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Correction to: Does transcranial direct current stimulation improve functional locomotion in people with Parkinson’s disease? A systematic review and meta-analysis
Get PDFIn the original article [1], we mentioned that some study characteristics of the article by Dagan and colleagues [2] were unavailable. However, we realized that the authors provided the relevant information in their supplementary file. As such, we added participant characteristics (i.e., age = 68.8 ± 6.8, gender = 17 M, 3 F, PD duration = 9.0 ± 5.7, and UPDRS Part III at baseline = Total 39.7 ± 14.6) to Table 1, stimulation parameters (i.e., intensity = 3 mA, duration = 20 min, areas = 3 cm2) to Table 2, and methodological quality assessments (i.e., allocation concealment = 1 and Total score = 9) to Table 3. Based on the new information, we updated Fig. 2 with the corrected selection bias and performance bias results. Finally, we confirmed that these corrections did not change the meta-analytic findings in the original article
Prosjektet «Sårbar, gravid og ny i Norge» - Trygg under fødsel med flerkulturell doula
Get PDFProsjektet skal styrke og tilrettelegge for en likeverdig og individuell svangerskaps-, fødsels- og barselomsorg for sårbare kvinner med minoritetsbakgrunn. De gravide og fødende minoritetskvinnene skal oppleve trygghet og tillit i møte med fødselsomsorgen. Videre ønsker vi å bidra til at kvinnene får bedre kunnskap om det norske helsevesenet, gjennom å skape tillitt og redusere kvinnenes barrierer for å spørre om hjelp/støtte videre i barsel- og småbarnsfasen
Facilitating non-tokenistic user involvement in research
Get PDFBackground
With the increase in user activism in the Western societies in recent years, there has also been an increase in promoting user involvement in research. Hence, is necessary to address the danger of tokenism, a false appearance of inclusiveness, in user involvement, as well as to explore methods for promoting active user involvement. Using a Norwegian research project on the rehabilitation processes following traumatic injuries organised via user involvement, this study reviews ways in which to avoid tokenism in user involvement and how to instead stimulate active user engagement in research.
Methods
The analysis employs an ethnographic approach using participant observations from real life settings involving user involvement during the five years research process. The empirical material includes 472 pages of transcribed audio recordings from meetings between researchers and collaborators discussing personal experiences with traumatic injuries, and 340 pages of documents on the project’s involvement process. This empirical material was examined by thematic analysis, involving processes such as decontextualising, flagging and re-contextualising.
Results
Two main categories of facilitation emerged as promoting non-tokenistic, active user involvement in research: 1) defining the collaborative arena, (i.e. the setting of collaboration) which entails preparing for participation and promoting active involvement, and 2) designing for research counselling, which involves gathering user perspectives and valuing criticism. Taking into account the existing asymmetric relationships between researchers and collaborators, enabling more evenly distributed power dynamics also proved to be essential.
Conclusions
To achieve active participation that is relevant to the collaborators, two interconnected yet analytically independent themes should be considered: the collaborative arena and counselling. Both prove crucial for curbing power imbalance and stimulating the involvement process. The study indicates that non-tokenistic involvement should be anchored in the respect for participants and their ability to make contributions. This analysis can help researchers who seek active engagement and non-tokenistic involvement in research to find methods for facilitating and organising participation in their fields
An exploration of how long-term preventive home visits affect older persons’ health and possibility for a good life in their own homes. Users’ and service-providers’ perspectives
Get PDFPDPuzzleTable: A Leap Motion Exergame for Dual-Tasking Rehabilitation in Parkinson’s Disease. Design and Study Protocol
Get PDFIn this paper, we present PDPuzzleTable, our exergame framework for dual-tasking rehabilitation exercises for patients with Parkinson’s Disease (PD). It is our aim to create a home monitorization scenario for the Leap Motion Sensor together with a specific set of exercises designed for PD, that allows us to follow upon disease progression by inferring motor-cognitive skills remotely and passively
Video game-based and conventional therapies in patients of neurological deficits: an experimental study
Get PDFPurpose: In the past few years, medicine has upgraded its therapeutic techniques and practices, with the use of various modern methods that are due to advancement in technology and sciences. It is recognized that the physical health of the patients is significantly associated to their mental state, their motivation and engagement in overcoming the illness. This paper presents experimental comparison between virtual reality (VR) technology and conventional mode of therapy for physical rehabilitation among patients of neurological deficits. The objective was to explore the effectiveness of VR during physical interactions with different game-like virtual environment and potentially leading to increased mental health (i.e., lower depression, anxiety and stress), self-esteem, social support and intrinsic motivation (task-based competence, choice and interest).
Method: The study sample consisted of thirty-four subjects with Cerebral palsy (CP), Traumatic brain injury (TBI), Spinal cord injury, Stroke and Parkinson’s disease; divided into two experimental groups virtual reality exercise group (n = 17), and conventional therapy group (n = 17); who have upper- or lower-limb impairment.
Results: The outcome measures revealed significant differences across pretest and post-test conditions of both the experimental groups. Findings emerged from the study showed noticeable effectiveness of virtual-reality based rehabilitation in TBI, stroke and CP patients. Relationships between study variables and demographic variables (age and gender) were also presented.
Conclusion: This study opens the way for future researchers, psychologists, physiotherapist and other practitioners to do more extensive work in the domain of virtual reality with different sample, constructs and approaches.
Implications for rehabilitation
It has become increasing important to introduce new state-to-art technologies in domain of rehabilitation.
