Clinical Rehabilitation最新文献_第10页

An economic evaluation of pre-discharge home assessment visits following hip fracture: Analysis from a randomised controlled trial. 髋部骨折后出院前家访的经济评价：一项随机对照试验分析。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-02-21 DOI: 10.1177/02692155241312065

Kylee J Lockwood, Nicholas F Taylor, Katherine E Harding, Natasha K Brusco

{"title":"An economic evaluation of pre-discharge home assessment visits following hip fracture: Analysis from a randomised controlled trial.","authors":"Kylee J Lockwood, Nicholas F Taylor, Katherine E Harding, Natasha K Brusco","doi":"10.1177/02692155241312065","DOIUrl":"10.1177/02692155241312065","url":null,"abstract":"ObjectiveTo investigate cost-effectiveness of pre-discharge home assessment visits for patients recovering after hip fracture.DesignCost-effectiveness analysis completed alongside a randomised controlled trial.SettingHospital wards and the community.ParticipantsAdults 50 years and over with hip fractures planning to return home.InterventionParticipants were randomised to either usual-care hospital-based discharge planning or usual-care hospital-based discharge planning with a pre-discharge home assessment visit by an occupational therapist.Main measuresFunctional Independence Measure, EQ-5D-3L, and number of falls. Incremental cost-effectiveness ratios were calculated for changes at 30 days and 6 months.ResultsSeventy-seven patients participated. Compared to usual care, the home assessment group likely had fewer falls at 30 days (incidence rate ratio = 0.41, 95% confidence interval (CI) 0.15 to 1.11) and increased functional independence at 6 months (11.2 units, 95% CI 4.2 to 18.2) but no difference in quality of life (0.0 units, 95% CI -0.1 to 0.1). The mean cost to provide a home assessment visit was A$135.70. A mean cost saving of A$6182 (95% CI -$6414 to $18,777) favoured the home assessment group. The incremental cost-effectiveness ratio found a saving of A$71,337 (95% CI -$998,930 to $411,409) in achieving clinically important changes in functional independence for the home assessment group at 6 months and a saving of A$34,832 (95% CI -$331,344 to $213,900) per fall avoided in favour of the home assessment group at 30 days.ConclusionFrom a health service perspective, pre-discharge home assessments for patients after hip fracture are likely to be cost-effective in restoring functional independence and reducing falls.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"437-446"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Fear Avoidance Beliefs Questionnaire thresholds and gender on spatiotemporal parameters during walking in patients with chronic low back pain. 恐惧回避信念问卷阈值和性别对慢性腰痛患者行走时时空参数的影响

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI: 10.1177/02692155251318572

Yannick Delpierre, Sophie Michaud, Arnaud Brayer

{"title":"Effects of Fear Avoidance Beliefs Questionnaire thresholds and gender on spatiotemporal parameters during walking in patients with chronic low back pain.","authors":"Yannick Delpierre, Sophie Michaud, Arnaud Brayer","doi":"10.1177/02692155251318572","DOIUrl":"10.1177/02692155251318572","url":null,"abstract":"ObjectiveThe purpose of this study was to evaluate the effects of the threshold value of Fear-Avoidance Beliefs Subscales on quantified movement as a function of gender.Design studyRetrospective cohort study.SettingsSingle center study.ParticipantsOne hundred forty patients (aged 38.4) with chronic low back pain and referred to functional restauration program.InterventionPatients participated in a five-week multidisciplinary Functional Restoration Program between 1 April 2013 and 1 April 2019, evaluated with clinical scales, psychosocial care and objective gait analysis. This study was a noninterventional retrospective study.Main measuresObjective gait analysis with the Vicon Motion Systems (Ltd, Oxford, UK), Fear-Avoidance Belief Scale, Visual Analog Scale, the DALLAS Pain Questionnaire, and the Hospital Anxiety and Depression Scale.ResultsData from 131 patients were studied. Patients with significant Fear-Avoidance Beliefs scores walked with significantly higher cadence. Patients with higher work subscale values presented significantly lower cadence, without effects on step length and self-selected speed. Women with significant fear-avoidance belief score walked with higher step length (0.58 m (0.05)) than men with significant fear-avoidance belief score (0.61 m (0.05). Correlations between Fear Avoidance Beliefs Questionnaire and spatiotemporal parameters were gender-dependent but nonsignificant or low.ConclusionsThe threshold values depicted in the literature on psychometric analysis reveal low but quantitative effect of fear-avoidance on spatiotemporal parameters. These threshold values can be used by clinicians to evaluate the significance of the clinical scale. Considering gait, cadence should help the clinician to assess the fear-avoidance, particularly for patients are not able to complete all clinical scale items.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"493-503"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shockwave therapy technique: Concerns around a recent publication. 冲击波治疗技术：对最近出版物的关注。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-02-21 DOI: 10.1177/02692155251318163

