• Virtually home: Exploring the potential of virtual reality to support patient discharge after stroke

      Threapleton, Kate; Newberry, Karen; Sutton, Greg; Worthington, Esme; Drummond, Avril; University of Nottingham; University of Derby (2017-02-01)
      Introduction: The level of assessment and intervention received by patients prior to discharge varies widely across stroke services in the United Kingdom. This study aimed to explore the potential value of virtual reality in preparing patients for discharge following stroke. Method: Semi-structured interviews were carried out with 13 occupational therapists, eight patients with a stroke and four community stroke survivors. Views were sought of the perceived acceptability, potential utility and limitations of a ‘virtual home’ environment for use in pre-discharge education and assessment. Data were analysed thematically. Findings: Interviewees found the virtual home to be an acceptable and visual means of facilitating discussions about discharge. It was perceived as valuable in assessing patient insight into safety risks and exploring the implications of installing assistive equipment at home. Limitations were identified relating to specific software issues and the use of virtual reality with patients with cognitive or perceptual impairments. Conclusion: The results demonstrate the potential utility of the virtual home within stroke rehabilitation. Patients and therapists engaged with the virtual home and, moreover, made practical suggestions for future development. Feasibility and pilot testing in a clinical setting is required to compare the use of the virtual home with traditional approaches of pre-discharge assessment.
    • Virtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke.

      Threapleton, Kate; Newberry, Karen; Sutton, Greg; Worthington, Esme; Drummond, Avril; University of Nottingham; University of Derby (Sage, 2018-01-09)
      Virtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke Show less Kate Threapleton, Karen Newberry, Greg Sutton, Esme Worthington, Avril Drummond First Published January 9, 2018 Research Article Download PDFPDF download for Virtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke Article information Full Access Article Information Article first published online: January 9, 2018 Received: January 27, 2017; Accepted: October 19, 2017 https://doi.org/10.1177/0308022617743459 Kate Threapleton1, Karen Newberry2, Greg Sutton3, Esme Worthington1, Avril Drummond4 1Research Fellow, 14278School of Health Sciences, University of Nottingham, UK 2Senior Lecturer in Occupational Therapy, College of Health and Social Care, University of Derby, UK 3Learning Technology Developer, Learning Enhancement, University of Derby, UK 4Professor of Healthcare Research, School of Health Sciences, University of Nottingham, UK Corresponding Author: Kate Threapleton, Faculty of Medicine and Health Sciences, University of Nottingham, A Floor, South Block Link, Queen’s Medical Centre, Nottingham, NG7 2HA, UK. Email: kate.threapleton@nottingham.ac.uk Abstract Introduction Virtual reality has the potential to assist occupational therapists in preparing patients for discharge by facilitating discussions and providing education about relevant practical issues and safety concerns. This study aimed to explore the feasibility of using a virtual reality intervention to support patient discharge after stroke and pilot its use. Method Practical aspects of delivering a virtual reality intervention prior to discharge were explored by means of a non-randomised feasibility study and a subsequent pilot randomised controlled trial. Factors considered included eligibility, recruitment, intervention delivery, attrition and suitability of outcome measures. Outcome measures included standardised assessments of stroke severity, mobility, health-related quality of life, functional ability, satisfaction with services and concerns about falling. Results Thirty-three participants were recruited in total: 17 to the feasibility study and 16 to the pilot trial. At 1-month follow-up, 14 participants (82%) were re-assessed in the feasibility study and 12 (75%) in the pilot trial. The main difficulties encountered related to recruitment, particularly regarding post-stroke cognitive impairments, the presence of mild deficits or illness. Conclusion It was feasible to recruit and retain participants, deliver the intervention and collect outcome measures, despite slow recruitment rates. These findings could inform the design of a definitive trial. Keywords