Abstract Details

Title Development of a Post-Stroke Transition Telehealth Program using Community Engagement - Survey Results

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P3 - Poster Session 3 (12:00 PM-1:00 PM)

Poster/Presentation
Number 4-007

Objective To identify major themes to be considered when developing a Post-Stroke Transition Telehealth Program using stroke patient and caregiver perspectives.

Background Nearly 800,000 strokes occur each year in the United States, with more than a third suffering significant residual disability. Approximately 70% of stroke patients are discharged to their homes from the hospital, but post-stroke transitional care is currently fragmented and unorganized leading to poor patient outcomes, higher hospital readmissions, and increased caregiver burden. This in turn leads to higher healthcare costs. We surveyed stroke patients and caregivers to inform the goals and implementation of a Post-Stroke Transition Telehealth Program.

Design/Methods A group of stakeholders involved in post-stroke care at an academic medical center (i.e. occupational/physical/speech therapists, a pharmacist, telemedicine technicians, and vascular neurologists) convened to develop a survey to assess stroke patient and caregiver perspectives concerning post-stroke care. The survey and research design was presented to a group of stroke survivors and caregivers to assess the quality and effectiveness of the questionnaire. We used a facilitated roundtable discussion through the integrated Translational Health Research Institute of Virginia (iTHRIV) community engagement studio. We developed a final survey based off of their experiences and feedback, which consists of 46 questions for stroke patients and 8 questions for caregivers.

Results A post-stroke care survey, utilizing Likert scale, dichotomous scale, single-answer and multiple-answer questions, was developed using interdisciplinary and community engagement strategies. A total of 500 stroke patients and caregivers will complete the survey over the next 4 to 6 months.

Conclusions The engagement of all stakeholders, including stroke survivors and caregivers, in the development stage can improve the quality, validity and implementation of a Post-Stroke Transitional Telehealth Program. Patients and caregivers will be recruited from a high volume ambulatory clinic at a Comprehensive Stroke Center to further inform the Post-Stroke Transition Telehealth Program.

Authors/Disclosures
Maninder Sohi, MD PRESENTER	Ms. Sohi has nothing to disclose.
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Nina J. Solenski, MD (UVA - Neurology)	Dr. Solenski has received personal compensation in the range of $0-$499 for serving as an Expert Witness for Multiple. The institution of Dr. Solenski has received research support from HRSA . Dr. Solenski has received intellectual property interests from a discovery or technology relating to health care.
Sherita Chapman, MD (University of Virginia)	Dr. Chapman has received personal compensation in the range of $100,000-$499,999 for serving as a Stroke Section Chief with VA Medical Center.

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