JMIR Rehabilitation and Assistive Technologies最新文献

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Blended Care in Patients With Knee and Hip Osteoarthritis in Physical Therapy: Delphi Study on Needs and Preconditions. 膝关节和髋关节骨性关节炎患者物理治疗中的混合护理:需求和前提条件的德尔菲研究。
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-07-07 DOI: 10.2196/43813
Franziska Weber, Corelien Kloek, Angela Arntz, Christian Grüneberg, Cindy Veenhof
{"title":"Blended Care in Patients With Knee and Hip Osteoarthritis in Physical Therapy: Delphi Study on Needs and Preconditions.","authors":"Franziska Weber,&nbsp;Corelien Kloek,&nbsp;Angela Arntz,&nbsp;Christian Grüneberg,&nbsp;Cindy Veenhof","doi":"10.2196/43813","DOIUrl":"https://doi.org/10.2196/43813","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis is a major public health concern. Despite existing evidence-based treatment options, the health care situation remains unsatisfactory. Digital care options, especially when combined with in-person sessions, seem to be promising.</p><p><strong>Objective: </strong>The aim of this study was to investigate the needs, preconditions, barriers, and facilitators of blended physical therapy for osteoarthritis.</p><p><strong>Methods: </strong>This Delphi study consisted of interviews, an online questionnaire, and focus groups. Participants were physical therapists, patients with hip and/or knee osteoarthritis with or without experience in digital care, and stakeholders of the health care system. In the first phase, interviews were conducted with patients and physical therapists. The interview guide was based on the Consolidated Framework For Implementation Research. The interviews focused on experiences with digital and blended care. Furthermore, needs, facilitators, and barriers were discussed. In the second phase, an online questionnaire and focus groups served the process to confirm the needs and collect preconditions. The online questionnaire contained statements drawn by the results of the interviews. Patients and physical therapists were invited to complete the questionnaire and participate in one of the three focus groups including (1) patients; (2) physical therapists; and (3) a patient, a physical therapist, and stakeholders from the health care system. The focus groups were used to determine concordance with the results of the interviews and the online questionnaire.</p><p><strong>Results: </strong>Nine physical therapists, seven patients, and six stakeholders confirmed that an increase of acceptance of the digital care part by physical therapists and patients is crucial. One of the most frequently mentioned facilitators was conducting regular in-person sessions. Physical therapists and patients concluded that blended physical therapy must be tailored to the patients' needs. Participants of the last focus group stated that the reimbursement of blended physical therapy needs to be clarified.</p><p><strong>Conclusions: </strong>Most importantly, it is necessary to strengthen the acceptance of patients and physical therapists toward digital care. Overall, for development and usage purposes, it is crucial to take the needs and preconditions into account.</p><p><strong>Trial registration: </strong>German Clinical Trials Register DRKS00023386; https://drks.de/search/en/trial/DRKS00023386.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 ","pages":"e43813"},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9910580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validity and Reliability of a Telehealth Physical Fitness and Functional Assessment Battery for Ambulatory Youth with and Without Mobility Disabilities: Observational Measurement Study (Preprint) 针对行动不便和行动不便青少年的远程保健体能和功能评估电池的有效性和可靠性:观察测量研究(预印本)
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-07-06 DOI: 10.2196/50582
Byron W. Lai, Danielle Wadsworth, Katherine Spring, Chloe S. Jones, Madison Mintz, Laurie A Malone, Yumi Kim, Jereme D. Wilroy, Holim Lee
{"title":"Validity and Reliability of a Telehealth Physical Fitness and Functional Assessment Battery for Ambulatory Youth with and Without Mobility Disabilities: Observational Measurement Study (Preprint)","authors":"Byron W. Lai, Danielle Wadsworth, Katherine Spring, Chloe S. Jones, Madison Mintz, Laurie A Malone, Yumi Kim, Jereme D. Wilroy, Holim Lee","doi":"10.2196/50582","DOIUrl":"https://doi.org/10.2196/50582","url":null,"abstract":"","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Models of Telehealth Service Delivery in Adults With Spinal Cord Injuries: Scoping Review. 成人脊髓损伤的远程医疗服务模式:范围审查。
