Publications by authors named "Brouns B"
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.
Article Synopsis
- A user-centered design approach enhances the effectiveness of eHealth interventions in stroke rehabilitation, but there's a lack of insight into the needs of end-users like patients, caregivers, and health professionals.
- Eight focus groups were conducted to gather requirements from both patients/informal caregivers and health professionals, resulting in the identification of 45 distinct requirements related to accessibility, usability, and content for a stroke eRehabilitation program.
- The findings revealed that while both groups had overlapping requirements, there were also significant differences, highlighting the importance of incorporating the views of all end-users to create effective eRehabilitation tools.
Background: The uptake of eRehabilitation programs in stroke care is insufficient, despite the growing availability. The aim of this study was to explore which factors influence the uptake of eRehabilitation in stroke rehabilitation, among stroke patients, informal caregivers, and healthcare professionals.
Methods: A qualitative focus group study with eight focus groups (6-8 participants per group) was conducted: six with stroke patients/informal caregivers and two with healthcare professionals involved in stroke rehabilitation (rehabilitation physicians, physical therapists, occupational therapists, psychologists, managers).
Incorporating user requirements in the design of e-rehabilitation interventions facilitates their implementation. However, insight into requirements for e-rehabilitation after stroke is lacking. This study investigated which user requirements for stroke e-rehabilitation are important to stroke patients, informal caregivers, and health professionals.
View Article and Find Full Text PDFBackground: Family-centred services (FCS) is widely regarded as the best practice approach in early interventions. Creating a therapeutic environment, which also stimulates collaboration between parents and service professionals, is a way to conform to the principles of FCS. The present paper describes the project entitled @home, involving the implementation of home consultations by a specialized team working with children aged 0-5 years at our rehabilitation centre in the Netherlands.
View Article and Find Full Text PDFBackground: A deficit in affective rather than cognitive empathy is thought to be central to psychopathic traits. However, empirical evidence for empathy deficits in adolescents with psychopathic traits is limited. We investigated the concurrent and prospective effects of psychopathic traits on affective and cognitive trait empathy in late adolescence.
View Article and Find Full Text PDFRecent studies have shown that while psychopathy and non-psychopathic antisociality overlap, they differ in the extent to which cognitive impairments are present. Specifically, psychopathy has been related to abnormal allocation of attention, a function that is traditionally believed to be indexed by event-related potentials (ERPs) of the P3-family. Previous research examining psychophysiological correlates of attention in psychopathic individuals has mainly focused on the parietally distributed P3b component to rare targets.
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