Fusun Ardic, Alev Atigan, Meltem Akinci

引用次数: 0

Group versus individual delivery of upper limb intervention for adults post-stroke: A systematic review and meta-analysis. 成人中风后上肢干预的团体与个人：系统回顾和荟萃分析。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-03-17 DOI: 10.1177/02692155251322999

Siobhan T McNally, Corey Joseph, Sarah C Milne

{"title":"Group versus individual delivery of upper limb intervention for adults post-stroke: A systematic review and meta-analysis.","authors":"Siobhan T McNally, Corey Joseph, Sarah C Milne","doi":"10.1177/02692155251322999","DOIUrl":"10.1177/02692155251322999","url":null,"abstract":"ObjectiveTo systematically review the evidence and examine the effectiveness of group-based UL intervention versus individual therapy, in decreasing impairment and improving UL function post-stroke.Data SourcesA comprehensive search of four key databases (CINAHL, Embase, Emcare, and MEDLINE) identified relevant studies published from inception through to November 2024.Review methodsTwo reviewers independently performed screening for inclusion according to selection criteria. Eligible studies provided dose-matched group and individual UL rehabilitation programs. Outcomes that measured UL impairment (Fugl-Meyer Upper Extremity Test) or function (Action Research Arm Test) were extracted for meta-analysis. Methodological quality was assessed using the PEDro scale.ResultsOf 3291 publications, eight studies were included (n = 348) (seven randomised controlled trials and one controlled trial) of poor to good quality. A random effects meta-analysis model was conducted. Statistical significance was determined using analysis of covariance. No significant effects were shown in the meta-analyses on the effect of group versus individual therapy on UL impairment (mean difference 0.87, 95% CI: -0.87 to 2.62, p = .327) or function (mean difference 1.53, 95% CI: -0.23 to 3.29, p = .089). Results were limited by small sample sizes and substantial heterogeneity, with wide variation in intervention type, dosage and setting.ConclusionMeta-analyses suggest group-based UL intervention may be as effective as intervention delivered one-to-one, post-stroke. Additional studies of large sample size and rigorous methodology are necessary to substantiate these findings. Future research should investigate which types of UL intervention are most effective when provided in group-based settings across the different stages of stroke recovery.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"423-436"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of sensorimotor training on stability, mobility, and quality of life after lower extremity thermal burns: A prospective randomised controlled trial. 感知运动训练对下肢热烧伤后稳定性、活动能力和生活质量的影响：前瞻性随机对照试验。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-02-11 DOI: 10.1177/02692155251318560

