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Maximizing Telerehabilitation for Patients With Visual Loss After Stroke: Interview and Focus Group Study With Stroke Survivors, Carers, and Occupational Therapists

Dunne, Stephen, Close, Helen, Richards, Nicola, Ellison, Amanda and Lane, Alison R. (2020) Maximizing Telerehabilitation for Patients With Visual Loss After Stroke: Interview and Focus Group Study With Stroke Survivors, Carers, and Occupational Therapists. Journal of Medical Internet Research, 22 (10). ISSN 1438-8871

Item Type: Article


Background: Visual field defects are a common consequence of stroke, and compensatory eye movement strategies have been identified as the most promising rehabilitation option. There has been a move toward compensatory telerehabilitation options, such as the Durham Reading and Exploration (DREX) training app, which significantly improves visual exploration, reading, and self-reported quality of life.

Objective: This study details an iterative process of liaising with stroke survivors, carers, and health care professionals to identify barriers and facilitators to using rehabilitation tools, as well as elements of good practice in telerehabilitation, with a focus on how the DREX package can be maximized.

Methods: Survey data from 75 stroke survivors informed 12 semistructured engagement activities (7 focus groups and 5 interviews) with 32 stroke survivors, 10 carers, and 24 occupational therapists.

Results: Thematic analysis identified key themes within the data. Themes identified problems associated with poststroke health care from both patients’and occupational therapists’ perspectives that need to be addressed to improve uptake of this rehabilitation tool and telerehabilitation options generally. This included identifying additional materials or assistance that were required to boost the impact of training packages. The acute rehabilitation setting was an identified barrier, and perceptions of technology were considered a barrier by some but a facilitator by others. In addition, 4 key features of telerehabilitation were identified: additional materials, the importance of goal setting, repetition, and feedback.

Conclusions: The data were used to try to overcome some barriers to the DREX training and are further discussed as considerations for telerehabilitation in general moving forward.

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More Information

Depositing User: Stephen Dunne


Item ID: 12713
Identification Number:
ISSN: 1438-8871
Official URL:

Users with ORCIDS

ORCID for Stephen Dunne: ORCID iD
ORCID for Helen Close: ORCID iD
ORCID for Nicola Richards: ORCID iD
ORCID for Amanda Ellison: ORCID iD
ORCID for Alison R. Lane: ORCID iD

Catalogue record

Date Deposited: 22 Oct 2020 15:24
Last Modified: 16 Nov 2020 18:00


Author: Stephen Dunne ORCID iD
Author: Helen Close ORCID iD
Author: Nicola Richards ORCID iD
Author: Amanda Ellison ORCID iD
Author: Alison R. Lane ORCID iD

University Divisions

Faculty of Health Sciences and Wellbeing > School of Psychology


Psychology > Psychology

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