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dc.contributor.authorNeibling, BA
dc.contributor.authorJackson, SM
dc.contributor.authorHayward, KS
dc.contributor.authorBarker, RN
dc.date.accessioned2021-07-13T00:33:59Z
dc.date.available2021-07-13T00:33:59Z
dc.date.issued2021-02-24
dc.identifierpii: 10.1186/s12984-021-00819-1
dc.identifier.citationNeibling, B. A., Jackson, S. M., Hayward, K. S. & Barker, R. N. (2021). Perseverance with technology-facilitated home-based upper limb practice after stroke: a systematic mixed studies review. JOURNAL OF NEUROENGINEERING AND REHABILITATION, 18 (1), https://doi.org/10.1186/s12984-021-00819-1.
dc.identifier.issn1743-0003
dc.identifier.urihttp://hdl.handle.net/11343/277862
dc.description.abstractBACKGROUND: Technology is being increasingly investigated as an option to allow stroke survivors to exploit their full potential for recovery by facilitating home-based upper limb practice. This review seeks to explore the factors that influence perseverance with technology-facilitated home-based upper limb practice after stroke. METHODS: A systematic mixed studies review with sequential exploratory synthesis was undertaken. Studies investigating adult stroke survivors with upper limb disability undertaking technology-facilitated home-based upper limb practice administered ≥ 3 times/week over a period of ≥ 4 weeks were included. Qualitative outcomes were stroke survivors' and family members' perceptions of their experience utilising technology to facilitate home-based upper limb practice. Quantitative outcomes were adherence and dropouts, as surrogate measures of perseverance. The Mixed Methods Appraisal Tool was used to assess quality of included studies. RESULTS: Forty-two studies were included. Six studies were qualitative and of high quality; 28 studies were quantitative and eight were mixed methods studies, all moderate to low quality. A conceptual framework of perseverance with three stages was formed: (1) getting in the game; (2) sticking with it, and; (3) continuing or moving on. Conditions perceived to influence perseverance, and factors mediating these conditions were identified at each stage. Adherence with prescribed dose ranged from 13 to 140%. Participants were found to be less likely to adhere when prescribed sessions were more frequent (6-7 days/week) or of longer duration (≥ 12 weeks). CONCLUSION: From the mixed methods findings, we propose a framework for perseverance with technology-facilitated home-based upper limb practice. The framework offers opportunities for clinicians and researchers to design strategies targeting factors that influence perseverance with practice, in both the clinical prescription of practice and technology design. To confirm the clinical utility of this framework, further research is required to explore perseverance and the factors influencing perseverance. Registration: PROSPERO CRD42017072799- https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=72799.
dc.languageEnglish
dc.publisherBMC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titlePerseverance with technology-facilitated home-based upper limb practice after stroke: a systematic mixed studies review
dc.typeJournal Article
dc.identifier.doi10.1186/s12984-021-00819-1
melbourne.affiliation.departmentPhysiotherapy
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleJournal of NeuroEngineering and Rehabilitation
melbourne.source.volume18
melbourne.source.issue1
melbourne.identifier.nhmrc1088449
dc.rights.licenseCC BY
melbourne.elementsid1502523
melbourne.contributor.authorHayward, Kathryn
dc.identifier.eissn1743-0003
melbourne.identifier.fundernameidNHMRC, 1088449
melbourne.accessrightsOpen Access


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