Toward Improving Poststroke Aphasia: A Pilot Study on the Growing Use of Telerehabilitation for the Continuity of Care

Maresca, Giuseppa; Maggio, Maria Grazia; Latella, Dèsiréè; Cannavó, Antonino; Cola, Maria Cristina De; Portaro, Simona; Stagnitti, Maria Chiara; Silvestri, Graciela; Torrisi, Michele; Bramanti, Alessia; Luca, Rosaria De; Calabrò, Rocco Salvatore

doi:10.1016/j.jstrokecerebrovasdis.2019.104303

Cited by 46 publications

(56 citation statements)

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“…Skepticism about the potential efficacy of telerehabilitation in promoting improvement and goal enhancement has been reported elsewhere in the literature, and it could explain reluctance to consider telerehabilitation as a replacement of face-to-face therapy (39,40). This reluctance may also be related to the lack of knowledge and experience of this practice, despite the fact that telerehabilitation has shown its efficacy on motor, speech, and cognitive outcomes of adults with neurological disabilities, according to the recent review by Maresca et al (41)(42)(43)(44).…”

Section: Perception and Satisfaction Of Telerehabilitation By Adult Pmentioning

confidence: 99%

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

et al. 2021

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Objective: To explore professionals', adult patients', and children's caregivers' perception and satisfaction with telerehabilitation during COVID-19 lockdown.Design: An observational transversal study on a web-based survey was conducted in order to explore participants' perception and satisfaction of telerehabilitation during COVID-19 lockdown.Setting: The study was conducted at our Outpatient Neurorehabilitation Service.Subjects: All rehabilitation professionals, adult patients, and children's caregivers who accepted telerehabilitation were recruited.Interventions: Participants had to respond to the Client Satisfaction Questionnaire-8 and to a purpose-built questionnaire on their perception and satisfaction of the service provided.Main Measures: Data were analyzed by qualitative statistics and logistic regression models.Results: All 144 caregivers, 25 adult patients, and 50 professionals reported a medium-high level of perception and a high level of satisfaction. Results showed a correlation among caregivers of children aged 0–3 and feeling overwhelmed with remote care (OR = 3.27), a low perception of telerehabilitation for enhancing goals (OR = 6.51), and a high perception of feeling helped in organizing daily activity (OR = 2.96). For caregivers of children aged over 6 years, changes in the therapy plan were related to a low perception of feeling in line with the in-person therapy (OR = 2.61 and OR = 9.61) and a low satisfaction (OR = 5.54 and OR = 4.97). Changes in therapy were related to concern (OR = 4.20). Caregivers under 40 and professionals showed a high probability to perceive telerehabilitation as supportive (OR = 2.27 and OR = 5.68). Level of experience with remote media was shown to influence perception and satisfaction.Interpretation: Telerehabilitation can be a useful practice both during a health emergency and in addition to in-presence therapy.

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Section: Perception and Satisfaction Of Telerehabilitation By Adult Pmentioning

confidence: 99%

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

et al. 2021

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“…Early therapy is important for promoting language recovery, which is essential for daily communication and social participation ( 26 ). Maresca et al ( 42 ) assessed the effectiveness of a specific home telerehabilitation program for post-stroke aphasia, using a VR rehabilitation system touch-screen tablet in 30 patients. The study showed that telerehabilitation could be one solution for the treatment of aphasic patients after discharge, by promoting the continuity of care, monitoring results, and improving linguistic abilities, mood and psychological well-being.…”

Section: Tele-cognitive-rehabilitationmentioning

confidence: 99%

Tele-Neuro-Rehabilitation in Italy: State of the Art and Future Perspectives

et al. 2020

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“…17,37 Studies also indicate that a range of different telepractice approaches can be successful in improving aphasia outcomes such computer/tablet-based and in-home telepractice. [38][39][40][41][42] More importantly, it is well established that telepractice approaches can have other positive outcomes beyond communication such as improved overall quality of life. 43,44 Despite some participants' limited technological experience, the incorporation of technology did not hinder satisfaction with the approach.…”

Section: Discussionmentioning

confidence: 99%

Telepractice Treatment for Aphasia: Association Between Clinical Outcomes and Client Satisfaction

Jacobs

Briley

Fang

et al. 2021

Telemedicine Reports

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Introduction: Health services research has demonstrated the association between patient satisfaction and treatment outcomes illustrating the importance of satisfaction in determining favorable treatment outcomes. Despite abundant evidence in the acute care setting, few researchers have explored these associations among patients receiving speech rehabilitation or therapeutic treatment particularly those receiving treatment through nontraditional delivery methods. Objective: To examine the satisfaction with a community-based telepractice approach for treating aphasia among stroke survivors who reside in rural areas and assess potential correlations between satisfaction and patient outcomes. Methods: In total, 22 adults with poststroke aphasia who resided in rural areas received comprehensive language-oriented treatment (LOT) for aphasia through community-based telepractice. Post-treatment satisfaction with the telepractice approach was assessed using the Client Satisfaction Questionnaire-8 (CSQ-8). Results: After 12 sessions of LOT, Western Aphasia Battery-revised (WAB-R) aphasia quotients (AQs) improved on average 4.64 U. Mean scores on the CSQ-8 averaged 31.0/32.0, indicating a high level of satisfaction with the telepractice approach. In addition, each 1 U of improvement in patient satisfaction was associated with a 1.75 U increase in the WAB-R AQ. Conclusions: Examination of post-treatment satisfaction indicated that satisfaction was highly predictive of effectiveness—a one-point increase in satisfaction was associated with a nearly two-point increase in WAB-R AQ. Results echo findings from acute care studies underscoring the importance of the patient experience in treatment efficacy.

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Toward Improving Poststroke Aphasia: A Pilot Study on the Growing Use of Telerehabilitation for the Continuity of Care

Cited by 46 publications

References 36 publications

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

Tele-Neuro-Rehabilitation in Italy: State of the Art and Future Perspectives

Telepractice Treatment for Aphasia: Association Between Clinical Outcomes and Client Satisfaction

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