Nesma M Allam, Nabil Mahmoud Abdel-Aal, Khadra M Ali, Hadaya Mosaad Eladl

{"title":"Effect of sensorimotor training on stability, mobility, and quality of life after lower extremity thermal burns: A prospective randomised controlled trial.","authors":"Nesma M Allam, Nabil Mahmoud Abdel-Aal, Khadra M Ali, Hadaya Mosaad Eladl","doi":"10.1177/02692155251318560","DOIUrl":"10.1177/02692155251318560","url":null,"abstract":"ObjectiveTo determine the effect of sensorimotor training on stability, balance, mobility, quality of life, and muscle strength after lower extremity and trunk thermal burns.DesignA prospective, randomised controlled trial.SettingPhysiotherapy outpatient setting.ParticipantsSixty participants with lower extremity and trunk thermal burns, aged 20-50 years, were randomly allocated to either the Sensorimotor Training group or the Control group.InterventionThe Sensorimotor Training group received both a sensorimotor training programme and a traditional physiotherapy programme, while the Control group received only the traditional physiotherapy programme. The intervention was applied three days per week for eight weeks.Outcome measuresThe anteroposterior stability index was the primary outcome, while secondary outcomes included the overall stability index, mediolateral stability index, Timed Up and Go Test, Berg Balance Scale, and the Short Form-36 questionnaire, all measured at baseline and after eight weeks.ResultsSignificant differences were identified between groups after eight weeks, favouring the Sensorimotor Training group. Mean differences (95% CI) between groups were: -0.89 (-1.23, -0.54) for the anteroposterior stability index; 6.67 (4.48, 8.86) for the Berg Balance Scale; -1.7 (-2.82, -0.59) for the Timed Up and Go Test; 11.22 (7.03, 15.40) for knee extensor torque; and 7.98 (4.62, 11.35) for physical function.ConclusionSensorimotor training, when added to a conventional physiotherapy programme, can significantly improve stability, balance, mobility, quality of life, and muscle strength compared to conventional physiotherapy alone in participants with lower extremity and trunk thermal burns.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"460-470"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Oxford Visual Perception Screen: Development and normative data of a standardised assessment for visual perception difficulties. 牛津视觉感知屏幕：视觉感知困难的标准化评估的发展和规范数据。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1177/02692155251315606

Kathleen Vancleef, Ruby Castellani, Rebecca Shorthose, Catherine Guo, Merak Fulin Cai, Federica Guazzo, Nele Demeyere

{"title":"The Oxford Visual Perception Screen: Development and normative data of a standardised assessment for visual perception difficulties.","authors":"Kathleen Vancleef, Ruby Castellani, Rebecca Shorthose, Catherine Guo, Merak Fulin Cai, Federica Guazzo, Nele Demeyere","doi":"10.1177/02692155251315606","DOIUrl":"10.1177/02692155251315606","url":null,"abstract":"ObjectiveWe aimed to develop and standardise a practical systematic screening tool for visual perception impairments after a stroke to replace current subjective methods.DesignA mixed methods study including a cross-sectional study and a case series.SettingIn the community and on stroke rehabilitation units.ParticipantsOlder volunteers without a neurological history contributed to normative data. Patients with ocular conditions or a stroke took part in our case series.InstrumentThe Oxford Visual Perception Screen.Main measuresFor each task of the Oxford Visual Perception Screen, we determined 5th centile cut-off scores. We further explored effects of age, visual acuity and gender on visual perception through generalised linear models.ResultsOxford Visual Perception Screen is a 15-min paper-and-pen assessment comprising 10 tasks including picture naming, star counting and reading. Normative data of 107 participants demonstrated persistent high performance with most cut-offs near ceiling. Apart from the Figure Copy (Z = 6.57, p < 0.001) and Global Shape Perception task (Z = 3.32, p < 0.001) we found no evidence for an effect of visual acuity on OxVPS. An effect of age was only observed in the Face Recognition (Z = 3.61, p < 0.001) and Reading task (Z = -3.50, p < 0.001). No effects of gender were observed. A series of eight cases illustrates the interpretation of OxVPS.ConclusionWe present the Oxford Visual Perception Screen, a standardised visual perception screening tool alongside normative data and illustrative cases. The Oxford Visual Perception Screen can potentially change screening for visual perception impairments in clinical practice and is available at https://oxvps.webspace.durham.ac.uk/.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"471-485"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'It can be very complicated': A qualitative analysis of clinicians' practices and perspectives on treating adolescents with nonspecific persistent back pain. “这可能非常复杂”：临床医生治疗青少年非特异性持续性背痛的做法和观点的定性分析。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1177/02692155251324589

