Evidence map›Paper›PMID 37432721›Full record

ArticleJMIR research protocols2023

Implementation of Home-Based Telerehabilitation of Patients With Stroke in the United States: Protocol for a Realist Review.

Mohamed Mosaad Hasan, Miriam R Rafferty, Sara Tawfik, Ahmed Tawfik, Molly Beestrum, Justin D Smith, Lisa R Hirschhorn, Elliot J Roth, Donna M Woods

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 50% 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.

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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 4 institutions in 1 country.

Mohamed Mosaad HasanCenter for Healthcare Studies, Institute of Public Health and Medicine, Feniberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-3128-3982
Miriam R RaffertyShirley Ryan AbilityLab, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-3182-0314
Sara TawfikStritch School of Medicine, Loyola University Chicago, Maywood, IL, United States.ORCID https://orcid.org/0009-0000-7169-4714
Ahmed TawfikThe Kentucky College of Osteopathic Medicine, University of Pikeville, Pikeville, KY, United States.ORCID https://orcid.org/0009-0002-8595-1472
Molly BeestrumGalter Health Sciences Library & Learning Center, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-6524-6464
Justin D SmithDepartment of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, United States.ORCID https://orcid.org/0000-0003-3264-8082
Lisa R HirschhornDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4355-7437
Elliot J RothShirley Ryan AbilityLab, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-7308-4079
Donna M WoodsDepartment of Pediatrics, Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-6586-549X
Northwestern University · USLoyola University Chicago · USUniversity of Pikeville · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a common cause of mortality and morbidity. Insufficient and untimely rehabilitation has been associated with inadequate recovery. Telerehabilitation provides an opportunity for timely and accessible services for individuals with stroke, especially in remote areas. Telerehabilitation is defined as a health care team's use of a communication mode (eg, videoconferencing) to remotely provide rehabilitation services. Telerehabilitation is as effective as facility-based rehabilitation; however, it is infrequently used due to implementation barriers.

objectiveThe aim of the study is to explore the interaction between the implementation strategies, context, and outcomes of telerehabilitation of patients with stroke.

methodsThis review will follow four steps: (1) defining the review scope, (2) literature search and quality appraisal, (3) data extraction and evidence synthesis, and (4) narrative development. PubMed via MEDLINE, the PEDro database, and CINAHL will be queried till June 2023 and supplemented with citation tracking and a gray literature search. The relevance and rigor of papers will be appraised using the TAPUPAS (Transparency, Accuracy, Purposivity, Utility, Propriety, Accessibility, and Specificity) and Weight of Evidence frameworks. The reviewers will extract and synthesize data iteratively and develop explanatory links between contexts, mechanisms, and outcomes. The results will be reported according to the Realist Synthesis publication standards set by Wong and colleagues in 2013.

resultsThe literature search and screening will be completed in July 2023. Data extraction and analysis will be completed in August 2023, and findings will be synthesized and reported in October 2023.

conclusionsThis will be the first realist synthesis, uncovering the causal mechanisms to explain how, why, and to what extent implementation strategies impact telerehabilitation adoption and implementation. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/47009.

Indexed as

implementationrealist reviewstroketelemedicinetelerehabilitation

Identifiers

PMID37432721
PMCPMC10369311
OpenAlexW4379794943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.