Neuro-Rehabilitation OnLine (N-ROL): description and evaluation of a group-based telerehabilitation programme for acquired brain injury

Beare, Ben; Doogan, Catherine; Douglass-Kirk, Pedro; Leff, Alexander; Ward, Nick

doi:10.1136/jnnp-2021-326809

Cited by 14 publications

(27 citation statements)

References 6 publications

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“…This domain is mainly focuses on supporting participants to establish a daily routine, improving memory and attention and mitigating spatial neglect [28]. We would guide participants in clearly structuring their daily activities based on their preferences and setting priorities [9]. Participants also be guided in visual scanning activities, attention training exercises and utilizing memory aids [29].…”

Section: Cognitive Rehabilitation Domainmentioning

confidence: 99%

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Nurse-Led Telerehabilitation Intervention to Improve Stroke Efficacy: Protocol for a pilot randomized feasibility trial

Osei

Bempah

Owiredu

et al. 2023

Preprint

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Background: The prevalence of stroke continues to rise in low-middle income countries. The continual rise in stroke cases and increasing prevalence on post-acute needs represent a crucial call for increased accessibility and utilization of rehabilitation services. Aim: The primary objective of the study is to test the feasibility (recruitment, retention rates, cost and participant satisfaction) of a nurse-led telerehabilitation intervention in improving self-efficacy among stroke survivors. The findings of the trial are intended for use in a future larger study. Methods: Participants would be recruited at the University of Ghana Hospital and randomized into an intervention group and a control group after being stratified based on age and type of stroke. Participants aged ≥ 18 years, diagnosed stroke at most 12months prior the recruitment and requiring moderate level of assistance would be considered for eligibility. Participants in the intervention group would undergo initial and continuous assessments for identification of problems and needs. Based on individual needs, participants would receive various nursing rehabilitation therapies in appropriate domains (cognitive, physical, emotional, and nursing education) combined with treatment as usual for 6 months. Participants in the controlled group would only receive treatment as usual (physiotherapy and follow-up with a medical officer). A follow-up evaluation would be conducted immediately, 30 days and 90 days after the intervention. Discussion: Providing stroke rehabilitation services in low-resource settings presents a significant challenge due to limited infrastructure and a lack of trained healthcare professionals. The current study has the potential of contributing to the growing body of evidence on the impact of telerehabilitation services in mitigating these challenges in low-resource settings.

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Section: Cognitive Rehabilitation Domainmentioning

confidence: 99%

“…Other studies have shown that providing emotional and psychological support for the patient and their caregivers during the rehabilitation process can greatly contribute to overall success [9,10].…”

Section: Introductionmentioning

confidence: 99%

Nurse-Led Telerehabilitation Intervention to Improve Stroke Efficacy: Protocol for a pilot randomized feasibility trial

Osei

Bempah

Owiredu

et al. 2023

Preprint

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“…Telerehabilitation is increasingly used to overcome challenges of access to rehabilitation services, particularly during the COVID-19 pandemic 44. Telerehabilitation consists of virtual appointments, audio or video, and/or delivery of therapy using a range of devices and software.…”

Section: Stroke Rehabilitation In the Communitymentioning

confidence: 99%

“…Telerehabilitation is increasingly used to overcome challenges of access to rehabilitation services, particularly during the COVID-19 pandemic. 48 Telerehabilitation consists of virtual appointments, audio or video, and/or therapy delivery using a range of devices and software. The safety, effectiveness and cost-effectiveness of telerehabilitation have received significant attention.…”

Section: Stroke Rehabilitation In the Communitymentioning

confidence: 99%

Optimising rehabilitation and recovery after a stroke

et al. 2022

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Stroke can cause significant disability and impact quality of life. Multidisciplinary neurorehabilitation that meets individual needs can help to optimise recovery. Rehabilitation is essential for best quality care but should start early, be ongoing and involve effective teamwork. We describe current stroke rehabilitation processes, from the hyperacute setting through to inpatient and community rehabilitation, to long-term care and report on which UK quality care standards are (or are not) being met. We also examine the gap between what stroke rehabilitation is recommended and what is being delivered, and suggest areas for further improvement.

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“…Alternatively, the staff requirements are likely to be similar to in-person care unless group-based treatments become widely used. 20 Rigorous economic evaluations which test these assumptions are currently lacking. 4 For example, it is possible that while there are reductions in travel time, there are increased inefficiencies due to missed appointments and technical difficulties interrupting treatment sessions.…”

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confidence: 99%

Telerehabilitation for Stroke is Here to Stay. But at What Cost?

Laver

Walker

Ward

2022

Neurorehabil Neural Repair

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The use of telerehabilitation after stroke has necessarily increased in the last 2 years because of the COVID-19 pandemic, and many rehabilitation teams rapidly adapted to offering their services remotely. Evidence supporting the efficacy of telerehabilitation is still scarce with few randomized controlled trials, although current systematic reviews suggest that telerehabilitation does not lead to inferior outcomes when compared to face-to-face treatment. Increasing experience of telerehabilitation however has highlighted some of the pitfalls that need to be solved before we see widespread pragmatic adoption of new practices. We must ensure that offering services using digital technologies does not exclude those who need our services. We must acknowledge that our interactions online differ, both in the way we relate to each other and in the content of clinical consultations. Furthermore, we need to consider how to support staff who may be feeling disconnected and fatigued after spending hours providing remote therapies. Telerehabilitation is likely here to stay and has potential to help deliver rehabilitation to the many people who could benefit, but there are obstacles, challenges and trade-offs to be considered and overcome.

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Neuro-Rehabilitation OnLine (N-ROL): description and evaluation of a group-based telerehabilitation programme for acquired brain injury

Cited by 14 publications

References 6 publications

Nurse-Led Telerehabilitation Intervention to Improve Stroke Efficacy: Protocol for a pilot randomized feasibility trial

Nurse-Led Telerehabilitation Intervention to Improve Stroke Efficacy: Protocol for a pilot randomized feasibility trial

Optimising rehabilitation and recovery after a stroke

Telerehabilitation for Stroke is Here to Stay. But at What Cost?

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