Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement

Helen Bosomworth; Helen Rodgers; Lisa Shaw; Leanne Smith; Lydia Aird; Denise Howel; Nina Wilson; Natasha Alvarado; Sreeman Andole; David L Cohen; Jesse Dawson; Cristina Fernandez-Garcia; Tracy Finch; Gary A Ford; Richard Francis; Steven Hogg; Niall Hughes; Christopher I Price; Laura Ternent; Duncan L Turner; Luke Vale; Scott Wilkes; Hermano I Krebs; Frederike van Wijck

doi:10.1177/0269215520953833

Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement

Helen Bosomworth^*, Helen Rodgers, Lisa Shaw, Leanne Smith, Lydia Aird, Denise Howel, Nina Wilson, Natasha Alvarado, Sreeman Andole, David L Cohen, Jesse Dawson, Cristina Fernandez-Garcia, Tracy Finch, Gary A Ford, Richard Francis, Steven Hogg, Niall Hughes, Christopher I Price, Laura Ternent, Duncan L TurnerLuke Vale, Scott Wilkes, Hermano I Krebs, Frederike van Wijck

^*Corresponding author for this work

School of Healthcare and Nursing Sciences

Research output: Contribution to journal › Article › peer-review

17 Citations (Scopus)

35 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	119-134
Number of pages	16
Journal	Clinical Rehabilitation
Volume	35
Issue number	1
Early online date	11 Sept 2020
DOIs	https://doi.org/10.1177/0269215520953833
Publication status	Published - 1 Jan 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Stroke
fidelity
goals
rehabilitation
repetitive functional task practice
upper limb

Access to Document

10.1177/0269215520953833Licence: CC BY

Advance online versionFinal published version, 346 KBLicence: CC BY
Final published versionFinal published version, 346 KBLicence: CC BY

Fingerprint

Dive into the research topics of 'Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement'. Together they form a unique fingerprint.

Cite this

Bosomworth, H., Rodgers, H., Shaw, L., Smith, L., Aird, L., Howel, D., Wilson, N., Alvarado, N., Andole, S., Cohen, D. L., Dawson, J., Fernandez-Garcia, C., Finch, T., Ford, G. A., Francis, R., Hogg, S., Hughes, N., Price, C. I., Ternent, L., ... van Wijck, F. (2021). Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement. Clinical Rehabilitation, 35(1), 119-134. https://doi.org/10.1177/0269215520953833

@article{fe56bac85e354930b4763d6768cf3975,

title = "Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement",

abstract = "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.",

keywords = "Stroke, fidelity, goals, rehabilitation, repetitive functional task practice, upper limb",

author = "Helen Bosomworth and Helen Rodgers and Lisa Shaw and Leanne Smith and Lydia Aird and Denise Howel and Nina Wilson and Natasha Alvarado and Sreeman Andole and Cohen, \{David L\} and Jesse Dawson and Cristina Fernandez-Garcia and Tracy Finch and Ford, \{Gary A\} and Richard Francis and Steven Hogg and Niall Hughes and Price, \{Christopher I\} and Laura Ternent and Turner, \{Duncan L\} and Luke Vale and Scott Wilkes and Krebs, \{Hermano I\} and \{van Wijck\}, Frederike",

note = "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.",

year = "2021",

month = jan,

day = "1",

doi = "10.1177/0269215520953833",

language = "English",

volume = "35",

pages = "119--134",

journal = "Clinical Rehabilitation",

issn = "0269-2155",

publisher = "SAGE",

number = "1",

}

Bosomworth, H, Rodgers, H, Shaw, L, Smith, L, Aird, L, Howel, D, Wilson, N, Alvarado, N, Andole, S, Cohen, DL, Dawson, J, Fernandez-Garcia, C, Finch, T, Ford, GA, Francis, R, Hogg, S, Hughes, N, Price, CI, Ternent, L, Turner, DL, Vale, L, Wilkes, S, Krebs, HI & van Wijck, F 2021, 'Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement', Clinical Rehabilitation, vol. 35, no. 1, pp. 119-134. https://doi.org/10.1177/0269215520953833

Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement. / Bosomworth, Helen; Rodgers, Helen; Shaw, Lisa et al.
In: Clinical Rehabilitation, Vol. 35, No. 1, 01.01.2021, p. 119-134.

Research output: Contribution to journal › Article › peer-review

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 - https://www.scopus.com/pages/publications/85090859620

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 -

Bosomworth H, Rodgers H, Shaw L, Smith L, Aird L, Howel D et al. Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement. Clinical Rehabilitation. 2021 Jan 1;35(1):119-134. Epub 2020 Sept 11. doi: 10.1177/0269215520953833

Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement

Abstract

UN SDGs

Keywords

Access to Document

Other files and links

Fingerprint

Cite this