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Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) randomised controlled trial.

Publication ,  Journal Article
Asano, M; Tai, BC; Yeo, FY; Yen, SC; Tay, A; Ng, YS; De Silva, DA; Caves, K; Chew, E; Hoenig, H; Koh, GC
Published in: J Telemed Telecare
May 2021

INTRODUCTION: The aim of this research was to evaluate the impact of a novel tele-rehabilitation system on self-reported functional outcomes compared to usual care during the first three months after stroke. METHODS: A parallel, two-arm, evaluator-blinded, randomised controlled trial was conducted. Adults aged ≥40 years who had suffered a stroke within four weeks of the start of the study were recruited from the general community. The intervention group received access to a novel tele-rehabilitation system and programme for three months. The primary outcome measures utilised were the frequency and limitation total scores of the Late-Life Function and Disability Instrument (LLFDI) at three months. RESULTS: A total of 124 individuals were recruited. The mean differences in the LLDFI frequency and limitation total scores at three months comparing the intervention and control groups were -3.30 (95% confidence interval (CI) -7.81 to 1.21) and -6.90 (95% CI -15.02 to 1.22), respectively. Adjusting for the respective baseline covariates and baseline Barthel Index also showed no significant difference between interventions in the LLFDI outcomes. DISCUSSION: The intervention and control groups self-reported similar improvements in functional outcomes. Tele-rehabilitation may be a viable option to provide post-stroke rehabilitation services in Singapore while reducing barriers to continue rehabilitation conventionally after discharge from hospital and encouraging more participation.

Duke Scholars

Published In

J Telemed Telecare

DOI

EISSN

1758-1109

Publication Date

May 2021

Volume

27

Issue

4

Start / End Page

231 / 238

Location

England

Related Subject Headings

  • Telerehabilitation
  • Technology
  • Stroke Rehabilitation
  • Stroke
  • Singapore
  • Self Report
  • Quality of Life
  • Medical Informatics
  • Humans
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Asano, M., Tai, B. C., Yeo, F. Y., Yen, S. C., Tay, A., Ng, Y. S., … Koh, G. C. (2021). Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) randomised controlled trial. J Telemed Telecare, 27(4), 231–238. https://doi.org/10.1177/1357633X19868905
Asano, Miho, Bee C. Tai, Felicity Yt Yeo, Shi C. Yen, Arthur Tay, Yee S. Ng, Deidre A. De Silva, et al. “Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) randomised controlled trial.J Telemed Telecare 27, no. 4 (May 2021): 231–38. https://doi.org/10.1177/1357633X19868905.
Journal cover image

Published In

J Telemed Telecare

DOI

EISSN

1758-1109

Publication Date

May 2021

Volume

27

Issue

4

Start / End Page

231 / 238

Location

England

Related Subject Headings

  • Telerehabilitation
  • Technology
  • Stroke Rehabilitation
  • Stroke
  • Singapore
  • Self Report
  • Quality of Life
  • Medical Informatics
  • Humans
  • Adult