Person-Centered Rehabilitation

Farkas, Marianne; Kesselring, J.; Slavin, Mary D.

doi:10.1007/978-3-031-17650-0_16

Cited by 3 publications

(1 citation statement)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These factors include features of the built environment (eg, stairs and doors), natural environment (eg, surfaces outdoors), and objects. The models describe that a good fit between a person's (P) functional abilities and the demands of environmental factors (E) leads to positive outcomes such as increased independence and overall well-being [43][44][45]. Hence, to optimize rehabilitation outcomes, it is important to use a person's environment and be aware of facilitating and hindering factors.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Built Environments to Support Rehabilitation for People With Stroke From the Hospital to the Home (B-Sure): Protocol for a Mixed Method Participatory Co-Design Study (Preprint)

Kylén,

Sturge,

Lipson-Smith

et al. 2023

Preprint

View full text Add to dashboard Cite

BACKGROUND A global trend is to move rehabilitation closer to people's neighborhoods and homes. Still, little attention has been given to how the built environment outside the hospital setting might impact rehabilitation and recovery for stroke survivors. OBJECTIVE The overarching objective of this project is to develop conceptual models of built environments that support stroke rehabilitation and recovery outside the hospital setting. Specifically, the project will explore factors and characteristics of the built environment that support people with stroke and their families and identify innovative built environments that can be designed for local health care. The project will examine facilitators and obstacles for implementing built environmental solutions and evaluate the potential benefits, feasibility, and acceptability. METHODS The project uses a mixed methods design approach with 3 phases. In phase 1, factors and characteristics of the built environment for rehabilitation will be identified. Based on the results from phase 1, phase 2 will involve co-designing prototypes of environments to support the rehabilitation process for people with stroke. Finally, the prototypes will be evaluated in phase 3. Qualitative and quantitative methods will include a literature review, a concept mapping (CM) study, stakeholder interviews, prototype development, and testing. The project will use multidimensional scaling, hierarchical cluster analysis, descriptive statistics for quantitative data, and content analysis for qualitative data. Location analysis will rely on the location-allocation model for network problems, and the rule-based analysis will be based on geographic information systems data. RESULTS As of the submission of this protocol, ethical approval for the CM study and the interview study has been obtained. Data collection is planned to start in September 2023 and the workshops later in the same year. The scoping review is ongoing from January 2023. The CM study is ongoing and will be finalized in the spring of 2024. We expect to finish the data analysis in the second half of 2024. The project is a 3-year project and will continue until December 2025. CONCLUSIONS We aim to determine how new environments could better support a person’s control over their day, environment, goals, and ultimately control over their recovery and rehabilitation activities. This “taking charge” approach would have the greatest chance of transferring the care closer to the patient's home. By co-designing with multiple stakeholders, we aim to create solutions with the potential for rapid implementation. The project’s outcomes may target other people with frail health after a hospital stay or older persons in Sweden and anywhere else. The impact and social benefits include collaboration between important stakeholders to explore how new environments can support the transition to local health care, co-design, and test of new conceptual models of environments that can promote health and well-being for people post stroke. CLINICALTRIAL INTERNATIONAL REGISTERED REPORT DERR1-10.2196/52489

show abstract

Section: Theoretical Frameworkmentioning

confidence: 99%

Built Environments to Support Rehabilitation for People With Stroke From the Hospital to the Home (B-Sure): Protocol for a Mixed Method Participatory Co-Design Study (Preprint)

Kylén,

Sturge,

Lipson-Smith

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Built environments to support rehabilitation for people with stroke from the hospital to the home (B-Sure): Protocol for a mixed-method participatory co- design study

