Feasibility of a novel web-based neuropsychological rehabilitation programme for stroke patients.

Abstract

To evaluate the implementation and feasibility of the Neuropsychological Digital Care Pathway (NP-DCP), a novel, professional-guided web-based rehabilitation programme for the rehabilitation of cognitive and emotional symptoms following stroke and to identify factors associated with adherence and user experience. Retrospective registry study. 133 stroke patients (≥ 18 years) with mild to moderate cognitive impairment at the Neurocenter, Helsinki University Hospital, Finland, referred to the NP-DCP between April 2019 and April 2020. The NP-DCP adherence data (completers, dropouts, non-starters) and feedback from programme completers were analysed along with demographic and clinical characteristics. Of the referred patients, 114 (86%) started the programme; of these, 79 (68%) completed it. The average completion time was 82.3 days. Referral on discharge from acute care was associated with higher adherence (p = 0.019). Women were more likely to start the programme than men (p = 0.012). Usability and content were rated good to excellent (mean 4.1-4.4/5), with participants with basic education more satisfied than those with higher education (p = 0.033). The NP-DCP demonstrated high engagement and user satisfaction, suggesting it is a feasible tool for stroke rehabilitation, thus adding a promising new method to existing services. Early referral may improve adherence.