Nicole Boehm, Hannah Muehlberg, Jan E. Stube; Managing Poststroke Fatigue Using Telehealth: A Case Report. Am J Occup Ther 2015;69(6):6906350020. https://doi.org/10.5014/ajot.2015.016170
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© 2020 American Occupational Therapy Association
OBJECTIVE. The objective of this study was to examine the effectiveness of delivering Managing Fatigue: A Six-Week Course for Energy Conservation via telehealth for a 70-yr-old man with poststroke fatigue (PSF).
METHOD. For this pilot case study, a questionnaire developed by the authors and the Patient-Reported Outcomes Measurement Information System Fatigue Short Form 7a were used for screening. The study was implemented via teleconference over an 8-wk period. The Fatigue Impact Scale (FIS) and the Canadian Occupational Performance Measure (COPM) were used to gather pretest and posttest data.
RESULTS. After the participant completed the course, decreased fatigue impact was noted on the FIS, and modestly improved occupational performance and satisfaction were evidenced by the COPM.
CONCLUSION. For this single participant experiencing PSF, performance and satisfaction on the COPM guardedly improved and fatigue impact decreased after participation in the energy conservation course offered by teleconference, a form of telehealth delivery. Further research is recommended with larger sample sizes.
Manualized fatigue management occupational therapy programming, individualized or group based, for adults poststroke has the potential to improve occupational participation outcomes in the community phase of occupational therapy service delivery.
Teleconferencing technology is an emerging area for occupational therapy service delivery; when client choice, secure networks, and licensure rules are adhered to, this approach will likely advance a beneficial service for clients who experience accessibility barriers to health care after neurological events.
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