Virtually home: Exploring the potential of virtual reality to support patient discharge after stroke

Journal article


Threapleton, Kate, Newberry, Karen, Sutton, Greg, Worthington, Esme and Drummond, Avril 2017. Virtually home: Exploring the potential of virtual reality to support patient discharge after stroke. British Journal of Occupational Therapy. https://doi.org/10.1177/0308022616657111
AuthorsThreapleton, Kate, Newberry, Karen, Sutton, Greg, Worthington, Esme and Drummond, Avril
Abstract

Introduction: The level of assessment and intervention received by patients prior to discharge varies widely across stroke services in the United Kingdom. This study aimed to explore the potential value of virtual reality in preparing patients for discharge following stroke. Method: Semi-structured interviews were carried out with 13 occupational therapists, eight patients with a stroke and four community stroke survivors. Views were sought of the perceived acceptability, potential utility and limitations of a ‘virtual home’ environment for use in pre-discharge education and assessment. Data were analysed thematically. Findings: Interviewees found the virtual home to be an acceptable and visual means of facilitating discussions about discharge. It was perceived as valuable in assessing patient insight into safety risks and exploring the implications of installing assistive equipment at home. Limitations were identified relating to specific software issues and the use of virtual reality with patients with cognitive or perceptual impairments. Conclusion: The results demonstrate the potential utility of the virtual home within stroke rehabilitation. Patients and therapists engaged with the virtual home and, moreover, made practical suggestions for future development. Feasibility and pilot testing in a clinical setting is required to compare the use of the virtual home with traditional approaches of pre-discharge assessment.

Introduction: The level of assessment and intervention received by patients prior to discharge varies widely across stroke services
in the United Kingdom. This study aimed to explore the potential value of virtual reality in preparing patients for discharge
following stroke.
Method: Semi-structured interviews were carried out with 13 occupational therapists, eight patients with a stroke and four
community stroke survivors. Views were sought of the perceived acceptability, potential utility and limitations of a ‘virtual
home’ environment for use in pre-discharge education and assessment. Data were analysed thematically.
Findings: Interviewees found the virtual home to be an acceptable and visual means of facilitating discussions about discharge. It
was perceived as valuable in assessing patient insight into safety risks and exploring the implications of installing assistive
equipment at home. Limitations were identified relating to specific software issues and the use of virtual reality with patients with
cognitive or perceptual impairments.
Conclusion: The results demonstrate the potential utility of the virtual home within stroke rehabilitation. Patients and therapists
engaged with the virtual home and, moreover, made practical suggestions for future development. Feasibility and pilot testing in a
clinical setting is required to compare the use of the virtual home with traditional approaches of pre-discharge assessment.

KeywordsVirtual Reality; Occupational Therapy; Stroke; Rehabilitation; Discharge Llanning
Year2017
JournalBritish Journal of Occupational Therapy
ISSN03080226
Digital Object Identifier (DOI)https://doi.org/10.1177/0308022616657111
Web address (URL)http://hdl.handle.net/10545/621379
hdl:10545/621379
Publication dates01 Feb 2017
Publication process dates
Deposited15 Feb 2017, 12:06
ContributorsUniversity of Nottingham and University of Derby
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https://repository.derby.ac.uk/item/92w02/virtually-home-exploring-the-potential-of-virtual-reality-to-support-patient-discharge-after-stroke

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