Outcome Measures Following Tele-rehabilitation and Conventional Face to Face Rehabilitation in Paediatric Cochlear Implant Users during COVID-19 Pandemic: A Pilot Study in a Tertiary Care Setup

2021 ◽

Author(s):

Gurumayum Sonachand Sharma ◽

Anupam Gupta ◽

Meeka Khanna ◽

Naveen Bangarpet Prakash

Keyword(s):

Outcome Measures ◽

Functional Outcomes ◽

Rating Scale ◽

Tertiary Care ◽

Depression Scale ◽

Inpatient Rehabilitation ◽

University Hospital ◽

Post Stroke ◽

Significant Difference ◽

Post Stroke Depression

Abstract Objective The aim of the study is to observe the effect of post-stroke depression on functional outcomes during inpatient rehabilitation. Patients and Methods The design involved is prospective observational study. The location involved is Neurological Rehabilitation unit in a tertiary care university hospital. The study period ranges from October 2019 to April 2020. The participants involved are the patients with first ever stroke, male and female with age ≥18 years and duration less than 1 year. All participants were assessed at admission and after 14 sessions of inpatient rehabilitation by depression subscale of Hospital Anxiety and Depression Scale (HADS-D) and Hamilton Depression Rating Scale (HDRS). The stroke outcomes measures used were: Barthel Index (BI), Scandinavian Stroke Scale (SSS), and Modified Rankin Scale (MRS). Results There are a total of 30 participants (18 males) with median stroke duration of 90 days. The median age of the patients was 58 years. Sixteen patients had ischemic and 14 had hemorrhagic stroke. Out of these, 57% (n = 17) had symptoms of depression (HADS-D >7). Participants in both groups (with and without depression) showed improvement in all the functional outcome measures (BI, SSS, MRS) at the time of discharge as compared with admission scores. The changes in the outcome measures were statistically significant within groups (p < 0.05) but not significant between the groups (p > 0.05). Conclusion The post-stroke depression is common among stroke survivors of less than 1 year duration. There was no significant difference in the functional outcomes between stroke patients with depression and those without depression with inpatient rehabilitation program.

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Improvement in Total and Face-to-Face Provider Time in a Multidisciplinary Craniofacial Team Clinic: An Interventional Study

The Cleft Palate-Craniofacial Journal ◽

10.1177/10556656211021705 ◽

2021 ◽

pp. 105566562110217

Author(s):

Alexis C. Wood ◽

C. Alejandra Garcia de Mitchell ◽

Ruchi Kaushik

Keyword(s):

Data Collection ◽

Cleft Palate ◽

Outcome Measures ◽

Clinic Visit ◽

Visit Time ◽

Time Data ◽

Interventional Study ◽

Face To Face ◽

Before And After ◽

Total Visit

Objective: Identify factors contributing to time a family spends in a Multidisciplinary Craniofacial Team Clinic (MDCT) and implement an intervention to reduce this time. Design: Interventional: a restructuring of clinics to serve those patients requiring fewer provider encounters separately. Setting: An American Cleft Palate-Craniofacial Association-accredited MDCT in an academic children’s hospital. Patients/Participants: One hundred sixty-seven patients with craniofacial diagnoses. Interventions: Time data were tabulated over ∼2 years. Following 9 months of data collection, patients requiring fewer provider encounters were scheduled to a separate clinic serving children with craniosynostosis, and data were collected in the same fashion for another 14 months. Main Outcome Measures: Principal outcome measures included total visit time and proportion of the visit spent without a provider in the room before and after clinic restructuring. Results: The average time spent by family in a clinic session was 161.53 minutes, of which 64.3% was spent without a provider in the room. Prior to clinic restructuring, a greater number of provider encounters was inversely associated with percentage of time spent without a provider ( P < .001). Upon identifying this predictor, scheduling patients who needed fewer provider encounters to a Craniosynostosis Clinic session resulted in reduction in absolute and percentage of time spent without a provider ( P < .001). Conclusions: The number of provider encounters is a significant predictor of the proportion of a clinic visit spent without a provider. Clinic restructuring to remove patient visits that comprise fewer provider encounters resulted in a greater percentage of time spent with a provider in an MDCT.

