PDF(Pubmed)
Abstract：
BACKGROUND: A global trend is to move rehabilitation closer to people\'s neighborhoods and homes. Still, little attention has been given to how the built environment outside the hospital setting might impact rehabilitation and recovery for stroke survivors.
OBJECTIVE: The overarching objective of this project is to develop conceptual models of built environments that support stroke rehabilitation and recovery outside the hospital setting. Specifically, the project will explore factors and characteristics of the built environment that support people with stroke and their families and identify innovative built environments that can be designed for local health care. The project will examine facilitators and obstacles for implementing built environmental solutions and evaluate the potential benefits, feasibility, and acceptability.
METHODS: The project uses a mixed methods design approach with 3 phases. In phase 1, factors and characteristics of the built environment for rehabilitation will be identified. Based on the results from phase 1, phase 2 will involve co-designing prototypes of environments to support the rehabilitation process for people with stroke. Finally, the prototypes will be evaluated in phase 3. Qualitative and quantitative methods will include a literature review, a concept mapping (CM) study, stakeholder interviews, prototype development, and testing. The project will use multidimensional scaling, hierarchical cluster analysis, descriptive statistics for quantitative data, and content analysis for qualitative data. Location analysis will rely on the location-allocation model for network problems, and the rule-based analysis will be based on geographic information systems data.
RESULTS: As of the submission of this protocol, ethical approval for the CM study and the interview study has been obtained. Data collection is planned to start in September 2023 and the workshops later in the same year. The scoping review is ongoing from January 2023. The CM study is ongoing and will be finalized in the spring of 2024. We expect to finish the data analysis in the second half of 2024. The project is a 3-year project and will continue until December 2025.
CONCLUSIONS: We aim to determine how new environments could better support a person\'s control over their day, environment, goals, and ultimately control over their recovery and rehabilitation activities. This \"taking charge\" approach would have the greatest chance of transferring the care closer to the patient\'s home. By co-designing with multiple stakeholders, we aim to create solutions with the potential for rapid implementation. The project\'s outcomes may target other people with frail health after a hospital stay or older persons in Sweden and anywhere else. The impact and social benefits include collaboration between important stakeholders to explore how new environments can support the transition to local health care, co-design, and test of new conceptual models of environments that can promote health and well-being for people post stroke.
UNASSIGNED: DERR1-10.2196/52489.
OBJECTIVE: The overarching objective of this project is to develop conceptual models of built environments that support stroke rehabilitation and recovery outside the hospital setting. Specifically, the project will explore factors and characteristics of the built environment that support people with stroke and their families and identify innovative built environments that can be designed for local health care. The project will examine facilitators and obstacles for implementing built environmental solutions and evaluate the potential benefits, feasibility, and acceptability.
METHODS: The project uses a mixed methods design approach with 3 phases. In phase 1, factors and characteristics of the built environment for rehabilitation will be identified. Based on the results from phase 1, phase 2 will involve co-designing prototypes of environments to support the rehabilitation process for people with stroke. Finally, the prototypes will be evaluated in phase 3. Qualitative and quantitative methods will include a literature review, a concept mapping (CM) study, stakeholder interviews, prototype development, and testing. The project will use multidimensional scaling, hierarchical cluster analysis, descriptive statistics for quantitative data, and content analysis for qualitative data. Location analysis will rely on the location-allocation model for network problems, and the rule-based analysis will be based on geographic information systems data.
RESULTS: As of the submission of this protocol, ethical approval for the CM study and the interview study has been obtained. Data collection is planned to start in September 2023 and the workshops later in the same year. The scoping review is ongoing from January 2023. The CM study is ongoing and will be finalized in the spring of 2024. We expect to finish the data analysis in the second half of 2024. The project is a 3-year project and will continue until December 2025.
CONCLUSIONS: We aim to determine how new environments could better support a person\'s control over their day, environment, goals, and ultimately control over their recovery and rehabilitation activities. This \"taking charge\" approach would have the greatest chance of transferring the care closer to the patient\'s home. By co-designing with multiple stakeholders, we aim to create solutions with the potential for rapid implementation. The project\'s outcomes may target other people with frail health after a hospital stay or older persons in Sweden and anywhere else. The impact and social benefits include collaboration between important stakeholders to explore how new environments can support the transition to local health care, co-design, and test of new conceptual models of environments that can promote health and well-being for people post stroke.
