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Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences
BACKGROUND AND PURPOSE: Stroke survivors are often left with deficits requiring rehabilitation to recover function and yet, many are unable to access rehabilitative therapies. Mobile tablet-based therapies (MTBTs) may be a resource-efficient means of improving access to timely rehabilitation. It is...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779660/ https://www.ncbi.nlm.nih.gov/pubmed/29360872 http://dx.doi.org/10.1371/journal.pone.0191566 |
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author | Pugliese, Michael Ramsay, Tim Johnson, Dylan Dowlatshahi, Dar |
author_facet | Pugliese, Michael Ramsay, Tim Johnson, Dylan Dowlatshahi, Dar |
author_sort | Pugliese, Michael |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Stroke survivors are often left with deficits requiring rehabilitation to recover function and yet, many are unable to access rehabilitative therapies. Mobile tablet-based therapies (MTBTs) may be a resource-efficient means of improving access to timely rehabilitation. It is unclear what MTBTs have been attempted following stroke, how they were administered, and how patients experienced the therapies. The review summarizes studies of MTBTs following stroke in terms of administrative methods and patient experiences to inform treatment feasibility. METHODS: Articles were eligible if they reported the results of an MTBT attempted with stroke participants. Six research databases were searched along with grey literature sources, trial registries, and article references. Intervention administration details and patient experiences were summarized. RESULTS: The search returned 903 articles of which 23 were eligible for inclusion. Most studies were small, observational, and enrolled chronic stroke patients. Interventions commonly targeted communication, cognition, or fine-motor skills. Therapies tended to be personalized based on patient deficits using commercially available applications. The complexity of therapy instructions, fine-motor requirements, and unreliability of internet or cellular connections were identified as common barriers to tablet-based care. CONCLUSIONS: Stroke patients responded positively to MTBTs in both the inpatient and home settings. However, some support from therapists or caregivers may be required for patients to overcome barriers to care. Feasibility studies should continue to identify the administrative methods that minimize barriers to care and maximize patient adherence to prescribed therapy regiments. |
format | Online Article Text |
id | pubmed-5779660 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-57796602018-02-05 Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences Pugliese, Michael Ramsay, Tim Johnson, Dylan Dowlatshahi, Dar PLoS One Research Article BACKGROUND AND PURPOSE: Stroke survivors are often left with deficits requiring rehabilitation to recover function and yet, many are unable to access rehabilitative therapies. Mobile tablet-based therapies (MTBTs) may be a resource-efficient means of improving access to timely rehabilitation. It is unclear what MTBTs have been attempted following stroke, how they were administered, and how patients experienced the therapies. The review summarizes studies of MTBTs following stroke in terms of administrative methods and patient experiences to inform treatment feasibility. METHODS: Articles were eligible if they reported the results of an MTBT attempted with stroke participants. Six research databases were searched along with grey literature sources, trial registries, and article references. Intervention administration details and patient experiences were summarized. RESULTS: The search returned 903 articles of which 23 were eligible for inclusion. Most studies were small, observational, and enrolled chronic stroke patients. Interventions commonly targeted communication, cognition, or fine-motor skills. Therapies tended to be personalized based on patient deficits using commercially available applications. The complexity of therapy instructions, fine-motor requirements, and unreliability of internet or cellular connections were identified as common barriers to tablet-based care. CONCLUSIONS: Stroke patients responded positively to MTBTs in both the inpatient and home settings. However, some support from therapists or caregivers may be required for patients to overcome barriers to care. Feasibility studies should continue to identify the administrative methods that minimize barriers to care and maximize patient adherence to prescribed therapy regiments. Public Library of Science 2018-01-23 /pmc/articles/PMC5779660/ /pubmed/29360872 http://dx.doi.org/10.1371/journal.pone.0191566 Text en © 2018 Pugliese et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Pugliese, Michael Ramsay, Tim Johnson, Dylan Dowlatshahi, Dar Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences |
title | Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences |
title_full | Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences |
title_fullStr | Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences |
title_full_unstemmed | Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences |
title_short | Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences |
title_sort | mobile tablet-based therapies following stroke: a systematic scoping review of administrative methods and patient experiences |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779660/ https://www.ncbi.nlm.nih.gov/pubmed/29360872 http://dx.doi.org/10.1371/journal.pone.0191566 |
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