Article
Public, Environmental & Occupational Health
Erika Klockar, Maya Kylen, Catharina Gustavsson, Tracy Finch, Fiona Jones, Marie Elf
Summary: This study explored how people with stroke understand and practice self-management during the post-acute phase. Participants interpreted self-management as 'taking care of their business' and 'being independent', but encountered difficulties in daily activities and did not receive specific advice from healthcare professionals. There is an overlooked opportunity to start the process of self-management support earlier in the stroke pathway, enabling confidence to self-management to flourish.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Neurosciences
Yongsheng Sun, Chengjiang Liu, Nianping Zhang, Debing Yang, Jun Ma, Cungen Ma, Xi Zhang
Summary: This study aimed to investigate the effect of self-management behavior on the rehabilitation of stroke patients and to provide a theoretical basis for using patient-reported outcome (PRO) for rehabilitation evaluation. The results showed that education level, health education, food intake, exercise and rehabilitation training, sleep, and psychological intervention were the main factors for self-management behavior in stroke patients at the recovery stage. Self-management interventions can effectively increase the health education level of stroke patients and improve their quality of life and subjective well-being. The stroke PRO scale can be used to evaluate the clinical intervention effect of self-management on stroke patients comprehensively.
FRONTIERS IN NEUROSCIENCE
(2022)
Review
Clinical Neurology
Olivier Uwishema, Christin Berjaoui, Ines F. Silva Correia, Heeba Anis, Ece Karabulut, Dina Essayli, Melissa Mhanna, Adekunbi Oluyemisi
Summary: Medical care for acute ischemic stroke in Africa is suboptimal, with inadequate resources, public awareness, and delayed treatment. We urge African leaders and private entities to invest in stroke care, improve infrastructure, and enhance international and national collaboration for improved treatment affordability.
EUROPEAN JOURNAL OF NEUROLOGY
(2022)
Article
Environmental Sciences
Suzanne Hoi Shan Lo, Janita Pak Chun Chau, Ravneet Saran
Summary: Optimizing volunteer engagement in stroke rehabilitation programs through well-designed programs, strengthened collaborations with healthcare providers, and adequate training can improve self-management support for stroke survivors. The clarity of volunteers' roles and collaboration with healthcare providers are key factors.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Rehabilitation
Braden Te Ao, Matire Harwood, Vivian Fu, Mark Weatherall, Kathryn McPherson, William J. Taylor, Anna McRae, Tom Thomson, John Gommans, Geoff Green, Annemarei Ranta, Carl Hanger, Judith Riley, Harry McNaughton
Summary: The study conducted an economic analysis of a rehabilitation intervention after stroke and found that the Take Charge intervention was cost-effective and potentially cost saving, demonstrating its value in terms of both effectiveness and efficiency.
CLINICAL REHABILITATION
(2022)
Article
Rehabilitation
Julie Duncan Millar, Helen Mason, Lisa Kidd
Summary: This study aimed to explore the most important factors in making supported self-management (SSM) work in community stroke rehabilitation. The results identified four viewpoints, including a person-centered approach to build self-confidence and self-worth, feeling heard, understood, and supported by everybody, preparation of appropriate resources, and ensuring the right thing, right place, right time for the individual. Trusting supportive relationships, working in partnership, focusing on meaningful goals, and building self-confidence were important across all viewpoints.
DISABILITY AND REHABILITATION
(2023)
Article
Clinical Neurology
Stefanie Schnabel, Frederike van Wijck, Lisa Kidd
Summary: This study examined the effectiveness of a community-based augmented arm rehabilitation program for stroke survivors in meeting their personal rehabilitation needs. The findings suggest that strengthening intrinsic motivation and building therapeutic relationships were crucial in enabling participants to engage in self-managed practice and achieve their rehabilitation goals.
FRONTIERS IN NEUROLOGY
(2023)
Article
Orthopedics
Kanika Bansal, David J. Clark, Emily J. Fox, Dorian K. Rose
Summary: This study found that poststroke forward walking speed is positively related to backward walking speed, but this relationship is influenced by individual perceived falls efficacy. People with lower falls efficacy can predict backward walking speed from forward walking speed, whereas as falls efficacy increases, backward walking speed becomes a separate construct from forward walking speed.
Article
Medicine, General & Internal
Suzanne Hoi Shan Lo, Janita Pak Chun Chau, Anne Marie Chang
Summary: Stroke survivors face challenges in managing their life post-hospital discharge, with learning, confidence, self-management, positivity, and self-acceptance emerging as key strategies. The study highlights the importance of learning, active participation, and adaptation to uncertainties in promoting recovery outcomes.
Article
Rehabilitation
Harry McNaughton, Mark Weatherall, Kathryn McPherson, Vivian Fu, William J. Taylor, Anna McRae, Tom Thomson, John Gommans, Geoff Green, Matire Harwood, Annemarei Ranta, Carl Hanger, Judith Riley
Summary: The self-directed Take Charge intervention for rehabilitation after stroke may modify participants' motivation, mastery, and connectedness, although the specific mechanism remains uncertain. The study found that there was a significant positive association between baseline AMP-C scores and 12-month outcomes for the control group, but not for the combined Take Charge groups.
