Article

Stroke rehabilitation is moving towards more intense therapy models
that incorporate technologies such as robotics and computer games. It is unclear
how acceptable these changes will be to stroke survivors, as little is known
about which aspects of rehabilitation programmes are currently valued. Discrete
choice experiments are a potential approach to assessing patient preferences, as
they reveal the characteristics of programmes that are most important to
consumers. METHODS: A discrete choice experiment was presented as a face-to-face
interview to assess the priorities and preferences of stroke survivors (n=50,
mean age 72 years) for alternative rehabilitation service configurations. The
discrete choice experiment was presented to the participants while they were on
the stroke rehabilitation ward (approximately 3-4 weeks following stroke).
RESULTS: Participants were highly focused on recovery and expressed strong
preferences for therapy delivered one-to-one, but they did not favour very high
intensity programmes (6 hours per day). While the attitudinal statements
indicated high levels of agreement for programmes to incorporate the latest
technology, the results from the discrete choice experiment indicated that
participants were averse to computer-delivered therapy. CONCLUSION: Whilst
rehabilitation therapy is highly valued, stroke survivors exhibited stronger
preferences for low-intensity programmes and rest periods. High-intensity therapy
protocols or approaches dependent on new technologies will require careful
introduction to achieve uptake and acceptability.
Rééducation précoce

Langue : ANGLAIS