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-06-29 DOI: 10.2196/41186
Shaghayegh Mirbaha, Ashley Morgan, Ada Tang, Jenna Smith-Turchyn, Julie Richardson
{"title":"Models of Telehealth Service Delivery in Adults With Spinal Cord Injuries: Scoping Review.","authors":"Shaghayegh Mirbaha,&nbsp;Ashley Morgan,&nbsp;Ada Tang,&nbsp;Jenna Smith-Turchyn,&nbsp;Julie Richardson","doi":"10.2196/41186","DOIUrl":"https://doi.org/10.2196/41186","url":null,"abstract":"<p><strong>Background: </strong>In Canada, approximately 86,000 people live with spinal cord injury (SCI), and there are an estimated 3675 new cases of traumatic or nontraumatic etiology per year. Most people with SCI will experience secondary health complications, such as urinary and bowel issues, pain syndrome, pressure ulcers, and psychological disorders, resulting in severe chronic multimorbidity. Moreover, people with SCI may face barriers in accessing health care services, such as primary care physicians' expert knowledge regarding secondary complications related to SCI. Telehealth, defined as the delivery of information and health-related services through telecommunication technologies, may help address some of the barriers, and indeed, the present global COVID-19 pandemic has emphasized the importance of integration of telehealth in health care systems. As a result of this crisis, health care providers have increased the usage of telehealth services, providing health services to individuals in need of community-based supportive care. However, the evidence on models of telehealth service delivery for adults with SCI has not been previously synthesized.</p><p><strong>Objective: </strong>The purpose of this scoping review was to identify, describe, and compare models of telehealth services for community-dwelling adults with SCI.</p><p><strong>Methods: </strong>This scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Studies published between 1990 and December 31, 2022, were identified by searching the Ovid MEDLINE, Ovid Embase, Ovid PsycINFO, Web of Science, and CINAHL databases. Papers with specified inclusion criteria were screened by 2 investigators. Included articles focused on identifying, implementing, or evaluating telehealth interventions, including primary health care services and self-management services delivered in the community and home-based settings. One investigator performed a full-text review of each article, and data extraction included (1) study characteristics; (2) participant characteristics; (3) key characteristics of the interventions, programs, and services; and (4) outcome measures and results.</p><p><strong>Results: </strong>A total of 61 articles reported telehealth services used for preventing, managing, or treating the most common secondary complications and consequences of SCI, including chronic pain, low physical activity, pressure ulcers, and psychosocial dysfunction. Where evidence exists, improvements in community participation, physical activity, and reduction in chronic pain, pressure ulcers, etc, following SCI were demonstrated.</p><p><strong>Conclusions: </strong>Telehealth may offer an efficient and effective option for health service delivery for community-dwelling individuals with SCI, ensuring continuity of rehabilitation, follow-up after hospital discharge, and early detection, management, or treatment ","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 ","pages":"e41186"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10365587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Role of Oral Intake, Mobility, and Activity Measures in Informing Discharge Recommendations for Hospitalized Inmate and Noninmate Patients With COVID-19: Retrospective Analysis. 口服摄入、活动和活动措施在为住院的COVID-19囚犯和非囚犯患者提供出院建议中的作用:回顾性分析
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-06-27 DOI: 10.2196/43250
Matthew Scott Briggs, Erin Shevawn Kolbus, Kevin Michael Patterson, Lindsay Elizabeth Harmon-Matthews, Shana Lee McGrath, Catherine Celeste Quatman-Yates, Cristiane Meirelles, Marka Jean Salsberry
