Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol
BackgroundDifficulty using the upper extremity in everyday activities is common after stroke. Constraint-induced movement therapy (CIMT) has been shown to be effective in both sub-acute and chronic phases of stroke recovery and is recommended in clinical practice guidelines for stroke internationall...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.1010449/full |
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| author | Lauren J. Christie Lauren J. Christie Nicola Fearn Annie McCluskey Annie McCluskey Natasha A. Lannin Natasha A. Lannin Christine T. Shiner Christine T. Shiner Anna Kilkenny Jessamy Boydell Annie Meharg Ella Howes Leonid Churilov Steven Faux Steven Faux Arlette Doussoulin Sandy Middleton |
| author_facet | Lauren J. Christie Lauren J. Christie Nicola Fearn Annie McCluskey Annie McCluskey Natasha A. Lannin Natasha A. Lannin Christine T. Shiner Christine T. Shiner Anna Kilkenny Jessamy Boydell Annie Meharg Ella Howes Leonid Churilov Steven Faux Steven Faux Arlette Doussoulin Sandy Middleton |
| author_sort | Lauren J. Christie |
| collection | DOAJ |
| description | BackgroundDifficulty using the upper extremity in everyday activities is common after stroke. Constraint-induced movement therapy (CIMT) has been shown to be effective in both sub-acute and chronic phases of stroke recovery and is recommended in clinical practice guidelines for stroke internationally. Despite reports of equivalence of outcome when stroke rehabilitation interventions are delivered using telehealth, there has been limited evaluation of CIMT when using this mode of delivery. ReCITE will (a) evaluate the feasibility and acceptability of CIMT when delivered via telehealth to stroke survivors (TeleCIMT) and (b) explore therapists' experiences and use of an online support package inclusive of training, mentoring and resources to support TeleCIMT delivery in clinical practice.MethodsA prospective single-group, single blinded, study design with embedded process evaluation will be conducted. The study will be conducted at three outpatient services in Sydney, Australia. A multi-faceted therapist support package, informed by the Capabilities, Opportunity, Motivation- Behaviour model (COM-B), will be used to support occupational therapists to implement TeleCIMT as part of routine care to stroke survivors. Each service will recruit 10 stroke survivor participants (n = 30) with mild to moderate upper extremity impairment. Upper extremity and quality of life outcomes of stroke survivor participants will be collected at baseline, post-intervention and at a 4 week follow-up appointment. Feasibility of TeleCIMT will be evaluated by assessing the number of stroke participants who complete 80% of intensive arm practice prescribed during their 3 week program (i.e., at least 24 h of intensive arm practice). Acceptability will be investigated through qualitative interviews and surveys with stroke survivors, supporter surveys and therapist focus groups. Qualitative interviews with therapists will provide additional data to explore their experiences and use of the online support package.DiscussionThe COVID-19 pandemic resulted in a rapid transition to delivering telehealth. The proposed study will investigate the feasibility and acceptability of delivering a complex intervention via telehealth to stroke survivors at home, and the support that therapists and patients require for delivery. The findings of the study will be used to inform whether a larger, randomized controlled trial is feasible. |
| first_indexed | 2024-04-12T07:39:55Z |
| format | Article |
| id | doaj.art-34962a0c11d24f8da9734411538f7911 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-12T07:39:55Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-34962a0c11d24f8da9734411538f79112022-12-22T03:41:51ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-11-011310.3389/fneur.2022.10104491010449Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocolLauren J. Christie0Lauren J. Christie1Nicola Fearn2Annie McCluskey3Annie McCluskey4Natasha A. Lannin5Natasha A. Lannin6Christine T. Shiner7Christine T. Shiner8Anna Kilkenny9Jessamy Boydell10Annie Meharg11Ella Howes12Leonid Churilov13Steven Faux14Steven Faux15Arlette Doussoulin16Sandy Middleton17Allied Health Research Unit, St Vincent's Health Network Sydney (SVHNS), Sydney, NSW, AustraliaFaculty of Health Sciences, Australian Catholic University, Sydney, NSW, AustraliaAllied Health Research Unit, St Vincent's Health Network Sydney (SVHNS), Sydney, NSW, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, AustraliaThe StrokeEd Collaboration, Ashfield, NSW, AustraliaAlfred Health, Melbourne, VIC, AustraliaDepartment of Neuroscience, Faculty