TY - JOUR
T1 - Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial
T2 - descriptive analysis of intervention fidelity, goal selection and goal achievement
AU - Bosomworth, Helen
AU - Rodgers, Helen
AU - Shaw, Lisa
AU - Smith, Leanne
AU - Aird, Lydia
AU - Howel, Denise
AU - Wilson, Nina
AU - Alvarado, Natasha
AU - Andole, Sreeman
AU - Cohen, David L
AU - Dawson, Jesse
AU - Fernandez-Garcia, Cristina
AU - Finch, Tracy
AU - Ford, Gary A
AU - Francis, Richard
AU - Hogg, Steven
AU - Hughes, Niall
AU - Price, Christopher I
AU - Ternent, Laura
AU - Turner, Duncan L
AU - Vale, Luke
AU - Wilkes, Scott
AU - Krebs, Hermano I
AU - van Wijck, Frederike
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was funded by the NIHR Health Technology Assessment programme [project number 11/26/05]. The views and opinions expressed here are those of the authors and do not necessarily reflect those of the HTA programme, NIHR, NHS or Department of Health.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - OBJECTIVE: To report the fidelity of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after stroke (RATULS) randomized controlled trial, the types of goals selected and the proportion of goals achieved.DESIGN: Descriptive analysis of data on fidelity, goal selection and achievement from an intervention group within a randomized controlled trial.SETTING: Out-patient stroke rehabilitation within four UK NHS centres.SUBJECTS: 259 participants with moderate-severe upper limb activity limitation (Action Research Arm Test 0-39) between one week and five years post first stroke.INTERVENTION: The enhanced upper limb therapy programme aimed to provide 36 one-hour sessions, including 45 minutes of face-to-face therapy focusing on personal goals, over 12 weeks.RESULTS: 7877/9324 (84%) sessions were attended; a median of 34 [IQR 29-36] per participant. A median of 127 [IQR 70-190] repetitions were achieved per participant per session attended. Based upon the Canadian Occupational Performance Measure, goal categories were: self-care 1449/2664 (54%); productivity 374/2664 (14%); leisure 180/2664 (7%) and 'other' 661/2664 (25%). For the 2051/2664 goals for which data were available, 1287 (51%) were achieved, ranging between 27% by participants more than 12 months post stroke with baseline Action Research Arm Test scores 0-7, and 88% by those less than three months after stroke with scores 8-19.CONCLUSIONS: Intervention fidelity was high. Goals relating to self-care were most commonly selected. The proportion of goals achieved varied, depending on time post stroke and baseline arm activity limitation.
AB - OBJECTIVE: To report the fidelity of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after stroke (RATULS) randomized controlled trial, the types of goals selected and the proportion of goals achieved.DESIGN: Descriptive analysis of data on fidelity, goal selection and achievement from an intervention group within a randomized controlled trial.SETTING: Out-patient stroke rehabilitation within four UK NHS centres.SUBJECTS: 259 participants with moderate-severe upper limb activity limitation (Action Research Arm Test 0-39) between one week and five years post first stroke.INTERVENTION: The enhanced upper limb therapy programme aimed to provide 36 one-hour sessions, including 45 minutes of face-to-face therapy focusing on personal goals, over 12 weeks.RESULTS: 7877/9324 (84%) sessions were attended; a median of 34 [IQR 29-36] per participant. A median of 127 [IQR 70-190] repetitions were achieved per participant per session attended. Based upon the Canadian Occupational Performance Measure, goal categories were: self-care 1449/2664 (54%); productivity 374/2664 (14%); leisure 180/2664 (7%) and 'other' 661/2664 (25%). For the 2051/2664 goals for which data were available, 1287 (51%) were achieved, ranging between 27% by participants more than 12 months post stroke with baseline Action Research Arm Test scores 0-7, and 88% by those less than three months after stroke with scores 8-19.CONCLUSIONS: Intervention fidelity was high. Goals relating to self-care were most commonly selected. The proportion of goals achieved varied, depending on time post stroke and baseline arm activity limitation.
KW - Stroke
KW - fidelity
KW - goals
KW - rehabilitation
KW - repetitive functional task practice
KW - upper limb
UR - http://www.scopus.com/inward/record.url?scp=85090859620&partnerID=8YFLogxK
U2 - 10.1177/0269215520953833
DO - 10.1177/0269215520953833
M3 - Article
C2 - 32914639
SN - 0269-2155
VL - 35
SP - 119
EP - 134
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
IS - 1
ER -
