F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study
Abstract Background Globally, there is a growing use of Information and Communication Technology (ICT), including mobile phones, tablets and computers, which are being integrated into people’s daily activities. An ICT-based intervention called F@ce was developed in order to provide a structure for t...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-10-01
|
| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12883-020-01968-x |
| _version_ | 1818409430452011008 |
|---|---|
| author | Susanne Guidetti Martha Gustavsson Kerstin Tham Magnus Andersson Uno Fors Charlotte Ytterberg |
| author_facet | Susanne Guidetti Martha Gustavsson Kerstin Tham Magnus Andersson Uno Fors Charlotte Ytterberg |
| author_sort | Susanne Guidetti |
| collection | DOAJ |
| description | Abstract Background Globally, there is a growing use of Information and Communication Technology (ICT), including mobile phones, tablets and computers, which are being integrated into people’s daily activities. An ICT-based intervention called F@ce was developed in order to provide a structure for the process in stroke rehabilitation and facilitate change by integrating a global problem-solving strategy using SMS alerts. The aim of the study was to evaluate the feasibility of i) F@ce within in-patient and primary care rehabilitation after stroke, ii) the study design and outcome measures used, and iii) the fidelity, adherence and acceptability of the intervention. Methods Three teams comprising occupational therapists and physiotherapists who work in neurological rehabilitation participated in a preparatory workshop on F@ce and then enrolled 10 persons with stroke to participate in the intervention. Goals were set using the Canadian Occupational Performance Measure (COPM) and the participants with stroke rated their performance and satisfaction with the activities associated with the three goals every day for 8 weeks. Data were collected at inclusion, at four and 8 weeks, using the COPM, Stroke Impact Scale, Frenchay Activities Index, Life Satisfaction Checklist, Self-Efficacy Scale, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, follow-up survey, daily ratings on the web platform and logbooks. Results All of the participants showed increased scores in the primary outcome (COPM) and a clinically meaningful improvement of ≥2 points was found in four participants regarding performance and in six participants regarding satisfaction. Overall fidelity to the components of F@ce was good. The response rates to the F@ce web platform were 44–100% (mean 78%). All of the participants stated that F@ce had supported their rehabilitation. Conclusion The results indicate that the most beneficial part of F@ce was the person-centred, goal-setting process and SMS alerts. All participants were satisfied with F@ce and highlighted the benefits of receiving daily alerts about their goals. This encouraged them to be more active. The only downside mentioned was that they felt under an obligation to practice, although this was described as “a positive obligation”. |
| first_indexed | 2024-12-14T09:59:30Z |
| format | Article |
| id | doaj.art-74befbd39e6b4ca5bbdee4ad14ba36dc |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-14T09:59:30Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-74befbd39e6b4ca5bbdee4ad14ba36dc2022-12-21T23:07:18ZengBMCBMC Neurology1471-23772020-10-0120111210.1186/s12883-020-01968-xF@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility studySusanne Guidetti0Martha Gustavsson1Kerstin Tham2Magnus Andersson3Uno Fors4Charlotte Ytterberg5Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDivision of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetFaculty of Health and Society, Malmö UniversityDepartment of Clinical Neuroscience, Karolinska InstitutetDepartment of Computer and Systems Sciences (DSV), Stockholm UniversityDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetAbstract Background Globally, there is a growing use of Information and Communication Technology (ICT), including mobile phones, tablets and computers, which are being integrated into people’s daily activities. An ICT-based intervention called F@ce was developed in order to provide a structure for the process in stroke rehabilitation and facilitate change by integrating a global problem-solving strategy using SMS alerts. The aim of the study was to evaluate the feasibility of i) F@ce within in-patient and primary care rehabilitation after stroke, ii) the study design and outcome measures used, and iii) the fidelity, adherence and acceptability of the intervention. Methods Three teams comprising occupational therapists and physiotherapists who work in neurological rehabilitation participated in a preparatory workshop on F@ce and then enrolled 10 persons with stroke to participate in the intervention. Goals were set using the Canadian Occupational Performance Measure (COPM) and the participants with stroke rated their performance and satisfaction with the activities associated with the three goals every day for 8 weeks. Data were collected at inclusion, at four and 8 weeks, using the COPM, Stroke Impact Scale, Frenchay Activities Index, Life Satisfaction Checklist, Self-Efficacy Scale, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, follow-up survey, daily ratings on the web platform and logbooks. Results All of the participants showed increased scores in the primary outcome (COPM) and a clinically meaningful improvement of ≥2 points was found in four participants regarding performance and in six participants regarding satisfaction. Overall fidelity to the components of F@ce was good. The response rates to the F@ce web platform were 44–100% (mean 78%). All of the participants stated that F@ce had supported their rehabilitation. Conclusion The results indicate that the most beneficial part of F@ce was the person-centred, goal-setting process and SMS alerts. All participants were satisfied with F@ce and highlighted the benefits of receiving daily alerts about their goals. This encouraged them to be more active. The only downside mentioned was that they felt under an obligation to practice, although this was described as “a positive obligation”.http://link.springer.com/article/10.1186/s12883-020-01968-xADLDisabilityeHealthMobile phoneOccupational therapyParticipation in everyday life |
| spellingShingle | Susanne Guidetti Martha Gustavsson Kerstin Tham Magnus Andersson Uno Fors Charlotte Ytterberg F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study BMC Neurology ADL Disability eHealth Mobile phone Occupational therapy Participation in everyday life |
| title | F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study |
| title_full | F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study |
| title_fullStr | F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study |
| title_full_unstemmed | F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study |
| title_short | F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study |
| title_sort | f ce a team based person centred intervention for rehabilitation after stroke supported by information and communication technology a feasibility study |
| topic | ADL Disability eHealth Mobile phone Occupational therapy Participation in everyday life |
| url | http://link.springer.com/article/10.1186/s12883-020-01968-x |
| work_keys_str_mv | AT susanneguidetti fceateambasedpersoncentredinterventionforrehabilitationafterstrokesupportedbyinformationandcommunicationtechnologyafeasibilitystudy AT marthagustavsson fceateambasedpersoncentredinterventionforrehabilitationafterstrokesupportedbyinformationandcommunicationtechnologyafeasibilitystudy AT kerstintham fceateambasedpersoncentredinterventionforrehabilitationafterstrokesupportedbyinformationandcommunicationtechnologyafeasibilitystudy AT magnusandersson fceateambasedpersoncentredinterventionforrehabilitationafterstrokesupportedbyinformationandcommunicationtechnologyafeasibilitystudy AT unofors fceateambasedpersoncentredinterventionforrehabilitationafterstrokesupportedbyinformationandcommunicationtechnologyafeasibilitystudy AT charlotteytterberg fceateambasedpersoncentredinterventionforrehabilitationafterstrokesupportedbyinformationandcommunicationtechnologyafeasibilitystudy |