, R Pugliese, M Power, E

Corbett, D Hatcher, S Shamy, M Stotts, G Zakutney, L Dukelow, S Dowlatshahi, D

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Publication Type:: Journal Article
Citation:: International Journal of Stroke, 2019, 14 (2), pp. 174 - 179
Issue Date:: 2019-02-01

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Field	Value	Language
dc.contributor.author	Mallet, K	en_US
dc.contributor.author	Shamloul, R	en_US
dc.contributor.author	Pugliese, M	en_US
dc.contributor.author	Power, E https://orcid.org/0000-0002-2638-0406	en_US
dc.contributor.author	Corbett, D	en_US
dc.contributor.author	Hatcher, S	en_US
dc.contributor.author	Shamy, M	en_US
dc.contributor.author	Stotts, G	en_US
dc.contributor.author	Zakutney, L	en_US
dc.contributor.author	Dukelow, S	en_US
dc.contributor.author	Dowlatshahi, D	en_US
dc.date.issued	2019-02-01	en_US
dc.identifier.citation	International Journal of Stroke, 2019, 14 (2), pp. 174 - 179	en_US
dc.identifier.issn	1747-4930	en_US
dc.identifier.uri	http://hdl.handle.net/10453/136327
dc.description.abstract	© 2018 World Stroke Organization. Background/aim: We previously reported the feasibility of RecoverNow (a mobile tablet-based post-stroke communication therapy in acute care). RecoverNow has since expanded to include fine motor and cognitive therapies. Our objectives were to gain a better understanding of patient experiences and recovery goals using mobile tablets. Methods: Speech-language pathologists or occupational therapists identified patients with stroke and communication, fine motor, or cognitive/perceptual deficits. Patients were provided with iPads individually programmed with applications based on assessment results, and instructed to use it at least 1 h/day. At discharge, patients completed a 19-question quantitative and open-ended engagement survey addressing intervention timing, mobile device/apps, recovery goals, and therapy duration. Results: Over a six-month period, we enrolled 33 participants (three did not complete the survey). Median time from stroke to initiation of tablet-based therapy was six days. Patients engaged in therapy on average 59.6 min/day and preferred communication and hand function therapies. Most patients (63.3%) agreed that therapy was commenced at a reasonable time, although half expressed an interest in starting sooner, 66.7% reported that using the device 1 h/day was enough, 64.3% would use it after discharge, and 60.7% would use it for eight weeks. Sixty-seven percent of patients expressed a need for family/friend/caregiver to help them use it. Conclusion: Our results suggest that stroke patients are interested in mobile tablet-based therapy in acute care. Patients in the acute setting prefer to focus on communication and hand therapies, are willing to begin within days of their stroke and may require assistance with the tablets.	en_US
dc.relation.ispartof	International Journal of Stroke	en_US
dc.relation.isbasedon	10.1177/1747493018790031	en_US
dc.subject.classification	Neurology & Neurosurgery	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Critical Care	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Computers, Handheld	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Patient Participation	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Outcome Assessment (Health Care)	en_US
dc.subject.mesh	Canada	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Stroke	en_US
dc.subject.mesh	Mobile Applications	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Stroke Rehabilitation	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.title	RecoverNow: A patient perspective on the delivery of mobile tablet-based stroke rehabilitation in the acute care setting	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	14	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1109 Neurosciences	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	14	en_US

Abstract:

© 2018 World Stroke Organization. Background/aim: We previously reported the feasibility of RecoverNow (a mobile tablet-based post-stroke communication therapy in acute care). RecoverNow has since expanded to include fine motor and cognitive therapies. Our objectives were to gain a better understanding of patient experiences and recovery goals using mobile tablets. Methods: Speech-language pathologists or occupational therapists identified patients with stroke and communication, fine motor, or cognitive/perceptual deficits. Patients were provided with iPads individually programmed with applications based on assessment results, and instructed to use it at least 1 h/day. At discharge, patients completed a 19-question quantitative and open-ended engagement survey addressing intervention timing, mobile device/apps, recovery goals, and therapy duration. Results: Over a six-month period, we enrolled 33 participants (three did not complete the survey). Median time from stroke to initiation of tablet-based therapy was six days. Patients engaged in therapy on average 59.6 min/day and preferred communication and hand function therapies. Most patients (63.3%) agreed that therapy was commenced at a reasonable time, although half expressed an interest in starting sooner, 66.7% reported that using the device 1 h/day was enough, 64.3% would use it after discharge, and 60.7% would use it for eight weeks. Sixty-seven percent of patients expressed a need for family/friend/caregiver to help them use it. Conclusion: Our results suggest that stroke patients are interested in mobile tablet-based therapy in acute care. Patients in the acute setting prefer to focus on communication and hand therapies, are willing to begin within days of their stroke and may require assistance with the tablets.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/136327