Description of the CARE4STROKE programme: A caregiver-mediated exercises intervention with e-health support for stroke patients

Judith Vloothuis, Julya de Bruin, Marijn Mulder, Rinske Nijland, Gert Kwakkel, Erwin E.H. van Wegen*

*Corresponding author for this work

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Background: Intensity of practice and task and context specificity are key factors
    for improving functional outcome in stroke survivors. Novel methods are needed to
    augment intensity of practice with minimal use of resources and costs. Caregivermediated
    exercises (CMEs) focused on mobility, in which a caregiver acts as an exercise
    coach and can increase the intensity of practice. There is preliminary evidence
    that CME can improve functional outcome, reduce length of stay, and allow early supported
    discharge, without an increase in caregiver burden. In the CARE4STROKE
    programme (C4S), CME therapy and e‐health support are combined to promote a
    smoother transition from the inpatient setting to the home environment, with active
    rehabilitation continuing in the community.
    The objective of this paper is to describe the content of the C4S intervention in detail
    and explain implementation of this intervention in practice using the Template for
    Intervention Description and Replication checklist.
    Methods: Content, timing and intensity of the programme, participant screening
    and selection, and intervention procedures were described using the Template for
    Intervention Description and Replication checklist. Mobility exercises and use of a
    video application on tablet/smartphone are explained. The role of the caregiver as
    provider of the intervention is illustrated.
    Discussion: C4S prescribes an additional exercise dose of 1,200 min and may be a promising
    novel and effective method to augment the pallet of therapeutic options for stroke
    rehabilitation. Important aspects for successful implementation are availability and suitability
    of a caregiver. Suggestions for additional use of e‐health technology are described.
    Implications for physiotherapy practice: The presented description of C4S gives
    physical therapists practical guidelines to facilitate implementation of the CME
    intervention.
    Original languageEnglish
    Article numbere1719
    Pages (from-to)1-6
    Number of pages6
    JournalPhysiotherapy Research International
    Volume23
    Issue number3
    Early online date24 May 2018
    DOIs
    Publication statusPublished - Jul 2018

    Keywords

    • caregiver
    • e-health
    • exercise therapy
    • rehabilitation services
    • stroke

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