Cacciante Luisa, Federico Sara, Maistrello Lorenza, Kiper Pawel, De Icco Roberto, Milanesi Tommaso, Tassorelli Cristina, Gatti Roberto, Jonsdottir Johanna, Franceschini Marco, Goffredo Michela, Calabrò Rocco Salvatore, Turolla Andrea
Laboratory of Healthcare Innovation Technology, IRCCS San Camillo Hospital, Venice, Italy.
Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Digit Health. 2025 Feb 12;11:20552076241308617. doi: 10.1177/20552076241308617. eCollection 2025 Jan-Dec.
This study aims to evaluate the feasibility of an integrated multi-domain telerehabilitation (TR) system in stroke patients and to observe whether there are changes in the quality of life (QoL) levels of patients undergoing TR treatments.
Patients were enrolled for a longitudinal multicentric pilot study conducted in six Italian research hospitals (IRCCS). The primary outcome was the feasibility of an integrated TR system, assessed by calculating treatment adherence and by collecting data from the Technology Acceptance Model and the System Usability Scale (SUS). Information on time and travel distance savings was also collected. As secondary outcomes, we evaluated changes in QoL levels with the EuroQol 5-dimensions (EQ-5D) and the Short Form-36 (SF-36) and in caregiver burden through the Zarit Burden Inventory.
We enrolled 84 patients. Our system turned out to be feasible (treatment adherence = 85%), usable (SUS = 73.36/100, classifying it as a 'good' system) and well accepted by patients. Quality of life levels improved significantly from pre- to post-treatment (EQ-5D: = 0.0014; SF-36 general health: = 0.047). Caregivers perceived little or no significant care burden.
Telerehabilitation has been confirmed to be a feasible, usable and acceptable solution to guarantee continuity of care and improve accessibility to rehabilitation treatments to post-stroke patients. Furthermore, the strength of TR is in the possibility to improve patients' QoL, which in turn could impact on functioning.
本研究旨在评估综合多领域远程康复（TR）系统在中风患者中的可行性，并观察接受TR治疗的患者生活质量（QoL）水平是否有变化。
患者入选了在六家意大利研究医院（IRCCS）进行的纵向多中心试点研究。主要结局是综合TR系统的可行性，通过计算治疗依从性以及从技术接受模型和系统可用性量表（SUS）收集数据来评估。还收集了关于节省时间和出行距离的信息。作为次要结局，我们使用欧洲五维度健康量表（EQ-5D）和简明健康调查量表（SF-36）评估QoL水平的变化，并通过 Zarit 负担量表评估照顾者负担。
我们招募了84名患者。我们的系统被证明是可行的（治疗依从性 = 85%）、可用的（SUS = 73.36/100，将其归类为“良好”系统）且被患者广泛接受。治疗前后患者的生活质量水平显著提高（EQ-5D： = 0.0014；SF-36总体健康： = 0.047）。照顾者感受到的照顾负担很小或没有显著负担。
远程康复已被证实是一种可行、可用且可接受的解决方案，可确保中风后患者的护理连续性并提高康复治疗的可及性。此外，TR的优势在于有可能改善患者的QoL，进而可能影响其功能。
