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Identifying unmet rehabilitation needs in patients after stroke with a graphic rehab-compassTM
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering. Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Klinisk neurovetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för medicin. Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Klinisk neurovetenskap.
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2018 (Engelska)Ingår i: Journal of Stroke & Cerebrovascular Diseases, ISSN 1052-3057, E-ISSN 1532-8511, Vol. 27, nr 11, s. 3224-3235Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Unmet rehabilitation needs are common among stroke survivors. We aimed to evaluate whether a comprehensive graphic "Rehab-Compass," a novel combination of structured patient-reported outcome measures, was feasible and useful in facilitating a capture of patients' rehabilitation needs in clinical practice.

METHODS: A new graphic overview of broad unmet rehabilitation needs covers deficits in functioning, daily activity, participation, and quality of life. It was constructed by using 5 patient-oriented, well-validated, and reliable existing instruments with converted data into a 0 (worst outcome) to 100 (best outcome) scale but unchanged in terms of variable properties. Satisfaction of the Rehab-CompassTM was studied by a qualitative interview of 9 patients with stroke and 3 clinicians. Practical feasibility and capacity of the instrument were evaluated in a cross-sectionalstudy with 48 patients at 5-month follow-ups after subarachnoid hemorrhage.

RESULTS: The Rehab-CompassTM identified and graphically visualized a panoramic view of the multidimensional needs over time which was completed before clinical consultation. The Rehab-CompassTM appeared to be feasible and time-efficientin clinical use. The interviews of both patients and clinicians showed high satisfaction when using the Rehab-CompassTM graph. In the studied stroke patients, the Rehab-CompassTM identified memory and processing information, fatigue, mood, and pain after subarachnoid hemorrhage as the most common problems.

CONCLUSIONS: The graphic Rehab-CompassTM seems to be a feasible, useful, and time-saving tool for identification of unmet rehabilitation needs among stroke survivors in clinical practice. Further research is needed to make the Rehab-CompassTM more concise and evaluate the instrument among different stroke subgroups.

Ort, förlag, år, upplaga, sidor
Elsevier, 2018. Vol. 27, nr 11, s. 3224-3235
Nyckelord [en]
stroke, needs assessment, outcome and process assessment, quality improvement, referral and consultation, rehabilitation
Nationell ämneskategori
Neurologi
Identifikatorer
URN: urn:nbn:se:umu:diva-153269DOI: 10.1016/j.jstrokecerebrovasdis.2018.07.013ISI: 000450569700044PubMedID: 30097401Scopus ID: 2-s2.0-85051086979OAI: oai:DiVA.org:umu-153269DiVA, id: diva2:1262968
Forskningsfinansiär
Västerbottens läns landstingHjärt-LungfondenTillgänglig från: 2018-11-13 Skapad: 2018-11-13 Senast uppdaterad: 2023-03-23Bibliografiskt granskad

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Magaard, GustafWester, PerLindvall, PeterNyman, KristinHu, Xiao-Lei

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Magaard, GustafWester, PerLindvall, PeterNyman, KristinHu, Xiao-Lei
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Institutionen för samhällsmedicin och rehabiliteringKlinisk neurovetenskapAvdelningen för medicin
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Journal of Stroke & Cerebrovascular Diseases
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