Activity monitoring of stroke patients by physiotherapist and caregivers in a hospital setting [version 1; peer review: 1 approved, 1 approved with reservations, 2 not approved]

Background: Activity monitoring is a necessary technique to ensure stroke survivors' activity levels in the hospital are within optimal levels as this is important for enhanced motor recovery. However, this could be time-consuming for healthcare professionals like physiotherapists. Activity mon...

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Veröffentlicht in:F1000 research 2022, Vol.11, p.1227
Hauptverfasser: Shankaranarayana, Apoorva M., Pattan, Yakub Sameerkhan, Hegde, Nikhil, Natarajan, Manikandan, Pai, Aparna R., Nayak, Raghavendra, Solomon, John M.
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container_start_page 1227
container_title F1000 research
container_volume 11
creator Shankaranarayana, Apoorva M.
Pattan, Yakub Sameerkhan
Hegde, Nikhil
Natarajan, Manikandan
Pai, Aparna R.
Nayak, Raghavendra
Solomon, John M.
description Background: Activity monitoring is a necessary technique to ensure stroke survivors' activity levels in the hospital are within optimal levels as this is important for enhanced motor recovery. However, this could be time-consuming for healthcare professionals like physiotherapists. Activity monitoring by caregivers could be an alternate option. Therefore, our aim was to compare the activity monitoring of stroke survivors by caregivers and physiotherapists in a hospital setting. Methods: An observation study was carried out in the neuroscience ward in a tertiary care hospital among 17 stroke survivors. Physiotherapist and caregivers were instructed to use an activity log chart that was developed during previous research conducted by the same authors for observing the activities performed by the patients every 15 minutes from 8 AM to 5 PM. Data collected were analysed using Stata 15. Kappa statistics were carried out to determine the agreement of the observations between the two raters. Results: A total of 10 male and seven female caregivers of stroke survivors with a mean age of 40.11 ± 9.2 years participated in the study. A total of 272 observations of caregivers were in agreement with that of the physiotherapist. Inter-rater Kappa statistics showed 60% agreement between the physiotherapist and the caregivers, while the multi-rater Kappa for different time points did not show agreement (Kappa value
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However, this could be time-consuming for healthcare professionals like physiotherapists. Activity monitoring by caregivers could be an alternate option. Therefore, our aim was to compare the activity monitoring of stroke survivors by caregivers and physiotherapists in a hospital setting. Methods: An observation study was carried out in the neuroscience ward in a tertiary care hospital among 17 stroke survivors. Physiotherapist and caregivers were instructed to use an activity log chart that was developed during previous research conducted by the same authors for observing the activities performed by the patients every 15 minutes from 8 AM to 5 PM. Data collected were analysed using Stata 15. Kappa statistics were carried out to determine the agreement of the observations between the two raters. Results: A total of 10 male and seven female caregivers of stroke survivors with a mean age of 40.11 ± 9.2 years participated in the study. A total of 272 observations of caregivers were in agreement with that of the physiotherapist. Inter-rater Kappa statistics showed 60% agreement between the physiotherapist and the caregivers, while the multi-rater Kappa for different time points did not show agreement (Kappa value &lt;0.1). Conclusions: There was moderate agreement between the physiotherapist and caregiver for activity monitoring of stroke survivors. This suggests behavioural mapping by caregivers may be a potential alternative solution in healthcare settings.</description><identifier>ISSN: 2046-1402</identifier><identifier>EISSN: 2046-1402</identifier><identifier>DOI: 10.12688/f1000research.124675.1</identifier><language>eng</language><ispartof>F1000 research, 2022, Vol.11, p.1227</ispartof><rights>Copyright: © 2022 Shankaranarayana AM et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2191-f05b920204aa436d1636dc6f9d85118aab9c8d8da9faaa4046a941ded459c57c3</cites><orcidid>0000-0002-0828-6977 ; 0000-0002-4329-5748</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,861,4010,27904,27905,27906</link.rule.ids></links><search><creatorcontrib>Shankaranarayana, Apoorva M.</creatorcontrib><creatorcontrib>Pattan, Yakub Sameerkhan</creatorcontrib><creatorcontrib>Hegde, Nikhil</creatorcontrib><creatorcontrib>Natarajan, Manikandan</creatorcontrib><creatorcontrib>Pai, Aparna R.</creatorcontrib><creatorcontrib>Nayak, Raghavendra</creatorcontrib><creatorcontrib>Solomon, John M.</creatorcontrib><title>Activity monitoring of stroke patients by physiotherapist and caregivers in a hospital setting [version 1; peer review: 1 approved, 1 approved with reservations, 2 not approved]</title><title>F1000 research</title><description>Background: Activity monitoring is a necessary technique to ensure stroke survivors' activity levels in the hospital are within optimal levels as this is important for enhanced motor recovery. However, this could be time-consuming for healthcare professionals like physiotherapists. Activity monitoring by caregivers could be an alternate option. Therefore, our aim was to compare the activity monitoring of stroke survivors by caregivers and physiotherapists in a hospital setting. Methods: An observation study was carried out in the neuroscience ward in a tertiary care hospital among 17 stroke survivors. Physiotherapist and caregivers were instructed to use an activity log chart that was developed during previous research conducted by the same authors for observing the activities performed by the patients every 15 minutes from 8 AM to 5 PM. Data collected were analysed using Stata 15. Kappa statistics were carried out to determine the agreement of the observations between the two raters. Results: A total of 10 male and seven female caregivers of stroke survivors with a mean age of 40.11 ± 9.2 years participated in the study. A total of 272 observations of caregivers were in agreement with that of the physiotherapist. Inter-rater Kappa statistics showed 60% agreement between the physiotherapist and the caregivers, while the multi-rater Kappa for different time points did not show agreement (Kappa value &lt;0.1). Conclusions: There was moderate agreement between the physiotherapist and caregiver for activity monitoring of stroke survivors. 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However, this could be time-consuming for healthcare professionals like physiotherapists. Activity monitoring by caregivers could be an alternate option. Therefore, our aim was to compare the activity monitoring of stroke survivors by caregivers and physiotherapists in a hospital setting. Methods: An observation study was carried out in the neuroscience ward in a tertiary care hospital among 17 stroke survivors. Physiotherapist and caregivers were instructed to use an activity log chart that was developed during previous research conducted by the same authors for observing the activities performed by the patients every 15 minutes from 8 AM to 5 PM. Data collected were analysed using Stata 15. Kappa statistics were carried out to determine the agreement of the observations between the two raters. Results: A total of 10 male and seven female caregivers of stroke survivors with a mean age of 40.11 ± 9.2 years participated in the study. A total of 272 observations of caregivers were in agreement with that of the physiotherapist. Inter-rater Kappa statistics showed 60% agreement between the physiotherapist and the caregivers, while the multi-rater Kappa for different time points did not show agreement (Kappa value &lt;0.1). Conclusions: There was moderate agreement between the physiotherapist and caregiver for activity monitoring of stroke survivors. This suggests behavioural mapping by caregivers may be a potential alternative solution in healthcare settings.</abstract><doi>10.12688/f1000research.124675.1</doi><orcidid>https://orcid.org/0000-0002-0828-6977</orcidid><orcidid>https://orcid.org/0000-0002-4329-5748</orcidid><oa>free_for_read</oa></addata></record>
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title Activity monitoring of stroke patients by physiotherapist and caregivers in a hospital setting [version 1; peer review: 1 approved, 1 approved with reservations, 2 not approved]
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