Challenges of being a scholarly clinician as perceived by stroke rehabilitation professionals

2013 ◽  
Vol 36 (6) ◽  
pp. 521-528
Author(s):  
Barbara Fillion ◽  
Annie Rochette ◽  
Anik Girard
Keyword(s):  
Stroke Rehabilitation ◽  
Rehabilitation Professionals

scholarly journals Stroke Rehabilitation in Nigeria: Challenges and Opportunities

2021 ◽  
Vol 11 (2) ◽  
pp. e21013
Author(s):  
Auwal Abdullahi ◽  
Keyword(s):  
Stroke Rehabilitation ◽  
Sustainable Development Goals ◽  
Developed Countries ◽  
Democratic Governance ◽  
Neurological Rehabilitation ◽  
Rehabilitation Professionals ◽  
Challenges And Opportunities ◽  
Development Goals ◽  
The Developed Countries ◽  
Poor Infrastructure

Stroke rehabilitation offers opportunity for people with impairments and disabilities secondary to stroke. In this regard, there are many advances particularly in the developed countries. Whereas, in the developing countries such as Nigeria there are still many challenges such as lack of guidelines to guide clinicians and other stakeholders, dearth of the neurological rehabilitation professionals, inadequate training of the existing rehabilitation professionals, poor infrastructure, and lack of policies for stroke rehabilitation. However, there are also opportunities as well such as increased national and global focus on non-communicable diseases, partnership with stakeholders in national and global health, leveraging on democratic governance, leveraging on Sustainable Development Goals (SDGs), and leveraging on the systems through which communities deal with stroke. When these opportunities are harnessed, they can help to improve stroke rehabilitation in the country. Additionally, tackling the challenges headlong can help to improve stroke rehabilitation in Nigeria.

scholarly journals Practice Style Traits: Do they help explain practice behaviours of stroke rehabilitation professionals?

2007 ◽  
Vol 39 (9) ◽  
pp. 685-692 ◽  
Author(s):  
N Korner-Bitensky ◽  
A Menon-Nair ◽  
A Thomas ◽  
E Boutin ◽  
AM Arafah
Keyword(s):  
Stroke Rehabilitation ◽  
Rehabilitation Professionals ◽  
Practice Style

scholarly journals Motivational Strategies for Stroke Rehabilitation: A Delphi Study

2020 ◽  
Author(s):  
Kazuaki Oyake ◽  
Makoto Suzuki ◽  
Yokei Otaka ◽  
Kimito Momose ◽  
Satoshi Tanaka
Keyword(s):  
Delphi Study ◽  
Stroke Rehabilitation ◽  
Physical Therapists ◽  
Patient Adherence ◽  
Delphi Survey ◽  
Expert Consensus ◽  
Motivational Strategies ◽  
Rehabilitation Professionals ◽  
Rehabilitation Programs ◽  
Types Of Information

AbstractBackground and PurposeAlthough various strategies are used to motivate patients during rehabilitation, consensus regarding the optimal motivational strategies for stroke rehabilitation has not been established. Expert consensus may aid rehabilitation professionals in effectively utilizing motivational strategies to produce the most beneficial outcome for their patients. The primary purpose of this study was to provide a comprehensive list of effective motivational strategies based on consensus among rehabilitation experts, generated using the Delphi technique. In addition, we sought to identify the types of information that are important when selecting motivational strategies.MethodsA total of 198 rehabilitation experts participated in a three-round Delphi survey. The rehabilitation experts included physicians, physical therapists, occupational therapists, and speech-language-hearing therapists who had worked in stroke rehabilitation for at least five years. Panelists were asked to rate the effectiveness of motivational strategies and to rate the importance of different types of information using a 5-point Likert scale. Consensus was defined as having been reached for items with an interquartile range of 1 or less.ResultsA total of 116 experts (58.6%) completed the third round of the Delphi survey. Consensus was reached on all of the 26 presented strategies. Seven strategies, such as control of task difficulty and goal setting, were considered to be very effective in increasing patient motivation. In addition, all 11 of the presented types of information were deemed very important or important in determining which motivational strategies to use.ConclusionsWe generated a list of effective motivational strategies for stroke rehabilitation based on expert consensus. Our results suggest that experts consider a comprehensive range of patient information when choosing motivational strategies. These findings represent a group of consensus-based recommendations for increasing patient adherence to stroke rehabilitation programs, which may be beneficial to many medical professionals working in stroke rehabilitation.

