对一项针对中风幸存者的增强康复过渡计划的随机对照试验的过程评估
Rebecca M Bollinger1, Melissa J Krauss1, Brianna M Holden1
1Program in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO.
Archives of physical medicine and rehabilitation
|November 8, 2025
概括
脑卒中后社区参与过渡 (COMPASS) 干预措施有效地改善了中风幸存者的家庭功能和满意度. 该计划证明了家庭改造和战略培训的良好的覆盖范围,实施忠实性和成本效益.
科学领域:
- 康复医学是康复的医学.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 卒中幸存者面临的挑战是从住院康复转回家.
- 环境和个人因素影响中风后的功能恢复和社区参与.
- 脑卒中后社区参与过渡 (COMPASS) 干预措施旨在应对这些挑战.
研究的目的:
- 详细介绍 COMPASS 干预方案的实施情况,以帮助中风幸存者返回家园.
- 使用范围,有效性,采用,实施和维护 (RE-AIM) 框架进行评估.
- 评估COMPASS干预交付和结果的关键要素.
主要方法:
- 对COMPASS干预的随机对照试验 (RCT) 的过程评估.
- 参与者包括185名50岁以上的中风幸存者,他们从住院康复中出院.
- 干预包括COMPASS (家庭修改,战略培训) 和注意力控制 (中风教育).
主要成果:
- 51.8%的符合条件的中风幸存者参与了中风;94.1%完成了COMPASS干预.
- 与12个月的对照人群相比,COMPASS提高了自我评价的表现,满意度,并降低了障碍的严重性.
- 实施涉及平均5.5次家庭访问,9.9次修改/建议,中位成本为544美元;82.4%的修改遵守.
结论:
- COMPASS干预措施在提高中风幸存者的功能表现和满意度方面表现出强大的影响力和有效性.
- COMPASS在高保真性和成本效益的前提下成功实施.
- 这些发现支持COMPASS作为一种可行的干预措施,以改善中风后恢复和参与.
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