{"title":"Role of Oral Intake, Mobility, and Activity Measures in Informing Discharge Recommendations for Hospitalized Inmate and Noninmate Patients With COVID-19: Retrospective Analysis.","authors":"Matthew Scott Briggs,&nbsp;Erin Shevawn Kolbus,&nbsp;Kevin Michael Patterson,&nbsp;Lindsay Elizabeth Harmon-Matthews,&nbsp;Shana Lee McGrath,&nbsp;Catherine Celeste Quatman-Yates,&nbsp;Cristiane Meirelles,&nbsp;Marka Jean Salsberry","doi":"10.2196/43250","DOIUrl":"https://doi.org/10.2196/43250","url":null,"abstract":"<p><strong>Background: </strong>Patients who were incarcerated were disproportionately affected by COVID-19 compared with the general public. Furthermore, the impact of multidisciplinary rehabilitation assessments and interventions on the outcomes of patients admitted to the hospital with COVID-19 is limited.</p><p><strong>Objective: </strong>We aimed to compare the functional outcomes of oral intake, mobility, and activity between inmates and noninmates diagnosed with COVID-19 and examine the relationships among these functional measures and discharge destination.</p><p><strong>Methods: </strong>A retrospective analysis was performed on patients admitted to the hospital for COVID-19 at a large academic medical center. Scores on functional measures including the Functional Oral Intake Scale and Activity Measure for Postacute Care (AM-PAC) were collected and compared between inmates and noninmates. Binary logistic regression models were used to evaluate the odds of whether patients were discharged to the same place they were admitted from and whether patients were being discharged with a total oral diet with no restrictions. Independent variables were considered significant if the 95% CIs of the odds ratios (ORs) did not include 1.0.</p><p><strong>Results: </strong>A total of 83 patients (inmates: n=38; noninmates: n=45) were included in the final analysis. There were no differences between inmates and noninmates in the initial (P=.39) and final Functional Oral Intake Scale scores (P=.35) or in the initial (P=.06 and P=.46), final (P=.43 and P=.79), or change scores (P=.97 and P=.45) on the AM-PAC mobility and activity subscales, respectively. When examining separate regression models using AM-PAC mobility or AM-PAC activity scores as independent variables, greater age upon admission decreased the odds (OR 0.922, 95% CI 0.875-0.972 and OR 0.918, 95% CI 0.871-0.968) of patients being discharged with a total oral diet with no restrictions. The following factors increased the odds of patients being discharged to the same place they were admitted from: being an inmate (OR 5.285, 95% CI 1.334-20.931 and OR 6.083, 95% CI 1.548-23.912), \"Other\" race (OR 7.596, 95% CI 1.203-47.968 and OR 8.515, 95% CI 1.311-55.291), and female sex (OR 4.671, 95% CI 1.086-20.092 and OR 4.977, 95% CI 1.146-21.615).</p><p><strong>Conclusions: </strong>The results of this study provide an opportunity to learn how functional measures may be used to better understand discharge outcomes in both inmate and noninmate patients admitted to the hospital with COVID-19 during the initial period of the pandemic.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 ","pages":"e43250"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9775408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Results of Gensingen bracing in patients with scoliosis - a feasibility study. (Preprint) 脊柱侧凸患者使用 Gensingen 支架的结果--一项可行性研究。(预印本)
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-06-26 DOI: 10.2196/50299
X. Nan, T. Kuru Çolak, Burçin Akçay, Hua Xie, Liwei Zhao, M. Borysov
{"title":"Results of Gensingen bracing in patients with scoliosis - a feasibility study. (Preprint)","authors":"X. Nan, T. Kuru Çolak, Burçin Akçay, Hua Xie, Liwei Zhao, M. Borysov","doi":"10.2196/50299","DOIUrl":"https://doi.org/10.2196/50299","url":null,"abstract":"","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139368486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of Implementing a Webinar-Based Strategy to Improve Spinal Cord Injury Knowledge and Community Building: Convergent Mixed Methods Study. 实施基于网络研讨会的策略以提高脊髓损伤知识和社区建设的结果:融合混合方法研究。
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-06-23 DOI: 10.2196/46575
Katelyn Brehon, Rob MacIsaac, Zahra Bhatia, Taryn Buck, Rebecca Charbonneau, Steven Crochetiere, Scott Donia, Jason Daoust, Chester Ho, Hardeep Kainth, Janee Loewen, Brandice Lorch, Kiesha Mastrodimos, Brittney Neunzig, Elizabeth Papathanassoglou, Rajvir Parmar, Kiran Pohar Manhas, Terry Tenove, Elysha Velji, Adalberto Loyola-Sanchez
