Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation

Last, Nicole; Packham, Tara; Gewurtz, Rebecca; Letts, Lori; Harris, Jocelyn E.

doi:10.1080/09638288.2021.1881830

Cited by 16 publications

(50 citation statements)

References 23 publications

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“… 48 Two studies involved personalised neurological rehabilitation. 45 47 One study involved the development of care partnerships using patient advisors. 46 One study implemented improvements and increased supervision in stroke units.…”

Section: Resultsmentioning

confidence: 99%

“… 42 43 48 In two studies, the patients were able to codesign their own rehabilitation programme. 45 47 The Partnership Co-design Lab method was used in Pomey et al 46 to introduce patient advisors at patient bed sides. 46 Evidenced-based codesign and accelerated evidenced-based codesign was implemented in one study to address inactivity in stroke units.…”

Section: Resultsmentioning

confidence: 99%

“… 42 44 45 Patients perceived these limitations as having a negative impact on their rehabilitation experiences. 45 …”

Section: Resultsmentioning

confidence: 99%

“… 45 This was best exemplified by a patient who had a goal of kayaking. 45 The patient’s therapist incorporated kayaking, in a hydrotherapy pool, into the patient’s rehabilitation programme. 45 Patients in a study by Scheel-Sailer et al , 47 had the ability to design their rehabilitation programme by choosing additional therapies.…”

Section: Resultsmentioning

confidence: 99%

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Patient experiences of codesigned rehabilitation interventions in hospitals: a rapid review

et al. 2022

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BackgroundCodesign strengthens partnerships between healthcare workers and patients. It also facilitates collaborations supporting the development, design and delivery of healthcare services. Prior rehabilitation reviews have focused mainly on the clinical and organisational outcomes of codesign with less focus on the lived experience of rehabilitation patients.ObjectiveTo explore patient experiences of codesigned hospital rehabilitation interventions.DesignRapid review and evidence synthesis of the literature.Data sourcesCINAHL, MEDLINE, Embase and Cochrane were searched from 1 January 2000 to 25 April 2022.Study selectionStudies reporting patient experiences of codesigned rehabilitation interventions in hospitals.Results4156 studies were screened, and 38 full-text studies were assessed for eligibility. Seven studies were included in the final rapid review. Five out of the seven studies involved neurological rehabilitation. All eligible studies used qualitative research methods. The main barriers to codesign were related to staffing and dedicated time allocated to face-to-face patient-therapist interactions. High-quality relationships between patients and their therapists were a facilitator of codesign. Thematic synthesis revealed that codesigned rehabilitation interventions can enable a meaningful experience for patients and facilitate tailoring of treatments to align with individual needs. Personalised rehabilitation increases patient involvement in rehabilitation planning, delivery and decision-making. It also promotes positive feelings of empowerment and hope.ConclusionThis rapid review supports the implementation of codesigned rehabilitation interventions to improve patient experiences in hospitals.PROSPERO registration numberCRD42021264547.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“… 42 44 45 Patients perceived these limitations as having a negative impact on their rehabilitation experiences. 45 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Patient experiences of codesigned rehabilitation interventions in hospitals: a rapid review

et al. 2022

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“…Personal motivators, such as the desire to resume normal daily activities, positively affect patient engagement (Last et al, 2021). Support from peers, family, and rehabilitation staff increases motivation and willingness to participate in rehabilitation (Last et al, 2021). There are also negative factors that reduce motivation in stroke patients.…”

Section: Motivating Factorsmentioning

confidence: 99%

Barriers and Facilitators to Engagement in Rehabilitation Among Stroke Survivors

Forgea

Lyons²,

Lorenz

2021

Rehabilitation Nursing

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Background: Approximately 795,000 Americans experience a new or recurrent stroke every year, and it remains one of the leading causes of disability worldwide. Patient engagement in rehabilitation and physical activity has been associated with improvements in functional outcomes during inpatient rehabilitation. There is limited knowledge of the barriers and facilitators to patients' engagement in stroke rehabilitation. Methods: An integrative review with a systematic approach was conducted to explore the current available literature on barriers and facilitators to patient engagement in stroke inpatient rehabilitation. Results: Twenty-five studies were included in the final review. Four major themes described the identified barriers and facilitators:(1) stroke impact, (2) self-efficacy, (3) therapeutic relationship, and (4) motivating factors. Individualized patient-centered goal setting was a commonly studied intervention found to successfully increase engagement. Conclusion: Engagement in stroke rehabilitation is associated with improved patient outcomes. Using the identified themes from this review, nurses can develop focused interventions aimed at reducing barriers and increasing stroke patient engagement.

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Stroke survivors' perspectives on decision-making about rehabilitation and the prospect of taking recovery-promoting drugs: A qualitative study

Firth

Hayward

Bernhardt

et al. 2023

Exploratory Research in Clinical and Social Pharmacy

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Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation

Cited by 16 publications

References 23 publications

Patient experiences of codesigned rehabilitation interventions in hospitals: a rapid review

Patient experiences of codesigned rehabilitation interventions in hospitals: a rapid review

Barriers and Facilitators to Engagement in Rehabilitation Among Stroke Survivors

Stroke survivors' perspectives on decision-making about rehabilitation and the prospect of taking recovery-promoting drugs: A qualitative study

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