of Medicine, Nursing & Health Sciences, Central Clinical School, Monash University, Melbourne, VIC, AustraliaSchool of Clinical Medicine, University of New South Wales, Sydney, NSW, AustraliaDepartment of Rehabilitation, St Vincent's Health Network Sydney (SVHNS), Sydney, NSW, AustraliaPhysiotherapy Department, Waikato Hospital, Hamilton, New Zealand0Arm's Reach Occupational Therapy, Bristol, United Kingdom1Harrison's Training, Wiltshire, United Kingdom2Centre for Behaviour Change, University College London, London, United Kingdom3Melbourne Medical School, The University of Melbourne, Parkville, VIC, AustraliaSchool of Clinical Medicine, University of New South Wales, Sydney, NSW, AustraliaDepartment of Rehabilitation, St Vincent's Health Network Sydney (SVHNS), Sydney, NSW, Australia4Department of Rehabilitation, University of La Frontera, Temuco, Chile5Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne & Australian Catholic University, Sydney, NSW, AustraliaBackgroundDifficulty using the upper extremity in everyday activities is common after stroke. Constraint-induced movement therapy (CIMT) has been shown to be effective in both sub-acute and chronic phases of stroke recovery and is recommended in clinical practice guidelines for stroke internationally. Despite reports of equivalence of outcome when stroke rehabilitation interventions are delivered using telehealth, there has been limited evaluation of CIMT when using this mode of delivery. ReCITE will (a) evaluate the feasibility and acceptability of CIMT when delivered via telehealth to stroke survivors (TeleCIMT) and (b) explore therapists' experiences and use of an online support package inclusive of training, mentoring and resources to support TeleCIMT delivery in clinical practice.MethodsA prospective single-group, single blinded, study design with embedded process evaluation will be conducted. The study will be conducted at three outpatient services in Sydney, Australia. A multi-faceted therapist support package, informed by the Capabilities, Opportunity, Motivation- Behaviour model (COM-B), will be used to support occupational therapists to implement TeleCIMT as part of routine care to stroke survivors. Each service will recruit 10 stroke survivor participants (n = 30) with mild to moderate upper extremity impairment. Upper extremity and quality of life outcomes of stroke survivor participants will be collected at baseline, post-intervention and at a 4 week follow-up appointment. Feasibility of TeleCIMT will be evaluated by assessing the number of stroke participants who complete 80% of intensive arm practice prescribed during their 3 week program (i.e., at least 24 h of intensive arm practice). Acceptability will be investigated through qualitative interviews and surveys with stroke survivors, supporter surveys and therapist focus groups. Qualitative interviews with therapists will provide additional data to explore their experiences and use of the online support package.DiscussionThe COVID-19 pandemic resulted in a rapid transition to delivering telehealth. The proposed study will investigate the feasibility and acceptability of delivering a complex intervention via telehealth to stroke survivors at home, and the support that therapists and patients require for delivery. The findings of the study will be used to inform whether a larger, randomized controlled trial is feasible.https://www.frontiersin.org/articles/10.3389/fneur.2022.1010449/fulltelerehabilitationstrokebehavior changeimplementationupper extremity (arm)occupational therapy |
| spellingShingle | Lauren J. Christie Lauren J. Christie Nicola Fearn Annie McCluskey Annie McCluskey Natasha A. Lannin Natasha A. Lannin Christine T. Shiner Christine T. Shiner Anna Kilkenny Jessamy Boydell Annie Meharg Ella Howes Leonid Churilov Steven Faux Steven Faux Arlette Doussoulin Sandy Middleton Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol Frontiers in Neurology telerehabilitation stroke behavior change implementation upper extremity (arm) occupational therapy |
| title | Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol |
| title_full | Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol |
| title_fullStr | Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol |
| title_full_unstemmed | Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol |
| title_short | Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol |
| title_sort | remote constraint induced therapy of the upper extremity recite a feasibility study protocol |
| topic | telerehabilitation stroke behavior change implementation upper extremity (arm) occupational therapy |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.1010449/full |
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