The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic
Background Telecare may provide an alternative to maintaining post-acute stroke care services in making benefit to both the providers and the stroke survivors, although study is needed to investigate its feasibility and effectiveness in integrating this innovative delivery mode into a routine.Object...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2025-03-01
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| Series: | BMJ Health & Care Informatics |
| Online Access: | https://informatics.bmj.com/content/32/1/e101082.full |
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| author | Frances Kam Yuet Wong Arkers Kwan Ching Wong Robbie Mian Wang Bernard Man Kam Yuen Ching Sing Fong Shun Tim Chan Vivian Wai Yan Kwok |
| author_facet | Frances Kam Yuet Wong Arkers Kwan Ching Wong Robbie Mian Wang Bernard Man Kam Yuen Ching Sing Fong Shun Tim Chan Vivian Wai Yan Kwok |
| author_sort | Frances Kam Yuet Wong |
| collection | DOAJ |
| description | Background Telecare may provide an alternative to maintaining post-acute stroke care services in making benefit to both the providers and the stroke survivors, although study is needed to investigate its feasibility and effectiveness in integrating this innovative delivery mode into a routine.Objectives The objectives of this study are to assess the feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic.Methods A pre- and post-test one group quasi-experimental design was adopted. Subjects were recruited in the clinic and received three secondary stroke care consultations in 3 months via telecare from stroke nurses. Data were collected at pre- and post-intervention. A Wilcoxon signed-rank test was used to compare the two time-points for differences in effectiveness.Results Ninety-two stroke survivors participated. The drop-out rate was 27%. The majority perceived the programme as time-friendly and cost-saving and as alleviating their health-related worries. At the 3-month follow-up, notable improvements were observed in the activities of daily living and the strength domain of stroke-specific quality of life.Conclusions Integrating telecare consultations within nurse-led stroke clinics is a feasible and acceptable strategy for monitoring the health and fostering the self-care abilities of individuals following their discharge from hospital after an acute stroke episode. |
| format | Article |
| id | doaj-art-9687fd9cdfe14469bee80abc418dd797 |
| institution | DOAJ |
| issn | 2632-1009 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Health & Care Informatics |
| spelling | doaj-art-9687fd9cdfe14469bee80abc418dd7972025-08-20T02:40:29ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092025-03-0132110.1136/bmjhci-2024-101082The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinicFrances Kam Yuet Wong0Arkers Kwan Ching Wong1Robbie Mian Wang2Bernard Man Kam Yuen3Ching Sing Fong4Shun Tim Chan5Vivian Wai Yan Kwok6School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong KongSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong KongSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong KongQueen Elizabeth Hospital, Kowloon, Hong KongQueen Elizabeth Hospital, Kowloon, Hong KongQueen Elizabeth Hospital, Kowloon, Hong KongQueen Elizabeth Hospital, Kowloon, Hong KongBackground Telecare may provide an alternative to maintaining post-acute stroke care services in making benefit to both the providers and the stroke survivors, although study is needed to investigate its feasibility and effectiveness in integrating this innovative delivery mode into a routine.Objectives The objectives of this study are to assess the feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic.Methods A pre- and post-test one group quasi-experimental design was adopted. Subjects were recruited in the clinic and received three secondary stroke care consultations in 3 months via telecare from stroke nurses. Data were collected at pre- and post-intervention. A Wilcoxon signed-rank test was used to compare the two time-points for differences in effectiveness.Results Ninety-two stroke survivors participated. The drop-out rate was 27%. The majority perceived the programme as time-friendly and cost-saving and as alleviating their health-related worries. At the 3-month follow-up, notable improvements were observed in the activities of daily living and the strength domain of stroke-specific quality of life.Conclusions Integrating telecare consultations within nurse-led stroke clinics is a feasible and acceptable strategy for monitoring the health and fostering the self-care abilities of individuals following their discharge from hospital after an acute stroke episode.https://informatics.bmj.com/content/32/1/e101082.full |
| spellingShingle | Frances Kam Yuet Wong Arkers Kwan Ching Wong Robbie Mian Wang Bernard Man Kam Yuen Ching Sing Fong Shun Tim Chan Vivian Wai Yan Kwok The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic BMJ Health & Care Informatics |
| title | The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic |
| title_full | The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic |
| title_fullStr | The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic |
| title_full_unstemmed | The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic |
| title_short | The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic |
| title_sort | feasibility and effectiveness of telecare consultations in a nurse led post acute stroke clinic |
| url | https://informatics.bmj.com/content/32/1/e101082.full |
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