People are reluctant to use all the traditional modes of treatment. As these conventional ways of treatment are least motivating and interesting to indulge the patients without force and burden. It is evident in the present study that addition of virtual reality-based exercise increases the self-motivated balance during functional task in contrast to conventional and task-dependent training participants.
This study opens the way for future researchers to do more extensive work in this domain.måsjekke
Erfaringer fra hjemmeboende eldre (uten andre helse- og omsorgstjenester) med bruk av den mobile trygghetsalarmen
Get PDFBakgrunn:
Framskrivinger viser at vi blir flere eldre. Samtidig vil antallet yrkesaktive per person over 67 år reduseres, noe som vil gi utfordringer for de kommunale helsetjenestene. Bruk av teknologi i det kommunale tjenestetilbudet er til nå lite kartlagt. Intensjonen med bruk av velferdsteknologi, som den mobile trygghetsalarmen, er at de eldre skal kunne bo trygt og selvstendig i eget hjem så lenge som mulig. Hjemmet blir fra politisk hold sett på som det mest foretrukne og kostnadseffektive stedet å yte omsorgstjenester.
Hensikt:
Studiens hensikt er å få kunnskap om hvilke erfaringer hjemmeboende eldre (uten andre helse- og omsorgstjenester) har med bruk av den mobile trygghetsalarmen. Slik kunnskap vil være nyttig for å utvikle trygghetsalarmtjenestene videre.
Metode:
Studien har et deskriptiv design med kvalitative forskningsintervju for innsamling av data. Inklusjonskriteriene var hjemmeboende eldre i alderen 65 til 89 år som hadde tatt i bruk den mobile trygghetsalarmen. Ingen av dem mottok andre helse- og omsorgstjenester fra kommunen. Intervjuene ble gjennomført hjemme hos deltakerne i en bydel øst i Oslo. Lydopptak fra intervjuene ble transkribert. Intervjuene ble analysert med systematisk tekstkondensering basert på Malteruds analysemetode.
Funn:
Det er tre hovedfunn i denne studien: 1) de eldre er usikre på den mobile trygghetsalarmens funksjon relatert til mangel på opplæring, svikt i teknologien og til deres egen alder og skrøpelighet, 2) de erfarer at alarmen gir økt trygghet og trygghetsfølelse når de oppholder seg alene, at pårørende blir tryggere, og økt trygghet i samtale med alarmsentralen og er positive til muligheten for å bli lokalisert 3) at noen eldre ikke ser behov for alarmen enten fordi de har tilgang til alternative trygghetsfaktorer og/eller fordi de ikke føler seg utrygge. 6
Konklusjon:
Studien viser at deltakernes erfaringer med bruk av den mobile trygghetsalarmen er varierte og til dels motstridende. Funnene reiser spørsmål om hvorvidt den mobile trygghetsalarmen understøtter muligheten til å eldes i eget hjem slik implementeringen pr. i dag praktiseres
Felles kunnskapsbasert innsats for forskning og innovasjon. Årsrapport 2019
Get PDFÅrsrapporten er Forskningsrådets formelle rapportering til departementene om forskningen som er utført. Rapporten inneholder oversikt over hvordan forskningsmidlene er fordelt og brukt, resultater og styrets beretning
Efficiency and Patient-Reported Outcome Measures From Clinic to Home: The Human Empowerment Aging and Disability Program for Digital-Health Rehabilitation
Get PDFBackground: The recent exponential growth of Digital Health (DH) in the healthcare system provides a crucial transformation in healthcare, answering to alarming threats related to the increasing number of Chronic Neurological Diseases (CNDs). New long-term integrated DH-care approaches, including rehabilitation, are warranted to address these concerns.
Methods: The Human Empowerment Aging and Disability (HEAD) rehabilitation program, a new long-term integrated care including DH-care system, was evaluated in terms of efficiency and patient-reported outcome measures (PROMs) in 107 CND patients (30 with Parkinson's Disease, PD; 32 with Multiple Sclerosis, MS; 45 with stroke in chronic stage). All participants followed 1-month of HEAD rehabilitation in clinic (ClinicHEAD: 12 sessions, 3/week), then 1:3 patient was consecutively allocated to 3-months telerehabilitation at home (HomeHEAD: 60 sessions, 5/week). Efficiency (i.e., adherence, usability, and acceptability) and PROMs (i.e., perceived functioning in real-world) were analyzed.
Results: The rate of adherence to HEAD treatment in clinic (≥90%) and at home (77%) was high. Usability of HEAD system was judged as good (System Usability Scale, median 70.00) in clinic and even more at home (median 80.00). Similarly, administering the Technology Acceptance Model 3 questionnaire we found high scores both in clinic/at home (Usefulness, mean 5.39 ± 1.41 SD/mean 5.33 ± 1.29 SD; Ease of use, mean 5.55 ± 1.05 SD/ mean 5.45 ± 1.17 SD, External Control, mean 4.94 ± 1.17 SD/mean 5.07 ± 1.01 SD, Relevance, mean 5.68 ± 1.29 SD/mean 5.70 ± 1.13 SD and Enjoyment, mean 5.70 ± 1.40 SD/mean 6.01 ± 1.08 SD). After ClinicHEAD, participation and autonomy in daily routine was maintained or even ameliorated (PD and stroke > MS). Whereas, increased functionality and participation in the MS group was found only after HomeHEAD intervention.
Discussion: Our results suggest that a tele-health-based approach is both feasible and efficient in providing rehabilitation care to CNDs from clinic to home. Increasing and maintaining participation as well as autonomy in daily routine are promising findings that open up scenarios for the continuity of care at home through DH-care for CNDs