Article

OBJECTIVE: To develop an intervention and undertake a proof-of-concept evaluation
of its feasibility, acceptability, and impact on recorded patient activity levels
during inpatient stroke rehabilitation. DESIGN:
A longitudinal cohort design.
SETTING: Three inpatient stroke rehabilitation services. SUBJECTS: Stroke
survivors receiving inpatient rehabilitation. INTERVENTION:
A programme designed
to increase patient activity, including individualised patient timetables,
independent practice, therapeutic group work, and structured social activities
was developed and implemented without additional resource. MAIN MEASURES:
Patients' recorded activity levels were compared for two weeks before and after
implementation of the programme. Data regarding the estimated time spent in
different types of activity were extracted from patient treatment records,
patients' and therapists' diaries, or timetables (if used) to measure patient
activity levels RESULTS:
At baseline, recorded activity levels were low; patients
undertook a mean of 61 minutes (SD = 39) of activity per day. After
implementation of the programme, recorded activity levels significantly increased
to a mean of 123 minutes
(SD = 88) per day (p = 0.0001).
The time spent in all
types of recorded activity increased (p = 0.0001-0.002), except psychology where
the increase did not reach significance (p = 0.670). CONCLUSIONS: A structured
programme can significantly increase recorded patient activity levels during
inpatient stroke rehabilitation without additional resource.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS