Evidence map›Paper›PMID 25680390›Full record

Trial reportJournal of telemedicine and telecare2015

A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care.

Neale R Chumbler, Xinli Li, Patricia Quigley, Miriam C Morey, Dorian Rose, Patricia Griffiths, Jon Sanford, Helen Hoenig

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of telemedicine and telecare, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review.International journal of environmental research and public health · 2023
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  4. Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018
    Pooled it
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  10. The relationship between self-efficacy and self-advocacy among young and middle-aged Chinese breast cancer patients: the mediating effect of health literacy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Neale R ChumblerDepartment of Health Policy and Management, College of Public Health, University of Georgia, Athens, Georgia, USA chumbler@uga.edu.
Xinli LiUS Department of Veterans Affairs National Surgery Office, Deputy Undersecretary for Health & Operations and Management, Denver, Colorado, USA.
Patricia QuigleyVISN 8 Patient Safety Center of Inquiry, James A. Haley VAMC (151R), HSR&D/RRD Center of Excellence: Maximizing Rehabilitation Outcomes, Tampa, Florida, USA.
Miriam C MoreyGeriatric Research, Education, and Clinical Center, Durham VA Medical Center, Durham, North Carolina, USA Older Americans Independence (Pepper) Center, Duke University School of Medicine, Durham, North Carolina, USA.
Dorian RoseDepartment of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.
Patricia GriffithsAtlanta Department of Veterans Affairs RR&D, Center for Visual and Neurocognitive Rehabilitation, Atlanta, Georgia, USA Department of Veterans Affairs Birmingham/Atlanta GRECC, Atlanta, Georgia, USA Emory University School of Medicine, Division of General Medicine & Geriatrics, Atlanta, Georgia, USA.
Jon SanfordAtlanta Department of Veterans Affairs RR&D, Center for Visual and Neurocognitive Rehabilitation, Atlanta, Georgia, USA Center for Assistive Technologies and Environmental Access, College of Architecture, Georgia Tech University, Atlanta, Georgia, USA.
Helen HoenigDuke University Medical Center, Durham, North Carolina, USA Physical Medicine & Rehabilitation Service, Durham VA Medical Center Durham, NC, USA.

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Intramural VA VA999999NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans Affairs Medical Centers. Participants who experienced a stroke in the past 24 months were randomized to the STeleR intervention or usual care. Participants in the intervention arm were administered an exit interview to gather specific patient satisfaction data three months after their final outcome measure. The STeleR intervention consisted of three home visits, five telephone calls, and an in-home messaging device provided over three months to instruct patients in functionally based exercises and adaptive strategies. The outcome measures included Falls Efficacy Scale to measure fall-related self-efficacy and a Stroke-Specific Patient Satisfaction with Care (SSPSC) scale, a measure separated into two subscales (satisfaction with home care and satisfaction with hospital care) was employed to measure the participants' satisfaction. At six months, compared with the usual care group, the STeleR group showed statistically significant improvements in one of the two SSPSC scales (satisfaction with hospital care, p = .029) and approached significance in the second SSPSC scale (satisfaction with home care, p = .077). There were no improvements in fall-related self-efficacy. Core concepts identified were: (a) beneficial impact of the trained assistant; (b) exercises helpful; (c) home use of technology. The STeleR intervention improved satisfaction with care, especially as it relates to care following their experience from the hospital. With the limited resources available for in-home rehabilitation for stroke survivors, STeleR (and especially its exercise components) can be a useful complement to traditional post-stroke rehabilitation.

Indexed as

Patient SatisfactionSelf EfficacyStroke RehabilitationAccidental FallsAgedExercise TherapyFemaleHome Care ServicesHumansMaleMiddle AgedPatient Education as TopicProspective StudiesQuality of LifeStrokeTelerehabilitationfallsrehabilitationsatisfactionself-efficacystrokeTelemedicine

Identifiers

PMID25680390
PMCPMC4548802

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.