{"title":"Outcomes of Implementing a Webinar-Based Strategy to Improve Spinal Cord Injury Knowledge and Community Building: Convergent Mixed Methods Study.","authors":"Katelyn Brehon,&nbsp;Rob MacIsaac,&nbsp;Zahra Bhatia,&nbsp;Taryn Buck,&nbsp;Rebecca Charbonneau,&nbsp;Steven Crochetiere,&nbsp;Scott Donia,&nbsp;Jason Daoust,&nbsp;Chester Ho,&nbsp;Hardeep Kainth,&nbsp;Janee Loewen,&nbsp;Brandice Lorch,&nbsp;Kiesha Mastrodimos,&nbsp;Brittney Neunzig,&nbsp;Elizabeth Papathanassoglou,&nbsp;Rajvir Parmar,&nbsp;Kiran Pohar Manhas,&nbsp;Terry Tenove,&nbsp;Elysha Velji,&nbsp;Adalberto Loyola-Sanchez","doi":"10.2196/46575","DOIUrl":"https://doi.org/10.2196/46575","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 disrupted services received by persons with spinal cord injury (SCI) worldwide. The International Disability Alliance declared the need for a disability-inclusive response to the COVID-19 crisis, as decreased access to health care services for individuals living with varying levels of function was unacceptable. As a result, an SCI community in Canada created a novel webinar-based strategy aimed at improving access to self-management information for people living with SCI and other stakeholders. However, although telehealth practices have previously been used effectively in SCI management and rehabilitation, little to no scholarship has investigated the outcomes of implementing a webinar-based telehealth strategy in this population.</p><p><strong>Objective: </strong>This study aims to understand the outcomes of implementing the webinar series. Specifically, the authors aimed to determine the reach of the series; understand its impact on social connectedness, perceptions of disability, and overall quality of interactions among persons with SCI, their families, service providers, and the public at large; and explore the long-term sustainability of the initiative.</p><p><strong>Methods: </strong>The authors implemented a community-based participatory strategy to define a convergent mixed methods design to triangulate qualitative and quantitative data collected simultaneously. Quantitative methods included pop-up questions administered during the live webinars, surveys administered following webinars, and an analysis of YouTube analytics. Qualitative methods included semistructured interviews with persons with SCI and health care providers who attended at least one webinar. The results were integrated, following methods adapted from Creswell and Clark.</p><p><strong>Results: </strong>A total of 234 individuals attended at least 1 of the 6 webinars that took place during the 6-month study period. In total, 13.2% (31/234) of the participants completed the postwebinar survey, and 23% (7/31) participated in the semistructured interviews. The reach of the webinar series was mainly to persons with SCI, followed by health professionals, with most of them living in urban areas. The topics sexuality and research were the most viewed on YouTube. The knowledge disseminated during the webinars was mainly perceived as valid and useful, related to the fact that the presentation format involved people with lived experience and clinical experts. The webinars did not necessarily help build a new extended community of people involved in SCI but helped strengthen the existing community of people with SCI in Alberta. The webinar positively influenced the perceptions of normality and disability regarding people with SCI. The webinar format was perceived as highly usable and accessible.</p><p><strong>Conclusions: </strong>The webinar series was associated with improved participant knowledge of what is possible to achieve after an SC","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 ","pages":"e46575"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A BCI Neuromodulatory Device for Stroke Rehabilitation: An Iterative User-centred Design Approach (Preprint) 脑卒中康复脑机接口神经调节装置:以用户为中心的迭代设计方法(预印本)
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-06-07 DOI: 10.2196/49702
Gemma Alder, Denise Taylor, Usman Rashid, Sharon Olsen, Thonia Brooks, Gareth Terry, Imran Khan Niazi, Nada Signal
