eRehabilitation after stroke: the interplay between the effectiveness, the implementation and the context

Brouns, B. (2021)

Doctoral Thesis

Stroke is a relatively common condition with a large impact on patients’ lives. Rehabilitation treatment aims to support patients in coping with the physical, mental, cognitive and social consequences of stroke. Recently, there is an increasing interest in the application of digital technologies (eRehabilitation) in healthcare in general, including in stroke rehabilitation. ERehabilitation may include physical and cognitive exercise programs, patient information and education, e-consultations, physical activity tracking and serious gaming, preferably all together in one digital environment.
Although there is evidence on the effectiveness and feasibility of eRehabilitation, the uptake of eRehabilitation in specialized stroke rehabilitation facilities has been slow, warranting the need for implementation research. The aim of this thesis was to provide insight in the complex interplay between the effectiveness, the implementation strategy and the context of eRehabilitation after stroke, as delivered in a specialized rehabilitation facility, in order to improve future use of eRehabilitation in specialized stroke rehabilitation facilities.

• Stroke
• eRehabilitation
• Implementation
• Effectiveness
• eHealth
• Rehabilitation
• Barriers and facilitators
• Process evaluation

• All authors: Brouns, B.
• Supervisor: Vliet Vlieland, T.P.M.
• Co-supervisor: Bodegom-Vos, L. van; Meesters, J.J.L.
• Committee: Wermer, M.J.H.; Dekker, R.; Nassau, F. van
• Qualification: Doctor (dr.)
• Awarding Institution: Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
• Date: 2021-05-11
• ISBN (print): 9789464231816