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Development and Evaluation of Self-Management and Task-Oriented Approach to Rehabilitation Training (START) in the Home: Case Report.
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- Author(s): Richardson, Julie; DePaul, Vincent; Officer, Alexis; Wilkins, Seanne; Letts, Lori; Bosch, Jackie; Wishart, Laurie
- Source:
Physical Therapy. Jun2015, Vol. 95 Issue 6, p934-943. 10p. - Source:
- Additional Information
- Subject Terms: PATIENT satisfaction; COGNITION; CONFIDENCE intervals; CONTENT analysis; EXPERTISE; FOCUS groups; HEALTH status indicators; HOME care services; INTERPROFESSIONAL relations; NEUROPSYCHOLOGICAL tests; MEDICAL personnel; MENTORING; MOTIVATION (Psychology); OCCUPATIONAL therapists; PHYSICAL therapists; QUESTIONNAIRES; REHABILITATION; RESEARCH funding; STATISTICAL sampling; HEALTH self-care; T-test (Statistics); VIDEO recording; ADULT education workshops; WORLD Wide Web; QUALITATIVE research; PILOT projects; ACTIVITIES of daily living; QUANTITATIVE research; FUNCTIONAL training; TREATMENT effectiveness; HUMAN services programs; EVALUATION of human services programs; DATA analysis software; MEDICAL coding; PHYSICAL therapists' attitudes; STROKE rehabilitation; DESCRIPTIVE statistics; EVALUATION; ATTITUDE (Psychology)
- Subject Terms:
- Abstract: Background. The incidence of stroke and subsequent level of disability will increase, as age is the greatest risk factor for stroke and the world's population is aging. Hospital admissions are too brief for patients to regain necessary function. Research to examine therapy delivered within the home environment has the potential to expedite relearning of function and reduce health care expenditures. Purpose. This case report describes the use of the knowledge-to-action cycle (KTA) to develop and evaluate an evidence-based approach for rehabilitation in the home that incorporates self-management and task-oriented functional training (TOFT) for people with stroke. Case Description. The KTA cycle was used to guide adaptation of evidence from self-management and TOFT into an approach titled START (Self-Management and Task-Oriented Approach to Rehabilitation Training). Three stakeholder sympo siums identified barriers and supports to implementation. Clinical practice leaders were engaged as partners in the development of the intervention. An online learning management system housed the resources to support therapist training. Therapist focus groups were conducted and stroke outcomes were used to assess patient response. Outcomes. Eight therapists completed 4 workshops and applied the home intervention in 12 people with stroke. A mentoring process for therapists included feedback from peers and experts after viewing treatment videos. Therapist response was determined from the focus groups; patient response was measured by standard ized assessments. The therapists noted that the intervention was easier to implement with patients who were motivated and had minimal cognitive impairment. Discussion. The KTA cycle provided a structure for the development of this evidence-based rehabilitation intervention, which was feasible to implement in the home. Further evaluation needs to be undertaken to assess the effectiveness of START. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Physical Therapy is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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