scholarly journals Opportunity where medical professionals learn motivational strategies for stroke rehabilitation: a descriptive cross-sectional study

2020 ◽  
Author(s):  
Kazuaki Oyake ◽  
Satoshi Tanaka
Keyword(s):  
Clinical Practice ◽  
Stroke Rehabilitation ◽  
Patient Adherence ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Motivational Strategies ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rehabilitation Professionals ◽  
Training Schools

The addition of motivational strategies to a rehabilitation program is thought to enhance patient adherence and improve outcomes. Thus, various motivational strategies are given to patients in rehabilitation. However, it is not clear when and where rehabilitation professionals learn these motivational strategies. The purpose of this study was to clarify when and where rehabilitation professionals learned motivational strategies for stroke rehabilitation. This descriptive, cross-sectional study was conducted using a web survey with a random sample of 407 rehabilitation professionals including physicians, nurses, physical therapists, occupational therapists, and speech-language-hearing therapists. As the result, we received data for 362 participants. 84.3 % of the responders answered that they learned the motivational strategies through clinical practice after graduating from training schools. On the other hand, only 23.5% of the responders answered that they learned the strategies through on-campus education at training schools. These results indicate that many rehabilitation professionals learn the motivational strategies for stroke rehabilitation through clinical practice after graduation.

scholarly journals Factors influencing the implementation of Home-Based Stroke Rehabilitation: Professionals’ perspective

PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0220226
Author(s):  
Dinja J. van der Veen ◽  
Carola M. E. Döpp ◽  
Petra C. Siemonsma ◽  
Maria W. G. Nijhuis-van der Sanden ◽  
Bert J. M. de Swart ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
Rehabilitation Professionals ◽  
Factors Influencing ◽  
Home Based

scholarly journals Using Nominal Group Technique To Advance Power Assisted Exercise Equipment For People With Stroke

2021 ◽  
Author(s):  
Rachel Young ◽  
Karen Sage ◽  
David Broom ◽  
Katherine Broomfield ◽  
Gavin Church ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
New Technologies ◽  
Service Providers ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Health Technologies ◽  
Rehabilitation Professionals ◽  
Prototype Development ◽  
Exercise Equipment ◽  
Group Technique

Abstract BackgroundPower assisted exercise is accessible and acceptable for people with stroke. The potential for technological advancement of the equipment to improve the user experience has been identified. Involvement of end users and service providers in the design of health technologies is essential in determining how said technology is perceived and adopted. This project invited people with stroke and service providers to influence design features and determine machine selection in the preliminary stages of a codesign research programme. AimsTo capture the perspectives of people with stroke and professionals working with people with stroke about proposed digitalisation of power assisted exercise equipment and select machines for prototype development.MethodsNominal group technique was used to capture the perspectives, ideas, preferences and priorities of three stakeholder groups: people with stroke, rehabilitation professionals and exercise scientists. Two questions underpinned the structure of the events; ‘What does an assistive exercise machine need to do to allow the person with stroke to engage in exercise?’ and ‘Which machines would you prioritise for use with PwS?’ Attendees were invited to cast votes to indicate their preferred machines. FindingsSynthesis of the data from the NGT identified four domains; software and interface, exercise programme, machine and accessories, setting and service. Three preferred machines from a range of nine were identified through vote counting. ConclusionNominal group technique enabled a structured approach to patient and public involvement at the outset of a co-design project to advance rehabilitation technologies for people with stroke. Patient and service provider contributionThe opinions and preferences of people with stroke, rehabilitation professionals and exercise scientists were central to key decisions which will shape the digitalisation of power assisted equipment, influence future research and guide implementation of the new technologies.