Kylén

Lipson-Smith

Vries

et al. 2023

Preprint

View full text Add to dashboard Cite

Background While the global trend is to shift rehabilitation closer to people's homes, the role of the non-hospital environment in stroke recovery has been understudied. This unique project aims to address this gap, understanding its crucial to successfully transition health services to local settings. We intend to develop models of built environments that enhance stroke rehabilitation and everyday activities, encouraging a 'taking charge' approach for persons with stroke. Methods and analysis This mixed-method project proceeds in three phases. Phase one identifies rehabilitation-supportive environmental factors. Phase two co-designs prototypes based on these findings, with the third phase evaluating the prototypes. Research methods include literature review, concept mapping, stakeholder interviews, prototype development, and testing. Quantitative data will be processed using multidimensional scaling, hierarchical cluster analysis, and descriptive statistics, while qualitative data will be subjected to content analysis. Location analyses will incorporate qualitative GIS data models. Discussion We seek to determine how supportive environments can facilitate patients' control over their rehabilitation process, daily activities, and recovery goals. This 'taking charge' approach is key to bringing care closer to home. By co-designing with multiple stakeholders, we aim for rapid solution implementation. The project's outcomes may extend to other frail or older individuals post-hospital stay in Sweden and elsewhere. Impact This groundbreaking project encourages key stakeholder collaboration to explore how new environments can expedite the transition to local healthcare. It also entails co-designing and testing new conceptual models of environments to promote health and well-being in post-stroke individuals.

show abstract

Built Environments to Support Rehabilitation for People With Stroke From the Hospital to the Home (B-Sure): Protocol for a Mixed Method Participatory Co-Design Study

Kylén,

Sturge,

Lipson-Smith

et al. 2023

JMIR Res Protoc

View full text Add to dashboard Cite

Background A global trend is to move rehabilitation closer to people's neighborhoods and homes. Still, little attention has been given to how the built environment outside the hospital setting might impact rehabilitation and recovery for stroke survivors. Objective The overarching objective of this project is to develop conceptual models of built environments that support stroke rehabilitation and recovery outside the hospital setting. Specifically, the project will explore factors and characteristics of the built environment that support people with stroke and their families and identify innovative built environments that can be designed for local health care. The project will examine facilitators and obstacles for implementing built environmental solutions and evaluate the potential benefits, feasibility, and acceptability. Methods The project uses a mixed methods design approach with 3 phases. In phase 1, factors and characteristics of the built environment for rehabilitation will be identified. Based on the results from phase 1, phase 2 will involve co-designing prototypes of environments to support the rehabilitation process for people with stroke. Finally, the prototypes will be evaluated in phase 3. Qualitative and quantitative methods will include a literature review, a concept mapping (CM) study, stakeholder interviews, prototype development, and testing. The project will use multidimensional scaling, hierarchical cluster analysis, descriptive statistics for quantitative data, and content analysis for qualitative data. Location analysis will rely on the location-allocation model for network problems, and the rule-based analysis will be based on geographic information systems data. Results As of the submission of this protocol, ethical approval for the CM study and the interview study has been obtained. Data collection is planned to start in September 2023 and the workshops later in the same year. The scoping review is ongoing from January 2023. The CM study is ongoing and will be finalized in the spring of 2024. We expect to finish the data analysis in the second half of 2024. The project is a 3-year project and will continue until December 2025. Conclusions We aim to determine how new environments could better support a person’s control over their day, environment, goals, and ultimately control over their recovery and rehabilitation activities. This “taking charge” approach would have the greatest chance of transferring the care closer to the patient's home. By co-designing with multiple stakeholders, we aim to create solutions with the potential for rapid implementation. The project’s outcomes may target other people with frail health after a hospital stay or older persons in Sweden and anywhere else. The impact and social benefits include collaboration between important stakeholders to explore how new environments can support the transition to local health care, co-design, and test of new conceptual models of environments that can promote health and well-being for people post stroke. International Registered Report Identifier (IRRID) DERR1-10.2196/52489

show abstract

Person-Centered Rehabilitation

Cited by 3 publications

References 50 publications

Built Environments to Support Rehabilitation for People With Stroke From the Hospital to the Home (B-Sure): Protocol for a Mixed Method Participatory Co-Design Study (Preprint)

Built Environments to Support Rehabilitation for People With Stroke From the Hospital to the Home (B-Sure): Protocol for a Mixed Method Participatory Co-Design Study (Preprint)

Built environments to support rehabilitation for people with stroke from the hospital to the home (B-Sure): Protocol for a mixed-method participatory co- design study

Built Environments to Support Rehabilitation for People With Stroke From the Hospital to the Home (B-Sure): Protocol for a Mixed Method Participatory Co-Design Study

Contact Info

Product

Resources

About