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Ida-Maria Barchéus. Photo: Karin Sjöberg View original picture , opens in new tab/window

Continued development of digital rehabilitation via 1177

Published: 27 April 2022

Via a digital platform on 1177, people affected by stroke will be able to take part in a new rehabilitation program. Ida-Maria Barchéus, doctoral student in occupational therapy at Luleå University of Technology, is now investigating how occupational therapists and people with stroke experience it. "They test the digital rehabilitation together and I interview them, among other things", she says.

It is part of the research project "Towards an more active life - easier and more equal access to rehabilitation via integrated web program", which Ida-Maria Barchéus does her studies.

A web program has been developed and is now in the support and treatment platform in Vårdguiden 1177. It contains seven different modules. The person may take part in short films and carry out tasks via the web. It is combined with digital meetings with occupational therapists who provide support in the change work.
"Rehabilitation is very much based on self-reflection and developing strategies for the person to be able to have an active everyday life. The films are five to ten minutes and should inspire the person before the self-reflection tasks and conversations with the occupational therapist", says Ida-Maria Barchéus.

Active life a goal

The aim is to develop rehabilitation for those affected by stroke and the goal is for people to be able to live an active life with a variety of activities in different places and together with others.
"I have contact with occupational therapists in the Norrbotten Region who recommend and ask people who can be included in the survey. Because we are in test mode, it is not open to everyone. For example, people must have the technology required and that they have mild to moderate consequences of stroke. The first study is complete and now I am doing three more in parallel", says Ida-Maria Barchéus.
"I have investigated the feasibility of the digital approach and the content of the rehabilitation. I have done both interviews and follow the assessment form that the participants can fill out".

More in-depth interviews

So far, it has been shown that when there are long distances, it can be good to be at home and avoid travel. Instead of spending time on travel, the people can instead engage in reflection and rehabilitation. Video meetings were experienced positively and better than telephone, because it is possible to see each other and reactions. 
Two occupational therapists and four people with stroke were included in the first study.
"Based on the results, we have improved the content and support for the occupational therapists. Now we will test the feasibility with more participants. We follow the people's change process for twelve months and see how they adopt strategies for an active life", says Ida-Maria Barchéus.
The results of the first sub-study must now be approved by a scientific journal and then published.
Further research is underway with more studies and the hope is that many people affected by stroke will want to participate. Ida-Maria Barchéus will now do more in-depth interviews with people who receive rehabilitation and their occupational therapists.

Maria Larsson-Lund

Maria Larsson-Lund, Professor and Head of Subject

Phone: +46 (0)920 493833
Organisation: Occupational therapy, Health, Medicine and Rehabilitation, Department of Health, Education and Technology
Ida-Maria Barchéus

Ida-Maria Barchéus, PhD Student

Phone: +46 (0)920 492854
Organisation: Occupational therapy, Health, Medicine and Rehabilitation, Department of Health, Education and Technology