CLINICAL REHABILITATION
(2021)
Article
Engineering, Biomedical
Gauthier Everard, Yasmine Otmane-Tolba, Zelie Rosselli, Thomas Pellissier, Khawla Ajana, Stephanie Dehem, Edouard Auvinet, Martin Gareth Edwards, Julien Lebleu, Thierry Lejeune
Summary: This study developed an immersive virtual reality version of the Box and Block Test (BBT-VR) and assessed its concurrent validity and usability among patients with stroke and healthy participants. The results showed that BBT-VR is a reliable test that can effectively evaluate manual dexterity and provide kinematic parameters.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2022)
Article
Rehabilitation
Jo Burke, Rebecca Palmer, Madeleine Harrison
Summary: The study explored speech and language therapists' experiences of delivering computer therapy and identified key factors that may influence the implementation, such as intervention characteristics, knowledge and beliefs about the intervention, patient needs, networks and communications, and reflecting and evaluating. Personalization, feedback, and volunteer support were seen as benefits, but resource and execution barriers need to be addressed for successful implementation.
DISABILITY AND REHABILITATION
(2022)
Review
Rehabilitation
Xuan Zhou, Minxia Du, Yan Hu
Summary: This study aimed to evaluate the effectiveness of self-management programs on social participation improvement among stroke survivors. A total of 15 studies, including six randomized controlled trials and nine non-randomized controlled trials, were included. The meta-analysis showed that self-management programs did not have a statistically significant effect on social participation. Further well-designed studies are needed.
CLINICAL REHABILITATION
(2022)
Article
Multidisciplinary Sciences
Adrian Salinas Fredricson, Aron Naimi-Akbar, Johanna Adami, Bodil Lund, Annika Rosen, Britt Hedenberg-Magnusson, Lars Fredriksson, Carina Krueger Weiner
Summary: This population-based study using Swedish registry data investigated the association between musculoskeletal and connective tissue disorders (MSD) and temporomandibular disorders (TMD). The results showed that patients with MSD diagnoses had a higher probability of being diagnosed with TMD, especially those requiring surgical treatment.
Article
Psychiatry
Jon E. Grant, Samuel R. Chamberlain
Summary: This study provides new insights into the clinical presentation and phenomenology of skin picking disorder. The data collected from in-person assessments highlight the prevalence of the disorder, the age of onset, common body sites for picking, and triggers. It also sheds light on common comorbidities and the limited access to treatment. Further research is needed to better understand the course of the disorder and develop effective treatment approaches.
COMPREHENSIVE PSYCHIATRY
(2022)
Article
Orthopedics
Melissa E. Hay, Denise M. Connelly
Summary: The study found that physical therapists go through five phases when creating and implementing exercise plans for older adults with chronic back pain, including listening to the patient's story, determining function, providing physical therapy care, supporting integration, and ultimately returning to life. These phases are part of a shared alliance between the therapist and patient, with a transfer of responsibility throughout treatment sessions aimed at achieving patient independence.
Article
Public, Environmental & Occupational Health
Nicole Evans, Denise M. Connelly, Melissa E. Hay
Summary: This research aimed to understand the process of commitment to exercise for functional recovery among stroke survivors in a community setting. The study involved 10 individuals in Canada, who continued to engage in regular exercise post-stroke. Results showed that the commitment to exercise involved four phases and early interactions with healthcare providers were crucial for long-term engagement.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Article
Rehabilitation
Nicole A. Guitar, Denise M. Connelly, Laura L. Murray, Susan W. Hunter
Summary: This study investigated the understanding and knowledge of executive functioning (EF) among physiotherapists and physiotherapy students, as well as the outcome measures they use in clinical practice. The results showed that participants reported good subjective understanding of EF, but this was only moderately correlated with objective understanding. Additionally, there were significant differences in survey responses based on the primary area of practice of the physiotherapists.
PHYSIOTHERAPY CANADA
(2022)
Review
Medicine, General & Internal
Harrison Gao, Marie-Lee Yous, Denise Connelly, Lillian Hung, Anna Garnett, Melissa Erin Hay, Nancy Snobelen, Samantha Salatino
Summary: The scoping review aims to summarize the evidence on the utilization of virtual team-based care planning for older persons, focusing on the impact and outcomes reported in the literature, as well as the facilitators and barriers to implementation.
Article
Rehabilitation
Sarah M. Janssen, Denise M. Connelly
Summary: Regular exercise improves glycemic control and helps mitigate decline in strength, mobility, and balance. Studies show reliable physical function measures such as 6MWT, TUG, and STS tracks changes in aerobic capacity, mobility, and strength in T2D patients post-exercise intervention.