Sara D Hauber, Katie Robinson, Kieran O'Sullivan

{"title":"'It can be very complicated': A qualitative analysis of clinicians' practices and perspectives on treating adolescents with nonspecific persistent back pain.","authors":"Sara D Hauber, Katie Robinson, Kieran O'Sullivan","doi":"10.1177/02692155251324589","DOIUrl":"10.1177/02692155251324589","url":null,"abstract":"ObjectiveTo explore the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain.DesignA qualitative descriptive study using individual, semi-structured interviews. Reflexive thematic analysis was used to code interview transcripts and generate relevant themes.SettingClinicians in any clinical setting where adolescents with nonspecific persistent back pain are treated.ParticipantsTen clinicians (eight chartered physiotherapists, one nurse and one psychologist) who currently treat or have treated adolescents with nonspecific persistent back pain.ResultsFive themes were identified which captured the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain: (1) Multiple relationships, one priority, (2) Without buy-in, it won't work, (3) Managing pain, living life, (4) No one-size-fits-all treatment, and (5) Who you see is what you get.ConclusionsTreating an adolescent with nonspecific persistent back pain is not the same as treating an adult with the same condition. Specifically, clinicians must attend to the needs, concerns and beliefs of both adolescents and their parents, reflecting the diminished autonomy of adolescent patients. Clinicians tend to offer person-centred care to adolescents with nonspecific persistent back pain. However, they currently lack guidance on how to foster effective treatment relationships with parents and how to achieve buy-in to a modern conceptualisation of persistent back pain as a biopsychosocial phenomenon.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"549-558"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients' and staffs' experiences of clinical support after a lower limb reconstruction: An interview study. 下肢再造术后患者及医护人员临床支持体验的访谈研究。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-02-28 DOI: 10.1177/02692155251317500

Heather Leggett, Jennie Lister, Catherine Hewitt, Hemant Sharma, Catriona McDaid

{"title":"Patients' and staffs' experiences of clinical support after a lower limb reconstruction: An interview study.","authors":"Heather Leggett, Jennie Lister, Catherine Hewitt, Hemant Sharma, Catriona McDaid","doi":"10.1177/02692155251317500","DOIUrl":"10.1177/02692155251317500","url":null,"abstract":"Objective: To explore patient and healthcare professional perspectives on post-lower limb reconstruction support. Design: A qualitative study. Setting: One-to-one semi-structured interviews undertaken via video conferencing software or over the telephone. Participants: Thirty-two patients (who had undergone reconstructive surgery due to trauma, malunion, non-union, infection or congenital issues treated by internal or external fixation) and 22 orthopaedic healthcare professionals (surgeons, nurses and physiotherapists) were interviewed between November 2020 and June 2021. Results: Thematic analysis was undertaken on data surrounding clinical support. Four themes were generated: being involved and feeling informed, physiotherapy as a motivator for recovery, the importance of timely access to physiotherapy, and mental health support. Patients valued being involved in decisions about their care and feeling informed. Supportive nurses played a key role, with patients appreciating clear communication and empathy. Trust in the clinical team eased anxiety, whilst a lack of information caused stress and dissatisfaction. Post-surgery, information on recovery, access to physiotherapy, and hospital contacts were crucial. Physiotherapy was vital for regaining mobility, providing motivation, and promoting confidence. Access to mental health support was limited, though patients appreciated emotional support from physiotherapists and hospital staff. Conclusion: By providing comprehensive support, healthcare professionals can optimise patient satisfaction with care, enhance psychological well-being, and facilitate the successful rehabilitation and reintegration of patients back into their daily lives.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"536-548"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Together is no longer completely together": Exploring the influence of social cognition problems on partner relationships following acquired brain injury. “在一起不再是完全在一起”：探索获得性脑损伤后社会认知问题对伴侣关系的影响。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-01 Epub Date: 2025-01-13 DOI: 10.1177/02692155241312134

