Title
Determinants influencing the implementation of home-based stroke rehabilitation: A systematic review
Author
Siemonsma, P.
Dopp, C.
Alpay, L.
Tak, E.
van Meeteren, N.
Chorus, A.
Publication year
2014
Abstract
Purpose: Home-based rehabilitation is a promising alternative to regular center-based stroke rehabilitation. The objective of this study was to identify what is currently known about determinants that influence the implementation of home-based stroke rehabilitation (HBSR) in clinical practice. Methods: A systematic review of determinants of HBSR was conducted, using a framework for innovation (including determinants related to the innovation, the user, the organization, and the socio-political context). Reviews, meta-analyses, and qualitative studies were included. Studies were selected if they concerned: home-based rehabilitation of stroke patient’s (motor) function, changes in in-person service delivery (424 h to 12 months poststroke) and determinants of implementation. Results: A total of 88 studies were identified, of which 7 studies met the inclusion criteria. Identified determinants of implementation of HBSR were: intervention effectiveness, the exact nature of the medical condition, satisfaction with services, coordination of services, inter-professional collaborations, availability of appropriate training equipment, and costs. However, none of the studies had the primary aim to identify determinants of implementation. Conclusion: A more complete and detailed overview of existing determinants of HBSR is needed to assist professionals and organizations in decisionmaking on HBSR implementation and development of suitable strategies for implementation.
Subject
Behavioural Changes Healthy Living
LS - Life Style HL - Healthy for Life
ELSS - Earth, Life and Social Sciences
Healthy for Life
Health
Healthy Living
Barriers
Determinants
Home-based
Implementation
Stroke
To reference this document use:
http://resolver.tudelft.nl/uuid:30e8ae3f-568d-496b-a063-d7057f7fa0a9
DOI
https://doi.org/10.3109/09638288.2014.885091
TNO identifier
492682
Source
Disability and rehabilitation, 36 (24), 2019-2030
Document type
article