Evidence map›Paper›PMID 35904867›Full record

ArticleJMIR human factors2022

Digital Graphic Follow-up Tool (Rehabkompassen) for Identifying Rehabilitation Needs Among People After Stroke: Randomized Clinical Feasibility Study.

Xiaolei Hu, Karolina Jonzén, Olof A Lindahl, Marcus Karlsson, Fredrik Norström, Erik Lundström, Katharina Stibrant Sunnerhagen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04915027 (Rehabkompassen® - a Novel Digital Tool for Facilitating Patient-tailored Rehabilitation in the Post-acute Continuum of Care After Stroke - A Multicenter Pragmatic Randomized Controlled Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
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.

NCT04915027 narecruitingnot on this map

Rehabkompassen® - a Novel Digital Tool for Facilitating Patient-tailored Rehabilitation in the Post-acute Continuum of Care After Stroke - A Multicenter Pragmatic Randomized Controlled Trial

TypeinterventionalSponsorUmeå UniversityRan2020 to 2027Enrolled1,106ConditionsStrokeArmsa usual follow-up with Rehabkompassen®, a usual follow-up with Post-Stroke Checklist, i.e. without Rehabkompassen®
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

7 authors at 3 institutions in 1 country.

Xiaolei HuDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0001-9864-7432
Karolina JonzénDepartment of Radiation Sciences, Radiation Physics, Biomedical Engineering, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-5773-3622
Olof A LindahlDepartment of Radiation Sciences, Radiation Physics, Biomedical Engineering, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0001-9665-791X
Marcus KarlssonDepartment of Radiation Sciences, Radiation Physics, Biomedical Engineering, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-2977-2413
Fredrik NorströmDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-0457-2175
Erik LundströmDepartment of Medical Sciences, Neurology, Akademiska Sjukhuset, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-5313-9052
Katharina Stibrant SunnerhagenDepartment of Neuroscience and Physiology, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-5940-4400
Umeå University · SESahlgrenska University Hospital · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a leading cause of disability among adults, with heavy social and economic burden worldwide. A cost-effective solution is urgently needed to facilitate the identification of individual rehabilitation needs and thereby provide tailored rehabilitations to reduce disability among people who have had a stroke. A novel digital graphic follow-up tool Rehabkompassen has recently been developed to facilitate capturing the multidimensional rehabilitation needs of people who have had a stroke.

objectiveThe aim of this study was to evaluate the feasibility and acceptability of conducting a definitive trial to evaluate Rehabkompassen as a digital follow-up tool among people who have had a stroke in outpatient clinical settings.

methodsThis pilot study of Rehabkompassen was a parallel, open-label, 2-arm prospective, proof-of-concept randomized controlled trial (RCT) with an allocation ratio of 1:1 in a single outpatient clinic. Patients who have had a stroke within the 3 previous months, aged ≥18 years, and living in the community were included. The trial compared usual outpatient visits with Rehabkompassen (intervention group) and without Rehabkompassen (control group) at the 3-month follow-up as well as usual outpatient visit with Rehabkompassen at the 12-month follow-up. Information on the recruitment rate, delivery, and uptake of Rehabkompassen; assessment and outcome measures completion rates; the frequency of withdrawals; the loss of follow-up; and satisfaction scores were obtained. The key outcomes were evaluated in both groups.

resultsIn total, 28 patients (14 control, 14 Rehabkompassen) participated in this study, with 100 patients screened. The overall recruitment rate was 28% (28/100). Retention in the trial was 86% (24/28) at the 12-month follow-up. All participants used the tool as planned during their follow-ups, which provided a 100% (24/24) task completion rate of using Rehabkompassen and suggested excellent feasibility. Both patient- and physician-participants reported satisfaction with the instrument (19/24, 79% and 2/2, 100%, respectively). In all, 2 (N=2, 100%) physicians and 18 (N=24, 75%) patients were willing to use the tool in the future. Furthermore, modified Rankin Scale as the primary outcome and various stroke impacts as secondary outcomes were both successfully collected and compared in this study.

conclusionsThis study demonstrated the high feasibility and adherence of the study protocol as well as the high acceptability of Rehabkompassen among patients who have had a stroke and physicians in an outpatient setting in comparison to the predefined criterion. The information collected in this feasibility study combined with the amendments of the study protocol may improve the future definitive RCT. The results of this trial support the feasibility and acceptability of conducting a large definitive RCT.

trial registrationClinicalTrials.gov NCT04915027; https://clinicaltrials.gov/ct2/show/NCT04915027.

Indexed as

acceptabilityadherenceclinical settingdigital healthdigital tooleHealthfeasibilityneeds assessmentoutcome assessmentoutpatientrandomized controlled trialRankin scaleRCTrehabilitationstrokestructured follow-up: follow-up

Identifiers

PMID35904867
PMCPMC9377427
OpenAlexW4282825966

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.