Changes in perceived health between one and five years after stroke: A randomized controlled trial of early supported discharge with continued rehabilitation at home versus conventional rehabilitation

Ytterberg, Charlotte; Thorsén, Ann-Mari; Liljedahl, Marianne; Holmqvist, Lotta Widén; Koch, Lena von

doi:10.1016/j.jns.2010.03.027

Cited by 14 publications

(11 citation statements)

References 26 publications

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“…This may be related to functional improvement that they gained from our intervention program in the ADC. This finding is similar with prior study that reported that independence in ADL had a positive impact on health perception and health‐related quality of life in elderly stroke patients (Ytterberg et al., ). Medical and nursing services provided in ADCs improved quality of life and psychological health of older people (Jacob et al., ).…”

Section: Discussionsupporting

confidence: 92%

“…In particular, individually tailored functional training based on the results of health assessment is known to be the most effective intervention to improve stroke patients' rehabilitation (Clark & King, ; Han & Haley, ; Park, ). In addition, improved functional status leads to more positive self‐perceived health (Ytterberg, Thorsén, Liljedahl, Holmqvist & Von Koch, ) and reduction in total healthcare costs associated with poststroke care among elderly stroke patients (Van Exel, Koopmanschap, Van Wijngaarden & Scholte op Reimer, ).…”

mentioning

confidence: 99%

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A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients' Day Care Centers

Chang

Park

Fritschi

et al. 2015

Rehabilitation Nursing

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients' Day Care Centers

Chang

Park

Fritschi

et al. 2015

Rehabilitation Nursing

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“…One clinical trial [31] compared the changes in perceived health after 5 years of disease between patients who received rehabilitation at home and those who received conventional rehabilitation. They concluded that the long-term outcome is more favorable after rehabilitation at home.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Post-Stroke Rehabilitation Programs: A Follow-Up Study among Primary versus Specialized Health Care

et al. 2016

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ObjectiveTo compare home-based rehabilitation (RITH) and standard outpatient rehabilitation in a hospital setting, in terms of improving the functional recovery and quality of life of stroke patients.Study Design and SettingThis was a prospective cohort study in Andalusia (Spain).ParticipantsOne hundred and forty-five patients completed the outcome data.MeasuresDaily activities were measured by the Barthel index, Canadian Neurological Scale (to assess mental state), Tinetti scale (balance and gait), and Short Form Health Survey-36 (SF-36 to compare the quality of life).ResultsNo statistically significant differences were found between the two groups regarding the clinical characteristics of patients in the initial measurement, except for age and mental state (younger and with greater neurological impairment in the hospital group). After physical therapy, both groups showed statistically significant improvements from baseline in each of the measures. These improvements were better in RITH patients than in the hospital patients on all functionality scales with a smaller number of sessions.ConclusionsHome rehabilitation is at least as effective as the outpatient rehabilitation programs in a hospital setting, in terms of recovery of functionality in post-stroke patients. Overall quality of life is severely impaired in both groups, as stroke is a very disabling disease that radically affects patients’ lives.

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“… 13 Accordingly, the clients were considerably willing to participate in the rehabilitation process with strong self-efficacy. 14 However, previous studies have merely evaluated the outcomes immediately after the patients’ discharge from hospitals. The findings of previous studies on the impact of the rehabilitation location on the caregiver were inconsistent.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study

Lee

Yau

Yim

et al. 2018

CIA

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IntroductionPrevious studies evaluating home-based rehabilitation service (HBRS) merely focused on the period immediately after the patients’ discharge from hospitals. The present study focuses on HBRS that covers clients who have not been recently hospitalized. HBRS aims to meet older clients’ rehabilitation needs and support their caregivers in the community. This study intended to evaluate the impact of HBRS on the older clients’ health outcomes and hospital services utilization, and caregivers’ strain in providing care for clients.MethodsThis study used a matched-control quasi-experimental design with a 3-month follow-up to evaluate HBRS. The health outcome measures used for the older clients included Elderly Mobility Scale, Timed Up and Go test, Modified Barthel Index, Lawton’s Instrumental Activities of Daily Living Scale, Mini-Mental State Examination, and World Health Organization Quality of Life Scale, Short Form, Hong Kong version (WHOQOL-BREF [HK]). Meanwhile, the Caregiver Strain Index was used to measure the caregivers’ caregiving strain. Data on clients’ hospital services utilization 3 and 6 months before and after the study were also collected and evaluated.ResultsThe final sample consisted of 122 pairs of older clients and caregivers who live in a community in Hong Kong. In the follow-up after 3 months, the intervention group showed immensely substantial improvements across all the health outcome measures compared with the control group. The intervention group also demonstrated substantial reduction in the clients’ hospital services utilization compared with the control group. However, no significant differences in the clients’ hospital services utilization exist between the two groups in the follow-up after 6 months.ConclusionHBRS of this study is an effective intervention service to improve health outcomes and reduce hospital services utilization among older people living in the community. Moreover, HBRS of this study was effective in reducing the caregivers’ caregiving strain.

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Changes in perceived health between one and five years after stroke: A randomized controlled trial of early supported discharge with continued rehabilitation at home versus conventional rehabilitation

Cited by 14 publications

References 26 publications

A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients' Day Care Centers

A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients' Day Care Centers

Comparison of Two Post-Stroke Rehabilitation Programs: A Follow-Up Study among Primary versus Specialized Health Care

Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study

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