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
(2021)
Article
Rehabilitation
Denise M. Connelly
Summary: The study found that older adults recovering from fragility hip fractures and surgical repair made the greatest gains in mobility during inpatient rehabilitation, but did not reach normative scores at 12-weeks post-discharge, indicating continued risk of decline in functional and physical performance, as well as institutionalization.
PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS
(2022)
Article
Geriatrics & Gerontology
Carly Litchfield, Denise M. Connelly, Melissa E. Hay, Elizabeth Anne Kinsella
Summary: This research examined the experiences of older adult Alpine skiers in competitive ski racing and aimed to understand the meaning of their continued participation. Through interviews and analysis, the significance of identity as a ski racer was identified as the overarching theme. Supporting subthemes included enjoyment of the sport, adaptation, and skiing as a lifestyle. These insights can encourage and support older adults in maintaining their athletic identity as they age.
JOURNAL OF AGING AND PHYSICAL ACTIVITY
(2022)
Article
Rehabilitation
Sarah M. Janssen, Denise M. Connelly, Heather Gillis
Summary: This study examined the perspectives of educators in physiotherapy programs across Canada on teaching, learning, and practice related to type 2 diabetes (T2D). The results showed variations in the inclusion of T2D content in the curriculum, and a perception that the clinical contributions of physiotherapists for T2D patients are underutilized.
PHYSIOTHERAPY CANADA
(2022)
Article
Rehabilitation
Sarah M. Janssen, Denise M. Connelly, Chris Shields, Mireille Landry
Summary: This study aimed to measure the changes in physiological indicators and physical function of adults with T2D after participating in an education and exercise program, as well as explore their experiences with continued exercise one year later. The results showed significant improvements in physical function after the eight-week program, and the interviews revealed positive effects of supervised education and exercise programs on T2D management.
PHYSIOTHERAPY THEORY AND PRACTICE
(2022)
Article
Nursing
Denise M. Connelly, Anna Garnett, Nancy Snobelen, Nicole Guitar, Cecilia Flores-Sandoval, Samir Sinha, Jen Calver, Diana Pearson, Tracy Smith-Carrier
Summary: This study aimed to understand the impact of the COVID-19 pandemic on the personal and professional resilience of Registered Practical Nurses working in long-term care (LTC) homes in Ontario. The findings revealed two distinct perspectives on resilience among the nurses, one where they were able to maintain resilience and another where they were not. The results suggest that resilience for these nurses largely relied on individual capabilities, but additional support in self-care, work-life balance, and workplace resources are needed to enhance their resilience.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Gerontology
Denise Connelly, Melissa Hay, Anna Garnett, Lillian Hung, Marie-Lee Yous, Cherie Furlan-Craievich, Shannon Snelgrove, Melissa Babcock, Jacqueline Ripley, Nancy Snobelen, Harrison Gao, Ruthie Zhuang, Pam Hamilton, Cathy Sturdy-Smith, Maureen O'Connell
Summary: This article describes the experiences of implementing a evidence-based virtual care planning intervention for older adults in long-term care, highlighting the importance of implementation science and providing practical suggestions for practice in challenging circumstances like COVID-19.
Review
Health Care Sciences & Services
Harrison Gao, Marie-Lee Yous, Denise Connelly, Lillian Hung, Anna Garnett, Melissa Hay, Nancy Snobelen
Summary: This scoping review summarizes current knowledge about the implementation, impacts, facilitators, and barriers of virtual team-based care planning for older persons in formal care settings. Virtual team-based care planning has been found to have many positive outcomes for older persons and their families, but there are various barriers to its implementation, including lack of education and training for older persons and families in using technology.
Correction
Health Policy & Services
Mohammad B. Azzam, Marie-Andree Girard, Cynthia Andrews, Hope Bilinski, Denise M. Connelly, John H. V. Gilbert, Christie Newton, Ruby E. Grymonpre
HUMAN RESOURCES FOR HEALTH
(2022)
Article
Nursing
Denise M. M. Connelly, Nancy Snobelen, Anna Garnett, Nicole Guitar, Cecilia Flores-Sandoval, Samir Sinha, Jen Calver, Diana Pearson, Tracy Smith-Carrier
Summary: This study aimed to describe the personal and professional resilience of Registered Practical Nurses (RPNs) working in long-term care (LTC) homes during the COVID-19 pandemic in Ontario. The findings revealed low resilience scores among the respondents and extremely high levels of job (54.5%) and personal (37.8%) stress. Resources to support self-care and work-life balance, as well as building capacity for team-based care practice(s), are needed.
Article
Health Policy & Services
Mohammad B. Azzam, Marie-Andree Girard, Cynthia Andrews, Hope Bilinski, Denise M. Connelly, John H. V. Gilbert, Christie Newton, Ruby E. Grymonpre
Summary: This study aims to explore the evidence provided by Canadian HASC academic programs in meeting their profession-specific interprofessional education accreditation standards, share successes and challenges experienced by these programs, and articulate the impacts of accreditation standards on enabling interprofessional learning to the global HASC academic community.
HUMAN RESOURCES FOR HEALTH
(2022)
