Development and evaluation of the effect and feasibility of a person-centred multidisciplinary intervention for rehabilitation after stroke

• Introduction: The aim of this study was to evaluate the feasibility of using a person-centred ICT based intervention (F@CE) within multidisciplinary teams to increase the clients’ participation in everyday life after stroke in terms of study design and outcomes. The F@CE intervention was developed in collaboration with web developers and future users based on the Medical Research Council guidelines. A web-platform was created to provide a structure for the rehabilitation process and facilitate change by integrating a global problem solving strategy with SMS-reminders. Methods: 3 teams consisting of occupational therapists and physiotherapists working in neurological rehabilitation took part in 3 workshops including lectures, discussions and practical exercises. The participating teams then enrolled 10 clients with stroke that participated in the intervention. Goals were set using COPM and the clients scored their 3 goals each day during 8 weeks. Data was collected at inclusion, at 4 and 8 weeks using COPM, SIS, Self-Efficacy, LISAT-11, follow-up survey, daily ratings in the web-platform and by logbooks. Results: Response rates were 44–100% (mean 78%). Improvement was shown by COPM on both performance and satisfaction. In SIS 3.0 the items strength and ADL were those were the largest proportion of participants had improved at follow-up were strength and ADL/IADL (80 %) followed by memory, communication and mobility (70 %). Conclusion: All were satisfied with F@CE and the benefits of daily reminders of the goals which encouraged them to be more active. The only downside described was that they felt obligated to practice, although described as “a positive must”.

Nyckelord

Clinical Neurology

Peripheral Vascular Disease

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