About this item:

87 Views | 127 Downloads

Author Notes:

Correspondence: neale.chumbler@va.gov

Department of Veterans Affairs Health Services Research & Development (HSR&D) Center of Excellence on Implementing Evidence-Based Practice (CIEBP), Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA. Full list of author information is available at the end of the article

NC, DR, PG, PQ, MM, JS and HH contributed to the design of the study.

All authors contributed to the creation of the Manual of Procedures, implementation of the study protocol and acquisition of data.

NC and HH drafted the manuscript, and all authors provided critical revision and have approved the final manuscript.

The opinions contained in this paper are those of the authors and do not necessarily reflect those of the US Department of Veterans Affairs.

The authors declare that they have no competing interests.

Subjects:

Research Funding:

This research is supported by a grant from the Department of Veterans Affairs Rehabilitation Research and Development (RR&D) (B4492R).

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Medicine, Research & Experimental
  • Research & Experimental Medicine
  • CANADIAN NEUROLOGICAL SCALE
  • REHABILITATION SERVICES
  • PHYSICAL-ACTIVITY
  • ELDERLY PERSONS
  • OLDER PERSONS
  • DEPRESSION
  • TELEREHABILITATION
  • DISABILITY
  • PERFORMANCE
  • VALIDATION

Study protocol: home-based telehealth stroke care: a randomized trial for veterans

Tools:

Journal Title:

Trials

Volume:

Volume 11, Number 1

Publisher:

, Pages 74-74

Type of Work:

Article | Final Publisher PDF

Abstract:

Background: Stroke is one of the most disabling and costly impairments of adulthood in the United States. Stroke patients clearly benefit from intensive inpatient care, but due to the high cost, there is considerable interest in implementing interventions to reduce hospital lengths of stay. Early discharge rehabilitation programs require coordinated, well-organized home-based rehabilitation, yet lack of sufficient information about the home setting impedes successful rehabilitation. This trial examines a multifaceted telerehabilitation (TR) intervention that uses telehealth technology to simultaneously evaluate the home environment, assess the patient's mobility skills, initiate rehabilitative treatment, prescribe exercises tailored for stroke patients and provide periodic goal oriented reassessment, feedback and encouragement.Methods: We describe an ongoing Phase II, 2-arm, 3-site randomized controlled trial (RCT) that determines primarily the effect of TR on physical function and secondarily the effect on disability, falls-related self-efficacy, and patient satisfaction. Fifty participants with a diagnosis of ischemic or hemorrhagic stroke will be randomly assigned to one of two groups: (a) TR; or (b) Usual Care. The TR intervention uses a combination of three videotaped visits and five telephone calls, an in-home messaging device, and additional telephonic contact as needed over a 3-month study period, to provide a progressive rehabilitative intervention with a treatment goal of safe functional mobility of the individual within an accessible home environment. Dependent variables will be measured at baseline, 3-, and 6-months and analyzed with a linear mixed-effects model across all time points.Discussion: For patients recovering from stroke, the use of TR to provide home assessments and follow-up training in prescribed equipment has the potential to effectively supplement existing home health services, assist transition to home and increase efficiency. This may be particularly relevant when patients live in remote locations, as is the case for many veterans.Trial Registration: Clinical Trials.gov Identifier: NCT00384748.

Copyright information:

© 2010 Chumbler et al; licensee BioMed Central Ltd.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 2.0 Generic License (http://creativecommons.org/licenses/by/2.0/).

Creative Commons License

Export to EndNote