Brenda van den Broek, Jorn Muskens, Caroline van Heugten, Boudewijn Bus, Sophie Rijnen

{"title":"\"Together is no longer completely together\": Exploring the influence of social cognition problems on partner relationships following acquired brain injury.","authors":"Brenda van den Broek, Jorn Muskens, Caroline van Heugten, Boudewijn Bus, Sophie Rijnen","doi":"10.1177/02692155241312134","DOIUrl":"10.1177/02692155241312134","url":null,"abstract":"ObjectiveTo examine the experiences of individuals with acquired brain injury and their partners regarding the effects of social cognition problems on their relationships.DesignQualitative interview study.SettingInterviews were conducted 1 to 5 years post-injury, either in the participants' home or at a care facility in the Netherlands.ParticipantsNine couples consisting of an individual with acquired brain injury and a partner without acquired brain injury. Scores on neuropsychological tests indicated social cognition difficulties in individuals with acquired brain injury.MethodsIndividual semi-structured interviews were conducted, audio recorded, and transcribed verbatim. Two independent analysts analyzed the data using thematic analysis aimed at finding common themes across the data set. Data analysis was carried out recursively and parallel to data collection to help determine when saturation was reached.ResultsSix themes were generated from the interview data: (1) partners feeling disappointed, lonely, and despondent, (2) individuals with acquired brain injury feeling insecure and ashamed of falling short, (3) relationship roles changing, (4) the aggravating role of fatigue and sensory hypersensitivity, (5) the importance of professional help, and (6) silver linings: increased awareness creating closeness.ConclusionSocial cognition problems have the potential to strongly affect relationships between those with acquired brain injury and their partners in many ways. Addressing social cognition problems is recommended as it is greatly appreciated by individuals with acquired brain injury and their partners and holds promise for improving their relationship.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"339-352"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142968832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coming to my own wisdom: A qualitative study exploring the role of the Take Charge intervention in stroke recovery. 以我自己的智慧：一项探讨“负责”干预在中风恢复中的作用的定性研究。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-01 Epub Date: 2025-02-02 DOI: 10.1177/02692155241310770

Vivian Fu, Kathryn Mary Fernando, Felicity Bright, Judith Riley, Kathryn McPherson, Harry McNaughton

{"title":"Coming to my own wisdom: A qualitative study exploring the role of the Take Charge intervention in stroke recovery.","authors":"Vivian Fu, Kathryn Mary Fernando, Felicity Bright, Judith Riley, Kathryn McPherson, Harry McNaughton","doi":"10.1177/02692155241310770","DOIUrl":"10.1177/02692155241310770","url":null,"abstract":"ObjectiveThe Take Charge intervention, delivered early after hospital discharge following acute stroke, is effective at improving 12-month health status, independence and advanced activities of daily living. This study aims to provide a deeper understanding of the experiences of receiving Take Charge.DesignThis was a qualitative study nested within a large randomised control trial, the Taking Charge After Stroke (TaCAS) study. Data were analysed using thematic analysis, and we describe our findings using interpretive description.ParticipantsPeople with stroke aged over 18 years, who were participants in the TaCAS study conducted in Aotearoa New Zealand.InterventionTake Charge, a person-centred conversation delivered face-to-face, designed to explore a person's identity and priorities, conducted by a trained facilitator and guided by a workbook.ResultsWe interviewed nine participants, three from each of the three arms of the TaCAS trial - each would have received one, two, or zero Take Charge sessions (the control group). The overall theme of 'Doing things my way/coming to know my own wisdom and expertise' was enabled by 'being listened to and feeling heard' and 'focusing on the goals which were important to me', both strongly expressed by people who received the Take Charge intervention, and hindered by 'medical paternalism' and 'loss of sense of self/\"not me\"' most commonly expressed by people in the control arm.ConclusionsThe Take Charge intervention empowers people with stroke by enhancing intrinsic motivation. A trusting, therapeutic relationship and non-judgemental facilitation are essential to ensure that the person feels heard.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"377-387"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0