scholarly journals Motivational Strategies for Stroke Rehabilitation: A Descriptive Cross-sectional Study

2019 ◽  
Author(s):  
Kazuaki Oyake ◽  
Makoto Suzuki ◽  
Yokei Otaka ◽  
Satoshi Tanaka
Keyword(s):  
Clinical Experience ◽  
Stroke Rehabilitation ◽  
Patient Adherence ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Motivational Strategies ◽  
Personal Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rehabilitation Professionals

AbstractBackground and PurposeThe addition of motivational strategies to a rehabilitation program is thought to enhance patient adherence and improve outcomes. However, little is known about how rehabilitation professionals motivate stroke patients during rehabilitation. The primary objective of this study was to provide a comprehensive and quantitative list of motivational strategies for stroke rehabilitation. In addition, we aimed to examine (1) whether professionals with more clinical experience used a higher number of motivational strategies, (2) the purpose for using each strategy, and (3) the information considered when choosing strategies.MethodsThis descriptive, cross-sectional study was conducted using a web survey with a random sample of 407 rehabilitation professionals including physicians, nurses, physical therapists, occupational therapists, and speech-language-hearing therapists.ResultsWe received data for 362 participants. Fifteen strategies were found to be used by more than 75% of the respondents reported using to motivate their patients. Almost all of the respondents reported that they actively listen to and praise their patients to increase patient adherence to rehabilitation programs. Respondents with more clinical experience tended to use a higher number of motivational strategies (rho = 0.208, p < 0.001). For 11 of the 15 strategies selected by more than 75% of respondents, the highest percentage of respondents reported that they used the strategies to make rehabilitation worthwhile for their patients. The majority of respondents reported that they decide which motivational strategy to use by considering comprehensive information regarding the patient health condition, environmental factors, and personal factors.ConclusionsThe comprehensive list of motivational strategies obtained may be useful for increasing patient adherence to rehabilitation, especially for professionals with less clinical experience. Furthermore, our findings regarding the purpose for using each strategy and the information used to choose strategies might help rehabilitation professionals to utilize the motivational strategy list.

Multidisciplinary Evidence to Treat Bilingual Individuals with Aphasia

2008 ◽  
Vol 15 (3) ◽  
pp. 66-72 ◽  
Author(s):  
José G. Centeno
Keyword(s):  
Stroke Rehabilitation ◽  
Culturally Diverse ◽  
Treatment Strategies ◽  
The United States ◽  
Intervention Strategies ◽  
Steady Increase ◽  
Clinical Procedures ◽  
Bilingual Speakers ◽  
Aphasic Clients

Abstract The steady increase in linguistic and cultural diversity in the country, including the number of bilingual speakers, has been predicted to continue. Minorities are expected to be the majority by 2042. Strokes, the third leading cause of death and the leading cause of long-term disability in the U.S., are quite prevalent in racial and ethnic minorities, so population estimates underscore the imperative need to develop valid clinical procedures to serve the predicted increase in linguistically and culturally diverse bilingual adults with aphasia in post-stroke rehabilitation. Bilingualism is a complex phenomenon that interconnects culture, cognition, and language; thus, as aphasia is a social phenomenon, treatment of bilingual aphasic persons would benefit from conceptual frameworks that exploit the culture-cognition-language interaction in ways that maximize both linguistic and communicative improvement leading to social re-adaptation. This paper discusses a multidisciplinary evidence-based approach to develop ecologically-valid treatment strategies for bilingual aphasic individuals. Content aims to spark practitioners' interest to explore conceptually broad intervention strategies beyond strictly linguistic domains that would facilitate linguistic gains, communicative interactions, and social functioning. This paper largely emphasizes Spanish-English individuals in the United States. Practitioners, however, are advised to adapt the proposed principles to the unique backgrounds of other bilingual aphasic clients.

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