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Objective: Evaluate the feasibility of a multidisciplinary telerehabilitation for chronic stroke patients.
Design: Chronic stroke patients eligible for multidisciplinary rehabilitation funded by the Social Insurance Institution were enrolled between September 2017 and March 2018 in a consecutive basis to receive a mixed program of inpatient rehabilitation and telerehabilitation in their homes or a traditional inpatient rehabilitation only.
Intervention: A rehabilitation course with a 3-day inpatient stay followed by an 8-week telerehabilitation period completed by 2-day evaluation stay in a rehab center. The control group received conventional multidisciplinary rehabilitation for two weeks in an inpatient setting.
Outcome and measures: Change in the Finnish version of Functional Status Questionnaire (FSQFin), the World Health Organization Quality of Life - Short version (WHOQOL-Bref), the Barthel Index, the Beck Depression Inventory (BDI21), and the Goal Attainment Scale (GAS) and a patient satisfaction questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telerehabilitation (TR) | Experimental | Shortened inpatient rehabilitation mixed with home-based telerehabilitation. |
|
| Conventional rehabilitation (CR) | Experimental | Traditional inpatient rehabilitation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telerehabilitation | Behavioral | Short inpatient multidisciplinary rehabilitation followed by home-based telerehabilitation and a short evaluation period at the end of it. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Finnish version of the Functional Status Questionnaire (FSQfin) | Functional Status Questionnaire for evaluating self-management in home. Includes three dimensions: self-care, mobility and domestic life. Scale range for each dimension is 0-100 and higher scores indicate better outcome. | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| World Health Organization Quality of Life - short version (WHOQOL-Bref) | Quality of life assessment. Includes four dimensions: physical health, psychological health, social relationships and environment. Scale range for each dimension is 0-100 and higher scores indicate better outcome. | 8 weeks |
| Beck Depression Inventory (BDI 21) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kauko Pitkanen, PhD | VetreaNeuron | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vetrea | Kuopio | Northern Savonia | 71130 | Finland |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000069350 | Telerehabilitation |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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Consecutive sampling
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| Conventional inpatient rehabilitation | Behavioral | Multidisciplinary inpatient rehabilitation, no adjustments due to the study. |
|
The Beck Depression Inventory for mood assessment. Scale range is 0-63 and higher scores indicate worse outcome. |
| 8 weeks |
| Barthel Index | for assessing need for help in basic activities of daily living. Scale range is 0-100 and higher scores indicate better outcome. | 8 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D013812 |
| Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |