RecoverNow: Feasibility of a Mobile Tablet-Based Rehabilitation Intervention to Treat Post-Stroke Communication Deficits in the Acute Care Setting
Publication Date
December 21, 2016
Authors
Karen H. Mallet, Rany M. Shamloul, Dale Corbett, Hillel M. Finestone, et al
Volume
11
Issue
12
Pages
e0167950
DOI
https://dx.plos.org/10.1371/journal.pone.0167950
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0167950
Scopus
85007384196
Mendeley
http://www.mendeley.com/research/recovernow-feasibility-mobile-tablet-based-rehabilitation-intervention-treat-poststroke-communicatio
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Mendeley | Further Information

{"title"=>"RecoverNow: Feasibility of a mobile tablet- based rehabilitation intervention to treat post-stroke communication deficits in the acute care setting", "type"=>"journal", "authors"=>[{"first_name"=>"Karen H.", "last_name"=>"Mallet", "scopus_author_id"=>"57192685995"}, {"first_name"=>"Rany M.", "last_name"=>"Shamloul", "scopus_author_id"=>"6603178335"}, {"first_name"=>"Dale", "last_name"=>"Corbett", "scopus_author_id"=>"7006245388"}, {"first_name"=>"Hillel M.", "last_name"=>"Finestone", "scopus_author_id"=>"7005215083"}, {"first_name"=>"Simon", "last_name"=>"Hatcher", "scopus_author_id"=>"8888285000"}, {"first_name"=>"Jim", "last_name"=>"Lumsden", "scopus_author_id"=>"57192678238"}, {"first_name"=>"Franco", "last_name"=>"Momoli", "scopus_author_id"=>"6508148161"}, {"first_name"=>"Michel C.F.", "last_name"=>"Shamy", "scopus_author_id"=>"35622305800"}, {"first_name"=>"Grant", "last_name"=>"Stotts", "scopus_author_id"=>"36605280000"}, {"first_name"=>"Richard H.", "last_name"=>"Swartz", "scopus_author_id"=>"7103250210"}, {"first_name"=>"Christine", "last_name"=>"Yang", "scopus_author_id"=>"57192676749"}, {"first_name"=>"Dar", "last_name"=>"Dowlatshahi", "scopus_author_id"=>"6602400834"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-85007384196", "pmid"=>"28002479", "doi"=>"10.1371/journal.pone.0167950", "pui"=>"613880008", "isbn"=>"1932-6203 (Electronic) 1932-6203 (Linking)", "sgr"=>"85007384196"}, "id"=>"ce947ae7-0cfd-3d2e-b9b8-0e5afda2a4e9", "abstract"=>"BACKGROUND Approximately 40% of patients diagnosed with stroke experience some degree of aphasia. With limited health care resources, patients' access to speech and language therapies is often delayed. We propose using mobile-platform technology to initiate early speech-language therapy in the acute care setting. For this pilot, our objective was to assess the feasibility of a tablet-based speech-language therapy for patients with communication deficits following acute stroke. METHODS We enrolled consecutive patients admitted with a stroke and communication deficits with NIHSS score ≥1 on the best language and/or dysarthria parameters. We excluded patients with severe comprehension deficits where communication was not possible. Following baseline assessment by a speech-language pathologist (SLP), patients were provided with a mobile tablet programmed with individualized therapy applications based on the assessment, and instructed to use it for at least one hour per day. Our objective was to establish feasibility by measuring recruitment rate, adherence rate, retention rate, protocol deviations and acceptability. RESULTS Over 6 months, 143 patients were admitted with a new diagnosis of stroke: 73 had communication deficits, 44 met inclusion criteria, and 30 were enrolled into RecoverNow (median age 62, 26.6% female) for a recruitment rate of 68% of eligible participants. Participants received mobile tablets at a mean 6.8 days from admission [SEM 1.6], and used them for a mean 149.8 minutes/day [SEM 19.1]. In-hospital retention rate was 97%, and 96% of patients scored the mobile tablet-based communication therapy as at least moderately convenient 3/5 or better with 5/5 being most \"convenient\". CONCLUSIONS Individualized speech-language therapy delivered by mobile tablet technology is feasible in acute care.", "link"=>"http://www.mendeley.com/research/recovernow-feasibility-mobile-tablet-based-rehabilitation-intervention-treat-poststroke-communicatio", "reader_count"=>47, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>3, "Librarian"=>1, "Student > Doctoral Student"=>1, "Researcher"=>3, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>6, "Other"=>3, "Student > Master"=>7, "Student > Bachelor"=>16, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>3, "Librarian"=>1, "Student > Doctoral Student"=>1, "Researcher"=>3, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>6, "Other"=>3, "Student > Master"=>7, "Student > Bachelor"=>16, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>10, "Medicine and Dentistry"=>16, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>7, "Psychology"=>7, "Social Sciences"=>1, "Linguistics"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>16}, "Neuroscience"=>{"Neuroscience"=>7}, "Social Sciences"=>{"Social Sciences"=>1}, "Psychology"=>{"Psychology"=>7}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>10}, "Linguistics"=>{"Linguistics"=>3}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>2}

Scopus | Further Information

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