Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke

Introduction: Virtual reality has the potential to assist occupational therapists in preparing patients for discharge by facilitating discussions and providing education about relevant practical issues and safety concerns. This study aimed to explore the feasibility of using a virtual reality inter...

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Main Authors: Threapleton, Kate, Newberry, Karen, Sutton, Greg, Worthington, Esme, Drummond, Avril E.R.
Format: Article
Language:English
Published: SAGE 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/50785/
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author Threapleton, Kate
Newberry, Karen
Sutton, Greg
Worthington, Esme
Drummond, Avril E.R.
author_facet Threapleton, Kate
Newberry, Karen
Sutton, Greg
Worthington, Esme
Drummond, Avril E.R.
author_sort Threapleton, Kate
building Nottingham Research Data Repository
collection Online Access
description Introduction: Virtual reality has the potential to assist occupational therapists in preparing patients for discharge by facilitating discussions and providing education about relevant practical issues and safety concerns. This study aimed to explore the feasibility of using a virtual reality intervention to support patient discharge after stroke and pilot its use. Method: Practical aspects of delivering a virtual reality intervention prior to discharge were explored by means of a non-randomised feasibility study and a subsequent pilot randomised controlled trial. Factors considered included eligibility, recruitment, intervention delivery, attrition and suitability of outcome measures. Outcome measures included standardised assessments of stroke severity, mobility, health-related quality of life, functional ability, satisfaction with services and concerns about falling. Results: Thirty-three participants were recruited in total: 17 to the feasibility study and 16 to the pilot trial. At 1-month follow-up, 14 participants (82%) were re-assessed in the feasibility study and 12 (75%) in the pilot trial. The main difficulties encountered related to recruitment, particularly regarding post-stroke cognitive impairments, the presence of mild deficits or illness. Conclusion: It was feasible to recruit and retain participants, deliver the intervention and collect outcome measures, despite slow recruitment rates. These findings could inform the design of a definitive trial.
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spelling nottingham-507852020-05-08T12:00:20Z https://eprints.nottingham.ac.uk/50785/ Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke Threapleton, Kate Newberry, Karen Sutton, Greg Worthington, Esme Drummond, Avril E.R. Introduction: Virtual reality has the potential to assist occupational therapists in preparing patients for discharge by facilitating discussions and providing education about relevant practical issues and safety concerns. This study aimed to explore the feasibility of using a virtual reality intervention to support patient discharge after stroke and pilot its use. Method: Practical aspects of delivering a virtual reality intervention prior to discharge were explored by means of a non-randomised feasibility study and a subsequent pilot randomised controlled trial. Factors considered included eligibility, recruitment, intervention delivery, attrition and suitability of outcome measures. Outcome measures included standardised assessments of stroke severity, mobility, health-related quality of life, functional ability, satisfaction with services and concerns about falling. Results: Thirty-three participants were recruited in total: 17 to the feasibility study and 16 to the pilot trial. At 1-month follow-up, 14 participants (82%) were re-assessed in the feasibility study and 12 (75%) in the pilot trial. The main difficulties encountered related to recruitment, particularly regarding post-stroke cognitive impairments, the presence of mild deficits or illness. Conclusion: It was feasible to recruit and retain participants, deliver the intervention and collect outcome measures, despite slow recruitment rates. These findings could inform the design of a definitive trial. SAGE 2018-04-01 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/50785/8/Accepted%20Upload%20%28003%29.pdf Threapleton, Kate, Newberry, Karen, Sutton, Greg, Worthington, Esme and Drummond, Avril E.R. (2018) Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke. British Journal of Occupational Therapy, 81 (4). pp. 196-206. ISSN 1477-6006 Occupational therapy virtual reality stroke rehabilitation discharge planning home visits http://journals.sagepub.com/doi/10.1177/0308022617743459 doi:10.1177/0308022617743459 doi:10.1177/0308022617743459
spellingShingle Occupational therapy
virtual reality
stroke
rehabilitation
discharge planning
home visits
Threapleton, Kate
Newberry, Karen
Sutton, Greg
Worthington, Esme
Drummond, Avril E.R.
Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
title Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
title_full Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
title_fullStr Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
title_full_unstemmed Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
title_short Virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
title_sort virtually home: feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke
topic Occupational therapy
virtual reality
stroke
rehabilitation
discharge planning
home visits
url https://eprints.nottingham.ac.uk/50785/
https://eprints.nottingham.ac.uk/50785/
https://eprints.nottingham.ac.uk/50785/