UNASSIGNED: DERR1-10.2196/52489.
摘要：
背景：全球趋势是使康复更接近人们的社区和家庭。尽管如此，很少有人关注医院外的建筑环境如何影响中风幸存者的康复和康复。
目的：该项目的首要目标是开发医院外支持中风康复和康复的建筑环境的概念模型。具体来说,该项目将探索支持中风患者及其家庭的建筑环境的因素和特征，并确定可为当地医疗保健设计的创新建筑环境。该项目将研究实施建筑环境解决方案的促进者和障碍，并评估潜在的好处，可行性,和可接受性。
方法：该项目采用3个阶段的混合方法设计方法。在第一阶段，将确定用于修复的建筑环境的因素和特征。根据第一阶段的结果，第二阶段将涉及共同设计环境原型，以支持中风患者的康复过程。最后,原型将在第三阶段进行评估。定性和定量方法将包括文献综述，概念映射(CM)研究，利益相关者访谈，原型开发,和测试。该项目将使用多维缩放，层次聚类分析，定量数据的描述性统计，和定性数据的内容分析。位置分析将依赖于位置分配模型来解决网络问题，基于规则的分析将基于地理信息系统数据。
结果：在提交本方案时，已获得CM研究和访谈研究的伦理批准。数据收集计划于2023年9月开始，研讨会将于同年晚些时候开始。范围审查从2023年1月开始。CM研究正在进行中，将于2024年春季完成。我们预计将在2024年下半年完成数据分析。该项目为期3年，将持续到2025年12月。
结论：我们的目标是确定新环境如何更好地支持一个人对自己一天的控制，环境,目标,并最终控制他们的康复和康复活动。这种“负责”的方法将有最大的机会将护理转移到更靠近患者家的地方。通过与多个利益相关者共同设计，我们的目标是创造具有快速实施潜力的解决方案。该项目的结果可能针对住院后身体虚弱的其他人或瑞典和其他任何地方的老年人。影响和社会效益包括重要利益相关者之间的合作，以探索新环境如何支持向当地医疗保健的过渡，共同设计，并测试可以促进中风后人们的健康和福祉的新环境概念模型。
■DERR1-10.2196/52489。
目的：该项目的首要目标是开发医院外支持中风康复和康复的建筑环境的概念模型。具体来说,该项目将探索支持中风患者及其家庭的建筑环境的因素和特征，并确定可为当地医疗保健设计的创新建筑环境。该项目将研究实施建筑环境解决方案的促进者和障碍，并评估潜在的好处，可行性,和可接受性。
方法：该项目采用3个阶段的混合方法设计方法。在第一阶段，将确定用于修复的建筑环境的因素和特征。根据第一阶段的结果，第二阶段将涉及共同设计环境原型，以支持中风患者的康复过程。最后,原型将在第三阶段进行评估。定性和定量方法将包括文献综述，概念映射(CM)研究，利益相关者访谈，原型开发,和测试。该项目将使用多维缩放，层次聚类分析，定量数据的描述性统计，和定性数据的内容分析。位置分析将依赖于位置分配模型来解决网络问题，基于规则的分析将基于地理信息系统数据。
结果：在提交本方案时，已获得CM研究和访谈研究的伦理批准。数据收集计划于2023年9月开始，研讨会将于同年晚些时候开始。范围审查从2023年1月开始。CM研究正在进行中，将于2024年春季完成。我们预计将在2024年下半年完成数据分析。该项目为期3年，将持续到2025年12月。
结论：我们的目标是确定新环境如何更好地支持一个人对自己一天的控制，环境,目标,并最终控制他们的康复和康复活动。这种“负责”的方法将有最大的机会将护理转移到更靠近患者家的地方。通过与多个利益相关者共同设计，我们的目标是创造具有快速实施潜力的解决方案。该项目的结果可能针对住院后身体虚弱的其他人或瑞典和其他任何地方的老年人。影响和社会效益包括重要利益相关者之间的合作，以探索新环境如何支持向当地医疗保健的过渡，共同设计，并测试可以促进中风后人们的健康和福祉的新环境概念模型。
■DERR1-10.2196/52489。
