Stroke Survivors' Perspectives on Post-Acute Rehabilitation Options, Goals, Satisfaction, and Transition to Home.
Shilpa Krishnan, Catherine C Hay, Monique R Pappadis and 2 others
PMID 31205230WHAT IT FOUND
Most of 18 stroke survivors said they were not involved in choosing their post-acute rehab facility.
They wanted clearer information about insurance, services, and goals, but many still rated their rehabilitation experience positively.
Key findings
01Most participants reported that they were not involved in selecting their post-acute rehabilitation provider during their acute hospital stay.
02Stroke survivors wanted information before discharge about rehabilitation services, medical interventions, medications, equipment, insurance, support groups, and psychological changes after stroke.
03Most participants reported satisfaction with their rehabilitation experience, and a greater proportion of inpatient rehabilitation facility participants than skilled nursing facility participants mentioned being satisfied.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Participants were from one area of Texas, so their experiences may not match other regions. People with aphasia were excluded because interviewers could not probe their experiences with cue cards, so these results do not represent their discharge-planning experiences. Only one participant with limited English was included, so language and cultural variation are not represented. Interviews occurred one to ten years after stroke, so recall may be imperfect. Probes were not all the same, and cognitive issues such as depression or memory may have affected responses. The sample was 18 people, with 12 in an inpatient rehabilitation facility and 6 in a skilled nursing facility, so theme counts should not be read as population rates.
Declared interests
The supplied text does not include a conflict-of-interest statement. It lists research support from the U.S. government Public Health Service.
The easy way to misread this
Do not read these themes as proof that involving patients in facility choice or goal-setting improves outcomes. The study only described what 18 English-speaking stroke survivors recalled, and people with aphasia were excluded.