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

dc.contributor.author Chumbler, NR
dc.contributor.author Rose, DK
dc.contributor.author Griffiths, P
dc.contributor.author Quigley, P
dc.contributor.author McGee Hernandez, N
dc.contributor.author Carlson, KA
dc.contributor.author Vandenberg, P
dc.contributor.author Morey, MC
dc.contributor.author Sanford, J
dc.contributor.author Hoenig, H
dc.coverage.spatial England
dc.date.accessioned 2011-06-21T17:30:24Z
dc.date.issued 2010-06-30
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/20591171
dc.identifier 1745-6215-11-74
dc.identifier.uri https://hdl.handle.net/10161/4379
dc.description.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.
dc.language eng
dc.language.iso en_US
dc.publisher Springer Science and Business Media LLC
dc.relation.ispartof Trials
dc.relation.isversionof 10.1186/1745-6215-11-74
dc.subject Activities of Daily Living
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Community Health Services
dc.subject Delivery of Health Care, Integrated
dc.subject Disability Evaluation
dc.subject Follow-Up Studies
dc.subject Hospitals, Veterans
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Outcome Assessment (Health Care)
dc.subject Patient Satisfaction
dc.subject Stroke
dc.subject Stroke Rehabilitation
dc.subject Telemedicine
dc.subject Telephone
dc.subject United States
dc.subject Veterans
dc.subject Videotape Recording
dc.title Study protocol: home-based telehealth stroke care: a randomized trial for veterans.
dc.title.alternative
dc.type Journal article
duke.contributor.id Morey, MC|0117593
duke.contributor.id Hoenig, H|0116565
dc.description.version Version of Record
duke.date.pubdate 2010-6-30
duke.description.issue
duke.description.volume 11
dc.relation.journal Trials
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/20591171
pubs.begin-page 74
pubs.organisational-group Center for the Study of Aging and Human Development
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Institutes and Centers
pubs.organisational-group Medicine
pubs.organisational-group Medicine, Geriatrics
pubs.organisational-group School of Medicine
pubs.publication-status Published online
pubs.volume 11
dc.identifier.eissn 1745-6215
duke.contributor.orcid Hoenig, H|0000-0002-6682-2627


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