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					                              Effects of Age and Satisfaction on Acceptance of
                             High-Technology Occupational Therapy Post Stroke
                                        Elizabeth Widicus, OTS and Dorothy Farrar Edwards, PhD
                                                  Occupational Therapy Program, Department of Kinesiology
                                                              University of Wisconsin-Madison
           INTRODUCTION                                                                       RESULTS                                               CONCLUSIONS
Background                                                                                                                              •There is increasing evidence supporting the use of
•Each year 795,000 people in the US suffer a stroke.                                      Participant Demographics
                                                                                                                                        technologies such as FES or RT for increased function
•Stroke is the third leading cause of death in the US                                                                                   and recovery for persons with UE hemiparesis after
and is the most common cause of disability in adults.                                                                                   stroke.
•Hemiparesis commonly occurs after stroke (80%),                                                                                        •Little literature exists which examines willingness to
leaving one side of the body affected. This often                                                                                       try or interest in new forms of therapy.
decreases independence in Activities of Daily Living                                                                                    •Stroke survivors appear satisfied with therapy they
(ADLs) and Instrumental ADLs.                                                                                                           received; 57.1% reported they were “very satisfied”.
•Many factors affect satisfaction with therapy.                                                                                         •Older stroke survivors are less willing to try high-
•Little is known about what affects patients’ willingness     Note: Measured in years
                                                                                                                                        technology therapy potentially due to being late
to use new high-technology therapy such as                                                                                              adopters of technology.
Functional Electrical Stimulation (FES) and Robotic                                                                                     •Stroke survivors who are less satisfied with prior
Therapy (RT).                                                Average willingness to use high-tech therapy based on percent recovery     therapy and recovery will be more willing to try new
                                                                                                                                        forms of therapy.
                                                                                                                                        •Further research with a larger sample size would
                                                                                                                                        show if these findings are generalizable to the
                                                                                                                                        population of stroke survivors.

Purpose                                                                                                                                 Limitations
•To determine what factors affect willingness to                                                                                        •Small sample size.
use/interest in trying new forms of high-technology                                                                                     •Several ambiguous questions on survey.
therapy for upper extremity hemiparesis after stroke.                                                                                   •Other health concerns affecting responses.
•It is hypothesized that older stroke survivors will be
less willing to use high technology therapy but there
will be no difference based on satisfaction with prior
                                                             Average willingness to try new therapy based on effectiveness of therapy           IMPLICATIONS FOR
                                                                                                                                        •From this pilot study, it is obvious that therapy should
     RESEARCH DESIGN &                                                                                                                  be client-centered. It is important to take into account
         METHODS                                                                                                                        the following:
                                                                                                                                             •If the client is an early adopter of technology.
Participants- Eight people in the chronic stage of                                                                                           •If he/she is interested in trying new forms of
stroke recovery (stroke at least six months prior)                                                                                           therapy.
attending a stroke support group at Meriter Hospital or                                                                                      •What goals he/she wishes to achieve in therapy.
living at skilled nursing facility, Capitol Lakes in
Madison, Wisconsin.

Design- Interview using the Stroke Impact Scale (SIS)
and the Stroke Rehabilitation Survey (SRS).
                                                                               Average willingness to try new therapy based on age
•SIS is the standard stroke outcome scale developed
by the American Stroke Association. Its 59 items
create 8 subscales which assess how much difficulty
the person is having with different areas of their life as
a result of the stroke. Respondents also rate their
recovery from their stroke using a scale from 0 to
•SRS is a self-report scale which asks for demographic                                                                                  A very special thank you to my research mentor,
information such as age and when the stroke occurred.                                                                                   Dr. Dorothy Farrar Edwards for her assistance and
It also asks for satisfaction with therapy received and                                                                                 guidance. A big thank you to the participants of this
willingness to try/interest in trying new types of high-                                                                                study as well. This project was funded by the Gertrude
technology forms of therapy, including FES and RT.                                                                                      Gaston Fund.

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