A Multidisciplinary Telerehabilitation for Stroke Patients

Study Overview
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Brief Summary
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Objective: Evaluate the feasibility of a multidisciplinary telerehabilitation for chronic stroke patients. Design: Chronic stroke patients eligible for multidisciplinary rehabilitation funded by the Social Insurance Institution were enrolled between September 2017 and March 2018 in a consecutive basis to receive a mixed program of inpatient rehabilitation and telerehabilitation in their homes or a traditional inpatient rehabilitation only. Intervention: A rehabilitation course with a 3-day inpatient stay followed by an 8-week telerehabilitation period completed by 2-day evaluation stay in a rehab center. The control group received conventional multidisciplinary rehabilitation for two weeks in an inpatient setting. Outcome and measures: Change in the Finnish version of Functional Status Questionnaire (FSQFin), the World Health Organization Quality of Life - Short version (WHOQOL-Bref), the Barthel Index, the Beck Depression Inventory (BDI21), and the Goal Attainment Scale (GAS) and a patient satisfaction questionnaire.

Official Title
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Feasibility of Multidisciplinary Telerehabilitation in Patients With Stroke - a Pilot Study

Conditions
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Stroke Sequelae

Intervention / Treatment
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* Behavioral: Telerehabilitation
* Behavioral: Conventional inpatient rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: chronic stroke (6 months or more) patient living in home eligible to receive rehabilitation funded by the Social Insurance Institution (meets the criteria of chronic disability and need for rehabilitation) for intervention group: capable to use a personal computer and telecommunication Exclusion Criteria: no access or capability to use a personal computer significant problems in hearing, seeing or understanding information related to the intervention

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Consecutive sampling
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Telerehabilitation (TR)<br>Shortened inpatient rehabilitation mixed with home-based telerehabilitation. | Behavioral: Telerehabilitation<br>* Short inpatient multidisciplinary rehabilitation followed by home-based telerehabilitation and a short evaluation period at the end of it.<br>|
| Experimental: Conventional rehabilitation (CR)<br>Traditional inpatient rehabilitation | Behavioral: Conventional inpatient rehabilitation<br>* Multidisciplinary inpatient rehabilitation, no adjustments due to the study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Finnish version of the Functional Status Questionnaire (FSQfin) | Functional Status Questionnaire for evaluating self-management in home. Includes three dimensions: self-care, mobility and domestic life. Scale range for each dimension is 0-100 and higher scores indicate better outcome. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| World Health Organization Quality of Life - short version (WHOQOL-Bref) | Quality of life assessment. Includes four dimensions: physical health, psychological health, social relationships and environment. Scale range for each dimension is 0-100 and higher scores indicate better outcome. | 8 weeks | 
| Beck Depression Inventory (BDI 21) | The Beck Depression Inventory for mood assessment. Scale range is 0-63 and higher scores indicate worse outcome. | 8 weeks | 
| Barthel Index | for assessing need for help in basic activities of daily living. Scale range is 0-100 and higher scores indicate better outcome. | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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rehabilitation, stroke