Neurology Services, St. Joseph's Care Group, Thunder Bay, Ontario, Canada.
Telemed J E Health. 2009 Sep;15(7):646-54. doi: 10.1089/tmj.2008.0165.
Moving On after STroke (MOST(R)) is a multimodal, psycho-educational, and exercise self-management program for people with stroke and their caregivers. The objective of this study was to explore the feasibility of videoconference delivery to rural communities. Seven participants, their caregivers, and two facilitators formed one group, located in an urban center. Five participants and their caregivers from two remote locations were connected by videoconference. Feasibility was assessed by examining recruitment and attendance rates; program adaptations; and participant, facilitator, and staff perceptions. Data sources included logs, surveys, focus groups, and interviews. To examine preliminary outcomes, goal attainment, balance, mood, participation, and walking endurance were measured pre-, post-, and 3 months following intervention. Twelve participants were recruited in 3 weeks. Attendance rates were 89.8% for the local group and 70.4% for the remote group. Program adaptations, facilitation strategies, and involvement of onsite support promoted the success of the videoconference delivery. Participants reported that the program provided people with stroke as well as caregivers with greater awareness of stroke, increased social support, and improved ability to cope. They reported a decrease in loneliness by sharing with others in a similar situation, even if they were in a different community. Pre-post improvements were seen in goal setting, mood, balance, balance confidence, and walking endurance. Videoconferencing is a feasible method for the dissemination of the MOST program to rural areas. This form of delivery is associated with improvements in goal achievement, mood, balance, and endurance, and is well received by all participants.
中风后康复行动（MOST(R)）是一个多模式的心理教育和锻炼自我管理项目，适用于中风患者及其护理人员。本研究的目的是探讨将其远程传输至农村社区的可行性。7 名参与者、他们的护理人员以及 2 名主持人组成一个小组，位于城市中心。另外 5 名参与者及其护理人员来自两个偏远地区，通过视频会议进行连接。通过评估招募和出席率、方案调整以及参与者、主持人和工作人员的看法来评估可行性。数据来源包括日志、调查、焦点小组和访谈。为了检验初步结果，在干预前、干预后和干预后 3 个月测量了目标达成、平衡、情绪、参与度和步行耐力。在 3 周内招募了 12 名参与者。当地小组的出席率为 89.8%，远程小组的出席率为 70.4%。方案调整、促进策略和现场支持的参与促进了视频会议交付的成功。参与者表示，该项目使中风患者及其护理人员对中风有了更深入的了解，增加了社会支持，并提高了应对能力。他们报告说，通过与处于类似情况的其他人分享，即使他们身处不同的社区，孤独感也有所减轻。在目标设定、情绪、平衡、平衡信心和步行耐力方面，均观察到了干预前后的改善。视频会议是向农村地区传播 MOST 项目的可行方法。这种交付方式与目标达成、情绪、平衡和耐力的改善有关，并且受到所有参与者的欢迎。
