Understanding task “challenge” in stroke rehabilitation: an interdisciplinary concept analysis

Gomes, Emeline; Alder, Gemma; Bright, Felicity A. S.; Signal, Nada

doi:10.1080/09638288.2024.2356010

Disability and Rehabilitation

2024

DOI: 10.1080/09638288.2024.2356010

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Understanding task “challenge” in stroke rehabilitation: an interdisciplinary concept analysis

Emeline Gomes,

Gemma Alder,

Felicity A. S. Bright

et al.

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2024

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Cited by 3 publications

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Post-stroke osteoporosis: Mechanisms, treatments, and recent advances

Liu,

Wang

et al. 2024

Journal of Aging and Rehabilitation

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Post-stroke osteoporosis (PSO) is a common complication encountered in patients after stroke, characterized by a rapid decline in bone mass and disruption of bone microarchitecture, which significantly elevates the risk of fracture. The pathogenesis of PSO is multifaceted, encompassing factors, such as oxidative stress, inflammatory responses, neurological damage, extended immobilization, and hormonal imbalances, culminating in a dysregulation of bone metabolism. Treatment strategies encompass pharmacological interventions, nutritional supplementation, physical exercise, and rehabilitative training. Emerging therapies, such as stem cell therapy and exosome therapy, are being explored for their potential to promote cellular regeneration and modulate inflammatory responses in the treatment of PSO. Future therapeutic approaches should integrate a comprehensive understanding of the multifactorial pathogenesis of PSO to develop tailored treatment plans, aiming to optimize treatment efficacy and improve patients’ quality of life.

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Post-stroke osteoporosis: Mechanisms, treatments, and recent advances

Liu,

Wang

et al. 2024

Journal of Aging and Rehabilitation

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Developing the TIDieR-Rehab checklist: a modified Delphi process to extend the Template for Intervention Description and Replication (TIDieR) for rehabilitation intervention reporting

Signal,

Olsen,

Gomes

et al. 2024

BMJ Open

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ObjectivesRehabilitation is essential for supporting the recovery from, and management of, a range of health conditions. However, interventions are often poorly reported in rehabilitation research, hindering advancement of the field. The Template for Intervention Description and Replication (TIDieR) checklist was developed to enhance the reporting of interventions, but does not specifically address the complexities and multifaceted nature of rehabilitation interventions. This study aimed to develop an extension of the TIDieR checklist to support better reporting of rehabilitation interventions.DesignA modified Delphi study overseen by a Steering Committee.SettingOnline.ParticipantsRehabilitation experts were purposively sampled for diversity in discipline, practice setting, area of expertise and geographical location.MethodsParticipants (n=35) provided both quantitative and qualitative feedback on drafts of the TIDieR-Rehab through online surveys. Quantitative data was descriptively analysed by percentage of agreement, while qualitative data was analysed using conventional content analysis. Quantitative and qualitative findings were subsequently triangulated to facilitate iterative refinement of the TIDieR-Rehab.ResultsConsensus was achieved after two rounds of the modified Delphi process. The TIDieR-Rehab checklist comprises seven original, three adapted and 12 new reporting items, and is supported by a supplementary manual. Specific enhancements include more detailed descriptions of the study population (Who) and timing of the intervention (When), the planned intervention dosage (How much,How challengingandRegression/Progression), person-centred care (Personalisation) and negative undesired effects (Harms) which were considered critical for the comprehensive reporting of rehabilitation interventions.ConclusionThe TIDieR-Rehab checklist marks a significant advancement in enhancing and standardising the reporting of rehabilitation interventions. By offering a structured format for detailing complex rehabilitation interventions, the TIDieR-Rehab supports improvements in reporting quality to promote research replication and support the translation of research findings into clinical practice. Future research should validate the TIDieR-Rehab checklist across a variety of intervention types and clinical contexts.

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Coaching stroke survivors to persevere with practice: An observational behavioural mapping study

Neibling,

Smith,

Barker

et al. 2024

Clin Rehabil

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Objective To quantitatively describe therapists’ use of coaching with stroke survivors, in a hospital-based rehabilitation setting, to promote perseverance with longer-term practice. Design Prospective observational behavioural mapping study. Setting Rehabilitation unit of a regional public hospital in Queensland, Australia. Main measures A custom-designed behavioural mapping tool was used to collect rehabilitation session contextual data and therapists' use of coaching. Data were captured in 3-minute epochs for a maximum of 30 minutes. Data were analysed using descriptive statistics. Results Thirty-six rehabilitation sessions, including 34 participants (therapists n = 22, stroke survivors n = 12) were observed. Rehabilitation sessions were mostly inpatient ( n = 33, 91.7%), one-on-one ( n = 30, 83.3%), and conducted in the physiotherapy ( n = 160, 45.5%) or occupational therapy ( n = 155, 44.0%) gym. Strategies to promote perseverance were used in 76.7% ( n = 267) of observed epochs. The most frequently used strategy was monitoring the quality of practice and the least frequently used strategy was utilising a support person to facilitate practice. Conclusion Coaching that may promote perseverance with practice was regularly used by therapists during hospital-based rehabilitation sessions. Coaching that may enable longer-term perseverance beyond a therapist-dependent rehabilitation model was less commonly observed.

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Understanding task “challenge” in stroke rehabilitation: an interdisciplinary concept analysis

Cited by 3 publications

References 97 publications

Post-stroke osteoporosis: Mechanisms, treatments, and recent advances

Post-stroke osteoporosis: Mechanisms, treatments, and recent advances

Developing the TIDieR-Rehab checklist: a modified Delphi process to extend the Template for Intervention Description and Replication (TIDieR) for rehabilitation intervention reporting

Coaching stroke survivors to persevere with practice: An observational behavioural mapping study

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