Stroke survivor, caregiver and therapist experiences of home-based stroke rehabilitation: a thematic synthesis of qualitative studies

Lavis, Heidi; Vliet, Paulette van; Tavener, Meredith

doi:10.1080/10833196.2023.2180710

Cited by 4 publications

(1 citation statement)

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“…Allen et al suggested providing home-based specialized rehabilitation services for rural residents as a potential solution to this problem and found that providing this service will result in functional gains for rural resident comparable to those living in urban settings [35]. However, successful home-based rehabilitation partly depends on effective communication and collaboration between the caregiver, patient, and therapist [36,37]. Fisher et al also suggested that (a) developing strategic networks can help understand the needs of these patients at an organizational level and (b) the existing gap in skill mix and staff establishment among teams providing rehabilitation services is one reason for the unmet needs of patients with more severe disabilities [38].…”

Section: Sensitivity Analysismentioning

confidence: 99%

Utilization of early supported discharge and outpatient rehabilitation services following inpatient stroke rehabilitation

Razavilar,

Tran,

Dukelow

et al. 2024

Arch Public Health

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Background Studies examining factors associated with patient referral to early supported discharge (ESD)/outpatient rehabilitation (OPR) programs and utilization of ESD/OPR services after discharge from inpatient stroke rehabilitation (IPR) are scarce. Accordingly, we examined utilization of ESD/OPR services following discharge from IPR and patient factors associated with service utilization. Methods Stroke patients discharged from IPR facilities in Alberta between April 2014 and March 2016 were included and followed for one year for ESD/OPR service utilization. Multivariable linear and negative binomial regressions were used to examine association of patients’ factors with ESD/OPR use. Results We included 752 patients (34.4% of 2,187 patients discharged from IPR) who had 40,772 ESD/OPR visits during one year of follow-up in the analysis. Mean and median ESD/OPR visits were 54.2 and 36 visits, respectively. Unadjusted ESD/OPR visits were lower in females and patients aged ≥ 60 years but were similar between urban and rural areas. After adjustment for patient factors, patients in urban areas and discharged home after IPR were associated with 83.5% and 61.9%, respectively, increase in ESD/OPR visits, while having a right-body stroke was associated with 23.5% increase. Older patients used ESD/OPR less than their younger counterparts (1.4% decrease per one year of older age). Available factors explained 12.3% of variation in ESD/OPR use. Conclusion ESD/OPR utilization after IPR in Alberta was low and varied across age and geographic locations. Factors associated with use of ESD/OPR were identified but they could not fully explain variation of ESD/OPR use.

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Section: Sensitivity Analysismentioning

confidence: 99%