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Long-Term Care Resident Awareness and Interest in Spasticity Treatments
Mallory L Hacker1,2, Michael S Putman3, Chandler E Gill4
1Department of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Geriatrics (Basel, Switzerland)
|April 3, 2021
Summary
Many long-term care residents are unaware of spasticity treatments. Patient education and understanding preferences can improve access to therapies like intrathecal baclofen.
Area of Science:
- Neurology
- Geriatrics
- Rehabilitation Medicine
Background:
- Spasticity affects up to one-third of long-term care residents.
- Despite available FDA-approved therapies, spasticity remains under-treated in this population.
- Lack of awareness regarding treatment options may be a significant barrier.
Purpose of the Study:
- To assess awareness and interest in spasticity treatments among long-term care residents.
- To identify potential barriers to receiving spasticity treatment in veterans' home residents.
Main Methods:
- A cross-sectional study involving interviews with 18 nursing home and 11 veterans' home residents.
- Residents were surveyed on their awareness of spasticity treatments and interest after education.
- Veterans' home residents also reported on barriers to care.
Main Results:
- A majority of residents were unaware of most available spasticity treatments.
- Awareness was highest for physical/occupational therapy (83%) and lowest for intrathecal baclofen (21%).
- Post-education, significant interest in treatment emerged, with over a quarter becoming interested and one-fifth possibly interested.
Conclusions:
- Patient-centered education is crucial for improving spasticity treatment in long-term care.
- Addressing barriers such as travel and insurance knowledge is necessary.
- Discerning patient preferences can enhance treatment acceptance and adherence.
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