Advances in Remote Monitoring for Stroke Recovery

Eng, Janice J.; Pastva, Amy M.

doi:10.1161/strokeaha.122.038885

Cited by 10 publications

(6 citation statements)

References 19 publications

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“…It would be worthwhile to examine the effects of a self-management program such as the COMBO-KEY program delivered virtually or in a hybrid mode to enable continuation of the program without limitations imposed by environmental factors, and wider scope for live sharing of peers to provide peer support [ 47 ]. Moreover, the use of health monitoring devices that allow data transfer to healthcare professionals’ computers would be meaningful to achieve more objective assessments during virtual meetings [ 48 – 50 ].…”

Section: Discussionmentioning

confidence: 99%

Health Professional- and Volunteer-partnered Self-management Support (COMBO-KEY) to Promote Self-efficacy and Self-management Behaviors in People with Stroke: A Randomized Controlled Trial

Chau

Choi

et al. 2023

Annals of Behavioral Medicine

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Background Multiple systematic reviews have reported that self-management interventions are associated with positive impacts on self-efficacy and health-related quality of life (HRQoL) of people with stroke. Purpose This article reports the effects of an enhanced stroke self-management program. Methods Eligible adults with stroke were recruited from community-based organizations and a support group for a two-arm, assessor-blinded randomized controlled trial. Participants in the control group received usual care, while those in the intervention group also received the 8-week self-management program, Coaching Ongoing Momentum Building On stroKe rEcovery journeY (COMBO-KEY), consisting of four individual home visits and five follow-up phone calls, delivered by healthcare professionals and trained volunteers. Assessments were conducted at baseline and after the intervention, for outcomes of self-efficacy, satisfaction with the performance of self-management behaviors, HRQoL, and community reintegration, which were analyzed using generalized estimating equations (GEEs). Results 134 Participants were recruited [mean age = 64.1 years, standard deviation (SD) = 12.7]. Over 80% of the participants had a first-ever stroke [mean years after first stroke: 4.2 (SD = 5.1)]. The GEE analysis revealed that the intervention group participants showed significantly greater improvements in self-efficacy, satisfaction with their performance of self-management behaviors, HRQoL, and community reintegration at 8-week follow-up with respect to their baseline levels. Conclusions The COMBO-KEY program showed effective improvements in recovery outcomes of people with stroke. Future research should explore the inclusion of virtual/hybrid sessions, strategies to assess health conditions of people with stroke via online modes, and assessment of goal attainment and actual performance of self-management behaviors.

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Section: Discussionmentioning

confidence: 99%

Health Professional- and Volunteer-partnered Self-management Support (COMBO-KEY) to Promote Self-efficacy and Self-management Behaviors in People with Stroke: A Randomized Controlled Trial

Chau

Choi

et al. 2023

Annals of Behavioral Medicine

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“…Also, the prediction of short‐term and long‐term functional outcomes is extremely valuable for the patients, their families, and medical professionals and allowing for better planning and resource allocation (König et al, 2008). Remote monitoring using telemedicine and wearable and home sensors can provide real‐time, real‐world data informing rehabilitation outcomes, quality of life and independence of patients (Eng & Pastva, 2022). However, the implementation of technology‐enabled remote monitoring approaches is still in progress due to several bottlenecks such as technology readiness levels, infrastructure problems, ergonomics, accessibility and safety issues, as well as technology literacy and access of both the patient and the medical professionals to said technology (Merid et al, 2021).…”

Section: Ischemic Strokementioning

confidence: 99%

Biochemical, biomechanical and imaging biomarkers of ischemic stroke: Time for integrative thinking

Erdoğan,

Arpak,

Keles

et al. 2024

Eur J of Neuroscience

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Stroke is one of the leading causes of adult disability affecting millions of people worldwide. Post‐stroke cognitive and motor impairments diminish quality of life and functional independence. There is an increased risk of having a second stroke and developing secondary conditions with long‐term social and economic impacts. With increasing number of stroke incidents, shortage of medical professionals and limited budgets, health services are struggling to provide a care that can break the vicious cycle of stroke. Effective post‐stroke recovery hinges on holistic, integrative and personalized care starting from improved diagnosis and treatment in clinics to continuous rehabilitation and support in the community. To improve stroke care pathways, there have been growing efforts in discovering biomarkers that can provide valuable insights into the neural, physiological and biomechanical consequences of stroke and how patients respond to new interventions. In this review paper, we aim to summarize recent biomarker discovery research focusing on three modalities (brain imaging, blood sampling and gait assessments), look at some established and forthcoming biomarkers, and discuss their usefulness and complementarity within the context of comprehensive stroke care. We also emphasize the importance of biomarker guided personalized interventions to enhance stroke treatment and post‐stroke recovery.

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“…They also can be combined with videoconferencing for better outcomes. Wearable sensors are used to collect patients’ data in order to monitor their status including falls, heart rate, blood pressure, respiratory rate and blood oxygen levels ( 24 ). In a study by Asano et al ( 25 ), 61 patients performed rehabilitation training though tablet-based TR system followed by a review through videoconferencing.…”

Section: Information and Communication Technologies In Telerehabilita...mentioning

confidence: 99%

ICTs and interventions in telerehabilitation and their effects on stroke recovery

et al. 2023

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Telerehabilitation (TR) is a new model to provide rehabilitation services to stroke survivors. It is a promising approach to deliver mainstream interventions for movement, cognitive, speech and language, and other disorders. TR has two major components: information and communication technologies (ICTs) and stroke interventions. ICTs provide a platform on which interventions are delivered and subsequently result in stroke recovery. In this mini-review, we went over features of ICTs that facilitate TR, as well as stroke interventions that can be delivered via TR platforms. Then, we reviewed the effects of TR on various stroke disorders. In most studies, TR is a feasible and effective solution in delivering interventions to patients. It is not inferior to usual care and in-clinic therapy with matching dose and intensity. With new technologies, TR may result in better outcomes than usual care for some disorders. One the other hand, TR also have many limitations that could lead to worse outcomes than traditional rehabilitation. In the end, we discussed major concerns and possible solutions related to TR, and also discussed potential directions for TR development.

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Advances in Remote Monitoring for Stroke Recovery

Cited by 10 publications

References 19 publications

Health Professional- and Volunteer-partnered Self-management Support (COMBO-KEY) to Promote Self-efficacy and Self-management Behaviors in People with Stroke: A Randomized Controlled Trial

Health Professional- and Volunteer-partnered Self-management Support (COMBO-KEY) to Promote Self-efficacy and Self-management Behaviors in People with Stroke: A Randomized Controlled Trial

Biochemical, biomechanical and imaging biomarkers of ischemic stroke: Time for integrative thinking

ICTs and interventions in telerehabilitation and their effects on stroke recovery

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