Feasibility of a novel web-based neuropsychological rehabilitation programme for stroke patients
DOI:
https://doi.org/10.2340/jrm.v57.43275Keywords:
cognition, neuropsychology, psychoeducation, rehabilitation, stroke, telerehabilitation, web-based rehabilitationAbstract
Objective: To evaluate the implementation and feasibility of the Neuropsychological Digital Care Pathway (NP-DCP), a novel, professional-guided web-based rehabilitation programme for the rehabilitation of cognitive and emotional symptoms following stroke and to identify factors associated with adherence and user experience.
Design: Retrospective registry study.
Subjects: 133 stroke patients (≥ 18 years) with mild to moderate cognitive impairment at the Neurocenter, Helsinki University Hospital, Finland, referred to the NP-DCP between April 2019 and April 2020.
Methods: The NP-DCP adherence data (completers, dropouts, non-starters) and feedback from programme completers were analysed along with demographic and clinical characteristics.
Results: Of the referred patients, 114 (86%) started the programme; of these, 79 (68%) completed it. The average completion time was 82.3 days. Referral on discharge from acute care was associated with higher adherence (p = 0.019). Women were more likely to start the programme than men (p = 0.012). Usability and content were rated good to excellent (mean 4.1–4.4/5), with participants with basic education more satisfied than those with higher education (p = 0.033).
Conclusion: The NP-DCP demonstrated high engagement and user satisfaction, suggesting it is a feasible tool for stroke rehabilitation, thus adding a promising new method to existing services. Early referral may improve adherence.
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