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Telepresence Robots in the Classroom

Journal of Educational Technology Systems ◽

10.1177/00472395211034778 ◽

2021 ◽

pp. 004723952110347

Author(s):

Penny Thompson ◽

Sarinporn Chaivisit

Keyword(s):

Pilot Study ◽

Space Robot ◽

Classroom Experience ◽

Face To Face ◽

Telepresence Robot ◽

Telepresence Robots ◽

Remote User

This study used the concept of shared affordance space to explore students’ perceptions of the use of a telepresence robot in a face-to-face classroom. Results from this qualitative pilot study suggest the telepresence robot has the potential to provide enough autonomy and agency for both the remote user and the in-class students to perceive a shared affordance space. Robot users and classmates use human pronouns to describe the robot user and discuss a process of adjusting to its presence. The physical configuration of the classroom can either facilitate or hinder this process. The research provides greater understanding of the experiences of students in a face-to-face classroom that includes remote students attending class using a telepresence robot. It can help educators design and implement these experiences in a way that creates a beneficial classroom experience for both in-class and remote learners.

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Computer-aided self-help for phobia/panic via internet at home: A pilot study

The British Journal of Psychiatry ◽

10.1192/bjp.184.5.448 ◽

2004 ◽

Vol 184 (5) ◽

pp. 448-449 ◽

Cited By ~ 45

Author(s):

Mark Kenwright ◽

Isaac M. Marks ◽

Lina Gega ◽

David Mataix-Cols

Keyword(s):

Pilot Study ◽

Panic Disorder ◽

Open Study ◽

The Internet ◽

Face To Face ◽

Self Help ◽

Computer Aided ◽

Therapist Support ◽

At Home ◽

Help System

SummaryIn an open study, ten people with phobia or panic disorder who could not travel repeatedly to a therapist accessed a computer-aided exposure self-help system (Fear Fighter) at home on the internet with brief therapist support by telephone. They improved significantly, and their outcome and satisfaction resembled those in patients with similar disorders who used Fear Fighter in clinics with brief face-to-face therapist support.

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Bridging the Gap: Addressing Challenges toward Improvement of Cleft Teamwork in a Tertiary Care Center in North India: A Pilot Study

The Cleft Palate-Craniofacial Journal ◽

10.1597/11-079 ◽

2013 ◽

Vol 50 (4) ◽

pp. 473-480 ◽

Cited By ~ 2

Author(s):

Gayatri Moghe ◽

Simratvir Mauli ◽

Abi Thomas ◽

Vijay A.E. Obed

Keyword(s):

Pilot Study ◽

Care Center ◽

Tertiary Care ◽

North India ◽

Tertiary Care Center

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Patterns of feelings in face‐to‐face negotiation: a Sino‐Dutch pilot study

Cross Cultural Management An International Journal ◽

10.1108/13527600510798097 ◽

2005 ◽

Vol 12 (3) ◽

pp. 103-118 ◽

Cited By ~ 12

Author(s):

Jan Ulijn ◽

Anne Françoise Rutkowski ◽

Rajesh Kumar ◽

Yunxia Zhu

Keyword(s):

Pilot Study ◽

Face To Face ◽

Face Negotiation

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Telemedicine for New Neurological Outpatients: Putting a Randomized Controlled Trial in the Context of Everyday Practice

Journal of Telemedicine and Telecare ◽

10.1177/1357633x0200800505 ◽

2002 ◽

Vol 8 (5) ◽

pp. 270-273 ◽

Cited By ~ 14

Author(s):

Richard Chua ◽

John Craig ◽

Thomas Esmonde ◽

Richard Wootton ◽

Victor Patterson

Keyword(s):

Randomized Controlled Trial ◽

Outcome Measures ◽

Retrospective Review ◽

Controlled Trial ◽

The Other ◽

Everyday Practice ◽

General Hospitals ◽

Face To Face ◽

Randomized Controlled ◽

General Physicians

In a retrospective review, the telemedical management of 65 outpatients from a randomized controlled trial (RCT) of telemedicine for non-urgent referrals to a consultant neurologist was compared with the management of 76 patients seen face to face in the same trial, with that of 150 outpatients seen in the neurology clinics of district general hospitals and with that of 102 neurological outpatients seen by general physicians. Outcome measures were the numbers of investigations and of patient reviews. The telemedicine group did not differ significantly from the 150 patients seen face to face by neurologists in hospital clinics in terms of either the number of investigations or the number of reviews they received. Patients from the RCT seen face to face had significantly fewer investigations but a similar number of reviews to the other 150 patients seen face to face by neurologists (the disparity in the number of investigations may explain the negative result for telemedicine in that RCT). Patients with neurological symptoms assessed by general physicians had significantly more investigations and were reviewed significantly more often than all the other groups. Patients from the RCT seen by telemedicine were not managed significantly differently from those seen face to face by neurologists in hospital clinics but had significantly fewer investigations and follow-ups than those patients managed by general physicians. The results suggest that management of new neurological outpatients by neurologists using telemedicine is similar to that by neurologists using a face-to-face consultation, and is more efficient than management by general physicians.

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