Video-follow Up To Collect Data After Post-Stroke Patients Discharged:A Randomized,Controlled Study

Objective:To explore the feasibility and reliability of video-follow up based on instant messaging software to collect rehabilitation data after post-stroke patients discharged home.It provided reference for selecting a suitable follow-up mode to collect data in the future.Methods:A total of 120 eligible post-stroke patients were recruited from the rehabilitation hospital of Fujian University of Traditional Chinese Medicine,during March 2017 to December 2017.They were randomized into the telephone follow-up group(60)and the video follow-up group(60).Within one week before patients discharged home,the researchers conducted a comprehensive baseline data measurement and gave patients and their families the health education.The follow-up contents in this study included Modified Barthel Index and Stroke Impact Scale.At the second week after discharged,two groups of patients were followed up by telephone and video respectively.Then,30 patients were selected for home visit according to stratified sampling within one week after the first follow up.At the third month after discharged,the second telephone and video follow up were conducted;within one week after the second follow up,a home visit was conducted once again.When the follow up was completed,comparing the success rate of the two groups,Intraclass Correlation Coefficient was used to compare the agreement of MBI and SIS in different follow up methods.Results:1.There was no statistically significant difference in baseline data between two groups.(P>0.05).2.In the telephone group,the success rate was 95%at two weeks follow up,and the success rate was 84.2%at 3 months follow up.In the video group,the success rate was 86.7%at 2 weeks follow up,and the success rate was 94.2%at 3 months.There were no statistically significant difference in the success rate of the two groups at different time points(P>0.05).3.The satisfaction and comfortable level of using telephone and video in both groups were over 90%,and there were no statistically significant difference between the two groups(P>0.05).At 3 months,the satisfaction difference between the two groups was statistically significant(P<0.05),and video group was higher than the telephone group.4.When patients was discharged two weeks,ICC between video and home visit was greater than 0.85 in the result of MBI and SIS,and the agreement of two modes were good.In the result of MBI,ICC of bladder and bowel management between telephone and home visit was greater than 0.75,and the agreement was good;ICC of the remaining eight items of MBI was less than 0.66,and the agreement was poor.In the result of SIS,ICC of participation domain and emotion domain between telephone and home visit was less than 0.75,and the agreement was poor.ICC of remaining 6 domains of SIS was greater than 0.75,and the agreement was good.When patients was discharged 3 months,in the result of MBI and SIS,ICC between video and home visit was greater than 0.84,and the agreement was good.In the result of MBI,ICC of bladder and bowel management between telephone and home visit was greater than 0.75,and the agreement was good;ICC of the remaining eight items of MBI was less than 0.67,and the agreement was poor.The agreement of 4 domains(power,cognition,communication and movement)between telephone and home visit was greater than 0.75,and the agreement was good;ICC of remaining 4 domains(Participation,ADL,Hand function,Communication)was less than 0.72,and the agreement was poor.Conclusion:Video follow-up and telephone follow up can be accepted by most post-stroke patients,and video follow-up was more reliable than telephone follow-up.