| Titre : | Patient Activation During the First 6 Months After the Start of Stroke Rehabilitation (2022) |
| Auteurs : | Winke van Meijeren-Pont ; Sietske Tamminga ; Marta Fiocco ; Alessandra Gonzalez Avila ; Gerard Volker ; Steffi M.J. Janssen ; Thea P.M. Vliet Vlieland ; Daniella M. Oosterveer ; SCORE Study Group |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 7, 2022) |
| Article en page(s) : | p. 1360-1367 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.02.017 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Participation des patients ; Réadaptation |
| Résumé : |
Objective
To examine patient activation from the start of stroke rehabilitation and its course up until the 6-month follow-up. Design Inception cohort study with a follow-up of 6 months. Setting Multidisciplinary rehabilitation facility. Participants A total of 478 patients (N=478) with stroke who received inpatient or outpatient rehabilitation, with a median age of 63.0 years (interquartile range, 56.0-70.0 years) with 308 (64.2%) being men. The study was completed by 439 patients (91.8%). Interventions Not applicable. Main Outcome Measures Patient activation was measured with the Patient Activation Measure (PAM) (score 0-100, 4 levels, where a higher score and level denotes more patient activation). The PAM was measured at the start of the rehabilitation (baseline) and 3 and 6 months thereafter and was analyzed using the multivariate mixed model analysis. Results At baseline, the mean PAM score was 60.2±14.3, with the number of patients in PAM levels 1, 2, 3, and 4 being 76 (17.8%), 85 (19.9%), 177 (41.4%), and 90 (21.0%), respectively. The multivariate mixed-model analysis demonstrated that the PAM score increased over time (baseline 60.2±14.3 vs 3 months 60.7±14.8 vs 6 months 61.9±18.0; P.007). Between baseline and 6 months, 122 patients (41.4%) remained at the same PAM level, 105 patients (35.6%) increased, and 68 patients (23.1%) decreased. At all time points, >35% of patients were in level 1 or 2. Conclusions PAM scores increased slightly over time from the start of rehabilitation up to the 6-month follow-up. However, more than one-third of patients remained at low levels (ie, level 1 and 2) of patient activation, which indicates that specific interventions during rehabilitation to increase patient activation might be of value. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399932200274X#! |
Bibliothèques HE Vinci
