Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings

Tele-physiotherapy has been shown to be valuable to improve clinical outcomes after stroke. Yet, home-based interventions for stroke survivors (SSVs) who speak indigenous African languages are sparse. This study developed a video-based home exercise programme (VHEP) for SSV speakers of Yoruba.  A qu...

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Main Authors: Marufat O. Odetunde, Overcomer T. Binuyo, Fatai A. Maruf, Sunday O. Ayenowowon, Adaobi M. Okonji, Nurain A. Odetunde, Chidozie E. Mbada
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2020-12-01
Series:International Journal of Telerehabilitation
Subjects:
Online Access:http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6321
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author Marufat O. Odetunde
Overcomer T. Binuyo
Fatai A. Maruf
Sunday O. Ayenowowon
Adaobi M. Okonji
Nurain A. Odetunde
Chidozie E. Mbada
author_facet Marufat O. Odetunde
Overcomer T. Binuyo
Fatai A. Maruf
Sunday O. Ayenowowon
Adaobi M. Okonji
Nurain A. Odetunde
Chidozie E. Mbada
author_sort Marufat O. Odetunde
collection DOAJ
description Tele-physiotherapy has been shown to be valuable to improve clinical outcomes after stroke. Yet, home-based interventions for stroke survivors (SSVs) who speak indigenous African languages are sparse. This study developed a video-based home exercise programme (VHEP) for SSV speakers of Yoruba.  A qualitative descriptive pilot study was conducted in two phases: development and feasibility testing. VHEP development followed the American Stroke Association’s recommendations to include demonstrations of task-specific mobility-task and postural training; trunk exercises, and overground walking. The exercise instructions were presented in the Yoruba language. Each exercise was demonstrated for five minutes on video for a total of 30 minutes. The feasibility testing involved ten consenting chronic SSVs.  Each imitated the VHEP twice per week for two weeks and thereafter completed a feasibility questionnaire. Criteria for feasibility were: cost of using VHEP, recruitment rate, retention of participants, adherence to the exercises, and intervention delivery. The ten SSVs were recruited within one week, had prior home access to a video player at no-cost, adhered to the exercises as recorded, completed the 30 minute-duration for two weeks, and confirmed intervention delivery of VHEP. Most participants liked the novel use of Yoruba as the language of instruction on VHEP. The VHEP was feasible and acceptable among the studied sample of SSVs. Video based home telerehabilitation for SSVs therefore has the potential to meet the growing need for tele-physiotherapy in resource limited settings.
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spelling doaj.art-1f7fd72573994a55bc2979e4ae5bbb272022-12-21T23:45:17ZengUniversity Library System, University of PittsburghInternational Journal of Telerehabilitation1945-20202020-12-0112212513610.5195/ijt.2020.63216097Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited SettingsMarufat O. Odetunde0Overcomer T. Binuyo1Fatai A. Maruf2Sunday O. Ayenowowon3Adaobi M. Okonji4Nurain A. Odetunde5Chidozie E. Mbada6OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATEOBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATENnamdi Azikiwe University, Nnewi Campus, Anambra StateObafemi Awolowo University Teaching Hospital, Ile-Ife, Osun stateOBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATEGeneral Hospital, Gusau, Zamfara StateOBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATETele-physiotherapy has been shown to be valuable to improve clinical outcomes after stroke. Yet, home-based interventions for stroke survivors (SSVs) who speak indigenous African languages are sparse. This study developed a video-based home exercise programme (VHEP) for SSV speakers of Yoruba.  A qualitative descriptive pilot study was conducted in two phases: development and feasibility testing. VHEP development followed the American Stroke Association’s recommendations to include demonstrations of task-specific mobility-task and postural training; trunk exercises, and overground walking. The exercise instructions were presented in the Yoruba language. Each exercise was demonstrated for five minutes on video for a total of 30 minutes. The feasibility testing involved ten consenting chronic SSVs.  Each imitated the VHEP twice per week for two weeks and thereafter completed a feasibility questionnaire. Criteria for feasibility were: cost of using VHEP, recruitment rate, retention of participants, adherence to the exercises, and intervention delivery. The ten SSVs were recruited within one week, had prior home access to a video player at no-cost, adhered to the exercises as recorded, completed the 30 minute-duration for two weeks, and confirmed intervention delivery of VHEP. Most participants liked the novel use of Yoruba as the language of instruction on VHEP. The VHEP was feasible and acceptable among the studied sample of SSVs. Video based home telerehabilitation for SSVs therefore has the potential to meet the growing need for tele-physiotherapy in resource limited settings.http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6321stroketelerehabilitationvideo-based exerciseyoruba language
spellingShingle Marufat O. Odetunde
Overcomer T. Binuyo
Fatai A. Maruf
Sunday O. Ayenowowon
Adaobi M. Okonji
Nurain A. Odetunde
Chidozie E. Mbada
Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings
International Journal of Telerehabilitation
stroke
telerehabilitation
video-based exercise
yoruba language
title Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings
title_full Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings
title_fullStr Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings
title_full_unstemmed Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings
title_short Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings
title_sort development and feasibility testing of video home based telerehabilitation for stroke survivors in resource limited settings
topic stroke
telerehabilitation
video-based exercise
yoruba language
url http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6321
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