Managing Poststroke Fatigue Using Telehealth: A Case Report

Abstract

For this single participant experiencing PSF, performance and satisfaction on the COPM guardedly improved and fatigue impact decreased after participation in the energy conservation course offered by teleconference, a form of telehealth delivery. Further research is recommended with larger sample sizes.

The use of information and communication technology in healthcare to improve participation in everyday life: a scoping review

“…Interestingly, participation was mainly used as an outcome for involvement in a life situation as measured by using assessment tools such as the Reintegration to Normal Living Index, or as related to ADL. Only three studies included the outcome of participation as a choice, by using the Canadian Occupational Performance Measure as an outcome [35,36,39]. Participation demonstrated improvement as an outcome in three of the studies [34,35,42], even though participation was not described as a direct intervention target in any of the included studies nor as a primary aim.…”

“…Pilutti [33], 2014 studies was the pilot case study by Boehm et al [39], where a telephone was used to deliver the Managing Fatigue course but showed non-significant improvements for the participants. Chumbler et al [40] used a combination of videoconferences and telephone calls within a stroke telerehabilitation intervention.…”

“…Three studies have measured participation as a satisfaction of performance in self-chosen activities by using the Canadian Occupational Performance Measure [35,36,39]. In four studies [37,38,41,43] participation was used as an outcome for ADL in the intervention.…”

Telehealth and Home Health Occupational Therapy: Clients’ Perceived Satisfaction With and Perception of Occupational Performance

“…Six of the participants did not have any prior experience with the technology; this did not impact the overall results of improvement in all areas of performance measured. While much of the evidence surrounding telehealth use addresses clients with specific diagnoses (Boehm et al, 2015;Dunleavy et al, 2013;Fitzsimmons et al, 2016;Gorst et al, 2016;Hwang et al, 2017;Marquis et al, 2014;Nelson et al, 2017;Radhakrishnan et al, 2016;Renda & Lape, 2018;Tousignant et al, 2014;Yuen et al, 2015), this study had no restrictions in place related to diagnosis and provides both preliminary support and new evidence to suggest telehealth may be appropriate for a variety of diagnoses in the traditional home care setting.…”

Energy management education and occupation-related outcomes in adults with chronic diseases: A scoping review

“…EME in people with acquired brain injury. A case study of a 1:1, teleconference-based adaptation of the "Managing Fatigue" program in a participant living post stroke found the program was associated with a decrease in multiple domains of fatigue impact, but did not improve occupational performance (Boehm et al, 2015). Meanwhile, a pilot RCT of an internet-based EME program that used a problem-solving therapy approach found the program was associated with improvements in fatigue and fatigue impact in people with an acquired brain injury (Raina et al, 2016).…”