Publications by authors named "B Brouns"
What works and why in the implementation of eRehabilitation after stroke - a process evaluation.
Disabil Rehabil Assist Technol
February 2024
Background: Implementation of an eRehabilitation intervention named Fit After Stroke @Home (Fast@home) - including cognitive/physical exercise applications, activity-tracking, psycho-education - after stroke resulted in health-related improvements. This study investigated what worked and why in the implementation.
Methods: Implementation activities (information provision, integration of Fast@home, instruction and motivation) were performed for 14 months and evaluated, using the Medical Research Council framework for process evaluations which consists of three evaluation domains (implementation, mechanisms of impact and contextual factors).
Objective: To compare the effect on disability and quality of life, of conventional rehabilitation (control group) with individualized, tailored eRehabilitation intervention alongside conventional rehabilitation (Fast@home; intervention group), for people with stroke.
Methods: Pre-post design. The intervention comprised cognitive (Braingymmer®) and physical (Telerevalidatie®/Physitrack®) exercises, activity-tracking (Activ8®) and psycho-education.
An amendment to this paper has been published and can be accessed via the original article.
View Article and Find Full Text PDFBackground: To improve the use of eRehabilitation after stroke, the identification of barriers and facilitators influencing this use in different healthcare contexts around the world is needed. Therefore, this study aims to investigate differences and similarities in factors influencing the use of eRehabilitation after stroke among Brazilian Healthcare Professionals (BHP) and Dutch Healthcare Professionals (DHP).
Method: A cross-sectional survey study including 88 statements about factors related to the use of eRehabilitation (4-point Likert scale; 1-4; unimportant-important/disagree-agree).
Article Synopsis
- The study aimed to explore factors influencing the willingness to use eRehabilitation among stroke patients, caregivers, and healthcare professionals.
- The survey revealed that perceived benefits, like reduced travel and improved motivation, increased the likelihood of adopting eRehabilitation, while a lack of knowledge negatively impacted willingness, especially among patients.
- The findings indicate a need for improved education on eRehabilitation's advantages and further research to enhance understanding and use among different user groups.