{"title":"A BCI Neuromodulatory Device for Stroke Rehabilitation: An Iterative User-centred Design Approach (Preprint)","authors":"Gemma Alder, Denise Taylor, Usman Rashid, Sharon Olsen, Thonia Brooks, Gareth Terry, Imran Khan Niazi, Nada Signal","doi":"10.2196/49702","DOIUrl":"https://doi.org/10.2196/49702","url":null,"abstract":"","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135493059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and Safety of Home-Based Cardiac Telemonitoring Rehabilitation in Patients After Transcatheter Aortic Valve Implantation: Single-Center Usability and Feasibility Study. 经导管主动脉瓣植入术后家庭心脏远程监测康复的有效性和安全性:单中心可用性和可行性研究
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-05-17 DOI: 10.2196/45247
Kohei Ashikaga, Shunichi Doi, Kihei Yoneyama, Norio Suzuki, Shingo Kuwata, Masashi Koga, Naoya Takeichi, Satoshi Watanabe, Masaki Izumo, Keisuke Kida, Yoshihiro J Akashi
{"title":"Efficacy and Safety of Home-Based Cardiac Telemonitoring Rehabilitation in Patients After Transcatheter Aortic Valve Implantation: Single-Center Usability and Feasibility Study.","authors":"Kohei Ashikaga,&nbsp;Shunichi Doi,&nbsp;Kihei Yoneyama,&nbsp;Norio Suzuki,&nbsp;Shingo Kuwata,&nbsp;Masashi Koga,&nbsp;Naoya Takeichi,&nbsp;Satoshi Watanabe,&nbsp;Masaki Izumo,&nbsp;Keisuke Kida,&nbsp;Yoshihiro J Akashi","doi":"10.2196/45247","DOIUrl":"https://doi.org/10.2196/45247","url":null,"abstract":"<p><strong>Background: </strong>No consensus exists on the efficacy of home-based cardiac rehabilitation (CR) in patients who have undergone transcatheter aortic valve implantation (TAVI). Additionally, there are no reports on home-based cardiac telemonitoring rehabilitation (HBTR) in patients after TAVI.</p><p><strong>Objective: </strong>We aimed to investigate the efficacy of HBTR in patients who have undergone TAVI.</p><p><strong>Methods: </strong>This single-center preliminary study introduced HBTR to patients after TAVI, and the efficacy outcomes of the rehabilitation method were compared to that of a historical control cohort. The historical control cohort (control group) consisted of 6 consecutive patients who underwent ordinary outpatient CR after TAVI from February 2016 to March 2020. Patients who participated in the HBTR program were only recruited after the TAVI procedure and before discharge between April 2021 and May 2022. In the first 2 weeks after TAVI, patients underwent outpatient CR and were trained using telemonitoring rehabilitation systems. Thereafter, patients underwent HBTR twice a week for 12 weeks. The control group performed standard outpatient CR at least once a week for 12 to 16 weeks. Efficacy was assessed using peak oxygen uptake (VO<sub>2</sub>) prior to and after CR.</p><p><strong>Results: </strong>Eleven patients were included in the HBTR group. All patients underwent 24 HBTR sessions during the 12-week training period, and no adverse events were observed. The control group participants performed 19 (SD 7) sessions during the training period, and no adverse events were observed. Participants in the HBTR and control groups had a mean age of 80.4 (SD 6.0) years and 79.0 (SD 3.9) years, respectively. In the HBTR group, preintervention and postintervention peak VO<sub>2</sub> values were 12.0 (SD 1.7) mL/min/kg and 14.3 (SD 2.7) mL/min/kg (P=.03), respectively. The peak VO<sub>2</sub> changes in the HBTR and control groups were 2.4 (SD 1.4) mL/min/kg and 1.3 (SD 5.0) mL/min/kg (P=.64), respectively.</p><p><strong>Conclusions: </strong>Home-based CR using a telemonitoring system is a safe outpatient rehabilitation method. Its efficacy is not inferior to that of standard CR in patients who have undergone TAVI.</p><p><strong>Trial registration: </strong>Japan Registry of Clinical Trials jRCTs032200122; https://jrct.niph.go.jp/latest-detail/jRCTs032200122.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 ","pages":"e45247"},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expected Health Benefits as the Ultimate Outcome of Information Available on Stroke Engine, a Knowledge Translation Stroke Rehabilitation Website: Web-Based Survey. 预期健康效益作为卒中引擎信息的最终结果,一个知识翻译卒中康复网站:基于网络的调查。
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-05-08 DOI: 10.2196/44715
Annie Rochette, Aliki Thomas, Nancy M Salbach, Brigitte Vachon, Anita Menon, Lise Poissant, Maurane Boutin, Roland Grad, Pierre Pluye
