Experiences of augmented arm rehabilitation including supported self-management after stroke: a qualitative investigation.
Clin Rehabil
; 35(2): 288-301, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-32907393
ABSTRACT
OBJECTIVE:
To explore the experiences of stroke survivors and their carers of augmented arm rehabilitation including supported self-management in terms of its acceptability, appropriateness and relevance.DESIGN:
A qualitative design, nested within a larger, multi-centre randomized controlled feasibility trial that compared augmented arm rehabilitation starting at three or nine weeks after stroke, with usual care. Semi-structured interviews were conducted with participants in both augmented arm rehabilitation groups. Normalization Process Theory was used to inform the topic guide and map the findings. Framework analysis was applied.SETTING:
Interviews were conducted in stroke survivors' homes, at Glasgow Caledonian University and in hospital.PARTICIPANTS:
17 stroke survivors and five carers were interviewed after completion of augmented arm rehabilitation. INTERVENTION Evidence-based augmented arm rehabilitation (27 additional hours over six weeks), including therapist-led sessions and supported self-management.RESULTS:
Three main themes were identified (1) acceptability of the intervention (2) supported self-management and (3) coping with the intervention. All stroke survivors coped well with the intensity of the augmented arm rehabilitation programme. The majority of stroke survivors engaged in supported self-management and implemented activities into their daily routine. However, the findings suggest that some stroke survivors (male >70 years) had difficulties with self-management, needing a higher level of support.CONCLUSION:
Augmented arm rehabilitation commencing within nine weeks post stroke was reported to be well tolerated. The findings suggested that supported self-management seemed acceptable and appropriate to those who saw the relevance of the rehabilitation activities for their daily lives, and embedded them into their daily routines.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Braço
/
Acidente Vascular Cerebral
/
Reabilitação do Acidente Vascular Cerebral
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Autogestão
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
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Qualitative_research
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
Clin Rehabil
Assunto da revista:
REABILITACAO
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Reino Unido