Effect of a Novel Transition Program on Disability After Stroke

Somerville, Emily; Minor, Brittany; Keglovits, Marian; Yan, Yan; Stark, Susan

doi:10.1001/jamanetworkopen.2019.12356

Cited by 11 publications

(7 citation statements)

References 31 publications

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“…For this study, we analyzed prospectively collected data from the control group. 11 All study procedures were approved by the Washington Univeristy in St. Louis Institutional Review Board. Participants provided written informed consent prior to their participation in the study.…”

Section: Methodsmentioning

confidence: 99%

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Efficacy, Feasibility, and Acceptability of In-Home Stroke Education for Stroke Survivors

Blenden

Somerville

Stark

2023

Home Health Care Management & Practice

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Barriers to learning after a stroke may prevent stroke survivors from acquiring helpful information regarding stroke prevention and preparedness. The objective of this study was to evaluate the efficacy, feasibility, and acceptability of a novel in-home stroke education program for survivors in the acute phase following a stroke. Study participants completed 4 in-home education sessions about stroke prevention and preparedness following their discharge home from inpatient rehabilitation. Sessions were designed to be completed within an 8-week period. Sessions were presented with evidence-based teaching methods and could be tailored to individual needs. Participants completed short quizzes before and after each education session to measure knowledge attainment. Forty-nine participants were included in this study. On average, the program was completed in 10 weeks, or 69.5 days (SD = 29.6), and visits lasted 66.26 minutes; 81.5% of participants completed Visit 1, 77.5% completed Visit 2, and 73.5% completed Visits 3 and 4. Statistically significant changes from pretest-to-posttest scores were found for all races and genders and for ages 50 to 79. There was no significant change in pretest-to-posttest scores for participants over age 80 (n = 3). Results show that delivering a stroke education program can be accomplished, on an expanded timeline. The program was effective in increasing stroke knowledge for participants recently discharged from inpatient rehabilitation following a stroke.

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Section: Methodsmentioning

confidence: 99%

“…Details of the methods for the parent study have been previously published. 11 In brief, participants completed a baseline home assessment with study team members during inpatient rehabilitation. Participants were then randomized to either the treatment or the attention control (education) group.…”

Section: Methodsmentioning

confidence: 99%

Efficacy, Feasibility, and Acceptability of In-Home Stroke Education for Stroke Survivors

Blenden

Somerville

Stark

2023

Home Health Care Management & Practice

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“…REBIL is a complex intervention informed by two evidence-based interventions, COMPASS (Somerville et al, 2019) and HARP (Stark et al, 2021). REBIL incorporates a set of effective treatment strategies to address issues of participation in home and community settings and to prevent falls in PAwLTPD.…”

Section: Methodsmentioning

confidence: 99%

“…To bridge the gap of service delivery and advance knowledge in supporting aging in place for PAwLTPD, we propose an occupational therapy intervention called removing environmental barriers to independent living (REBIL). REBIL is informed by two evidence-based occupational therapy interventions, community participation transition after stroke (COMPASS) (Somerville et al, 2019) and the home hazard removal program (HARP) (Stark et al, 2021). As people with long-term physical disabilities age, the fit between their personal abilities and environment changes.…”

Section: Introductionmentioning

confidence: 99%

A protocol for removing environmental barriers to independent living (REBIL): An adapted evidence-based occupational therapy intervention to increase community participation for individuals aging with long-term physical disabilities

Chen

Somerville

Devine

et al. 2022

British Journal of Occupational Therapy

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Background: People aging with long-term physical disabilities are living longer and experiencing the challenges of aging, including the onset of secondary and age-related health conditions. People aging with long-term physical disabilities are at high risk of falls, fall injuries, diminished functional abilities, and compromised participation. However, no available programs support people aging with long-term physical disabilities to participate safely at home and in the community. The proposed study is to examine the feasibility and efficacy of an adapted intervention: removing environmental barriers to independent living. Method/Design: A single-blinded randomized controlled trial will be conducted. Participants who are 45–65 years old; self-report difficulty with ⩾2 daily activities; have had a physical disability for ⩾5 years; and live within 60 mi of the research lab are eligible. All participants will receive an initial in-home evaluation before randomization. The treatment group will receive removing environmental barriers to independent living (total five visits) intervention, which is tailored. The waitlist control group will be offered the same intervention after 6-month follow-up. Expected outcomes are high acceptability, fidelity, and adherence; low safety risk; improved community participation and daily activities performance; and fewer environmental barriers and fall hazards. Discussion: Findings will serve as preliminary evidence for occupational therapy community practice. Outcomes will also inform future large, pragmatic trials. Trial Registration: ClinicalTrials.gov identifier NCT04589988

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“…When it strikes, stroke affects the patient and related people (e.g., family) in many ways, and several studies divide the impacts into individual impacts, family impacts, and social impacts (Araújo et al, 2019;Northcott, Moss, Harrison, 2015) Additionally, Physical, psycho intellectual, and individual function, are three categorized of individual impacts resulted from a stroke disease (Bettger, 2018;Broussy et al, 2019;Karuniawati, 2017;Philp et al, 2013). In family impacts, some families feel burdened, but some of them benefit from stroke that attack one of their family members (Agianto and Nuntaboot, 2018; Gillespie & Campbell, 2011;Hesamzadeh, Dalvandi, Maddah, 2015;Karunia, 2016;Somerville et al, 2019). Finally, social impact, where a person and related environment who experience this disease experience decreased social activity, family life problems, and vulnerable relationships with friends and coworkers and other networks (Northcott, Moss, Harrison, 2015).…”

Section: Introductionmentioning

confidence: 99%

The Experience of Family Caregiver's n Caring for Post-Stroke Patients at Home During the Pandemic Covid-19

Jiu¹,

Novarianda²,

Usman³

et al. 2023

IJMRA

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Taking care of a family member(s) who suffers from stroke at home especially during the covid-19 pandemic time is unquestionably not easy. This study aimed at exploring the experience of family-caregivers in caring for post-stroke patients at home during the covid-19 pandemic. This qualitative research employed a phenomenological approach with participants consisting of 14 family members who have been caring for post-stroke patients at home during the Covid-19 pandemic in the Pontianak City area. This research began with observation for 3 months which was then followed by interviews and FGDs. The data obtained from the results of in-depth interviews and FGDs were processed using content analysis. The result of his study generated 5 themes regarding the experience of family caregivers in caring for post-stroke patients at home during the Covid-19 pandemic including 1) Changes in caregiver roles, 2) engagement values, 3) spiritual values, 4) Isolation in the surrounding community, 5) The experience of situational anxiety. Considering that both stroke survivors and caregivers of post-stroke patients do not only face several problems and conditions related to stroke and stroke recovery as well as community stigma, but several live scenarios are also provided for them especially during the COVID-19 pandemic. Therefore, further community reintegration ought to exist in the rehabilitation where it can prepare someone who used to suffer from stroke to have ability to do self-reorganization psychologically, physically and socially.

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Effect of a Novel Transition Program on Disability After Stroke

Cited by 11 publications

References 31 publications

Efficacy, Feasibility, and Acceptability of In-Home Stroke Education for Stroke Survivors

Efficacy, Feasibility, and Acceptability of In-Home Stroke Education for Stroke Survivors

A protocol for removing environmental barriers to independent living (REBIL): An adapted evidence-based occupational therapy intervention to increase community participation for individuals aging with long-term physical disabilities

The Experience of Family Caregiver's n Caring for Post-Stroke Patients at Home During the Pandemic Covid-19

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