{"title":"Expected Health Benefits as the Ultimate Outcome of Information Available on Stroke Engine, a Knowledge Translation Stroke Rehabilitation Website: Web-Based Survey.","authors":"Annie Rochette,&nbsp;Aliki Thomas,&nbsp;Nancy M Salbach,&nbsp;Brigitte Vachon,&nbsp;Anita Menon,&nbsp;Lise Poissant,&nbsp;Maurane Boutin,&nbsp;Roland Grad,&nbsp;Pierre Pluye","doi":"10.2196/44715","DOIUrl":"https://doi.org/10.2196/44715","url":null,"abstract":"<p><strong>Background: </strong>Electronic knowledge resources are readily available and typically target different audiences, including health professionals and the public, that is, those with lived experience and their relatives. The knowledge-to-action framework, in combination with the information assessment method (IAM), considering both the value-of-information construct and the conceptual model of acquisition-cognition-application, can be used to support the evaluation process of such resources. As an example, Stroke Engine is an evidence-based knowledge translation resource in stroke rehabilitation (assessments and interventions) for health professionals and students as well as individuals who have sustained a stroke and their relatives. According to Google Analytics, the website is perused >10,000 times per week.</p><p><strong>Objective: </strong>With the overall aim to improve the content available on Stroke Engine, we documented Stroke Engine users' perceptions of situational relevance, cognitive impact, intention to use, and expected patient and health benefits regarding the information consulted.</p><p><strong>Methods: </strong>A web-based survey anchored in the IAM was made available via an invitation tab. The IAM is a validated questionnaire that is designed to assess the value of information. Sociodemographic characteristics were also collected, and a space for free-text comments was provided. Descriptive statistics were used, and thematic analysis was used for the free-text comments.</p><p><strong>Results: </strong>The sample consisted of 6634 respondents. Health professionals (3663/6634, 55.22%) and students (2784/6634, 41.97%) represented 97.18% (6447/6634) of the total responses. The remaining 2.82% (187/6634) of the responses were from individuals who had sustained a stroke (87/6634, 1.31%) and their relatives (100/6634, 1.51%). Regarding situational relevance, assessments (including selecting, obtaining, and interpreting results from a test) was the main topic searched by health professionals (1838/3364, 54.64%) and students (1228/2437, 50.39%), whereas general information on stroke rehabilitation was the top-ranked topic for nearly two-thirds of the individuals with stroke (45/76, 59%) and their relatives (57/91, 63%). Cognitive impact was characterized by learning something new. Intention to use was high (4572/6379, 71.67%) among the respondents and varied in context (eg, refine a topic, research, class assignments, teaching, and education). Respondents commented on ways to improve content. Expected patient and health benefits such as improvement in health and well-being was the top-ranked category for all 4 subgroups, followed by the avoidance of unnecessary or inappropriate treatment for health professionals (183/623, 29.4%) and a feeling of being reassured for individuals with stroke (26/75, 35%) and their relatives (28/97, 29%).</p><p><strong>Conclusions: </strong>Valuable feedback on Stroke Engine was obtained in term","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"10 ","pages":"e44715"},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9507914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ENGAGEMENT AND MOOD DURING ROBOT-ASSISTED GROUP ACTIVITIES: AN OBSERVATIONAL PILOT STUDY IN FOUR NURSING HOMES (Preprint) 机器人辅助小组活动中的参与和情绪:一项在四家养老院的观察性试点研究(预印本)
JMIR Rehabilitation and Assistive Technologies Pub Date : 2023-05-01 DOI: 10.2196/48031
Alexandra Tanner, Andreas Urech, Hartmut Schulze, Tanja Manser
{"title":"ENGAGEMENT AND MOOD DURING ROBOT-ASSISTED GROUP ACTIVITIES: AN OBSERVATIONAL PILOT STUDY IN FOUR NURSING HOMES (Preprint)","authors":"Alexandra Tanner, Andreas Urech, Hartmut Schulze, Tanja Manser","doi":"10.2196/48031","DOIUrl":"https://doi.org/10.2196/48031","url":null,"abstract":"","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135564178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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