好色先生

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Abstract Details

A Human-centered Design Approach to Implementing Community-based Stroke Rehabilitation Services in Lusaka Zambia
Global Health and Neuroepidemiology
S4 - Hot Topics in Global Health and Neuroepidemiology (1:24 PM-1:36 PM)
003
We utilized a human-centered design process to generate ideas for future stroke rehabilitation service delivery in community settings in Zambia. 
Stroke is a leading cause of disability in Zambia, yet rehabilitation services are lacking throughout most of the country, making recovery from stroke-related disability and reintegration into society a challenge. Little research has been performed on optimally supporting patients with stroke post hospital discharge.
We led two co-creation workshops for adults with stroke and caregivers of individuals with stroke  in Zambia. The workshops included facilitator-led participatory activities (e.g. term association games, journey mapping) to evaluate participant perceptions of seven potential community stroke rehabilitation services: physical therapy, speech therapy, occupational therapy, pastoral support, social services support, employment training, and mental health counseling. Rapid thematic analysis of audio-recorded outputs and facilitator discussion guides was performed to identify key themes. 
Thirty-six people participated (18 patients, 18 caregivers). Through term association, participants identified speech therapy, physical therapy, mental health counseling, and occupational therapy as empowering activities. Participants were unsure of what employment retraining and social support services would include and displayed skepticism towards pastoral support due to fear of having a corrupt pastor. Journey mapping across all rehabilitation services revealed key themes, including: (1) initial resistance to seeking help, (2) pursuit of outside support due to loneliness at home or helplessness in supporting family, (3) importance of a health care provider initially recommending the service, (4) financial challenges with cost of and transportation to services, (5) desire for caregivers to receive training to provide services at home. 
This co-creation workshop reveals important practical considerations of piloting new stroke rehabilitation services in local communities across Zambia. Future efforts to improve stroke rehabilitation should include developing integrative local stroke rehabilitation centers where all services can be delivered and piloting caregiver training programs for in-home rehabilitation services. 
Authors/Disclosures
Shuait Nair
PRESENTER 		Mr. Nair has nothing to disclose.
Malya Sahu, MD The institution of Dr. Sahu has received research support from 好色先生 and American Brain Foundation. The institution of Dr. Sahu has received research support from Fogarty International Center.
Allison E. Kuehn Ms. Kuehn has nothing to disclose.
Diwell Mwansa (UNZA Ridgeway campus) Diwell Mwansa has nothing to disclose.
Emmanuel Mukambo, MD Dr. Mukambo has nothing to disclose.
Madalitso Nthere, MBBS Dr. Nthere has nothing to disclose.
Michael Kinkata, MD Michael Kinkata, MD has nothing to disclose.
William Tembo, MD An immediate family member of Mr. Tembo has received research support from City University of New York (CUNY).
Tamia Banda, Jr., MBBS Miss Banda has nothing to disclose.
Theresa Shankanga (University of Zambia, ridgeway campus) Miss Shankanga has nothing to disclose.
Laura Beres, PhD The institution of Dr. Beres has received research support from U.S. National Institutes of Health. Dr. Beres has received personal compensation in the range of $0-$499 for serving as a Grant reviewer with U.S. National Institutes of Health.
Deanna Saylor, MD, MHS (Johns Hopkins Hospital) Dr. Saylor has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. The institution of Dr. Saylor has received research support from National Institutes of Health. The institution of Dr. Saylor has received research support from 好色先生. Dr. Saylor has a non-compensated relationship as a Member of multiple committees and task forces focused on improving access to MS medications to people across the world with Multiple Sclerosis International Federation that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the Neurology and COVID19 committee with World Health Organization that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the International Outreach Committee, Junior and Early Career Membership Committee, and 好色先生al Innovation Commitees with American Neurological Association that is relevant to AAN interests or activities.