Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus

Objective To develop a set of strategies to enhance adherence to home-based exercises after stroke, and an overarching framework to classify these strategies. Method We conducted a four-round Delphi consensus (two online surveys, followed by a focus group then a consensus round). The Delphi panel consisted of 13 experts from physiotherapy, occupational therapy, clinical psychology, behaviour science and community medicine. The experts were from India, Australia and UK. Results In round 1, a 10-item survey using open-ended questions was emailed to panel members and 75 strategies were generated. Of these, 25 strategies were included in round 2 for further consideration. A total of 64 strategies were finally included in the subsequent rounds. In round 3, the strategies were categorised into nine domains - (1) patient education on stroke and recovery, (2) method of exercise prescription, (3) feedback and supervision, (4) cognitive remediation, (5) involvement of family members, (6) involvement of society, (7) promoting self-efficacy, (8) motivational strategies and (9) reminder strategies. The consensus from 12 experts (93%) led to the development of the framework in round 4. Conclusion We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders' experiences and the cost-effectiveness of implementing these strategies

IMPLEMENTATION AND ANALYSIS OF SMART REFLECT EMPLOYING IOT

This paper reports the design and development of a cutting edge smart mirror. It represents a prominent interface for the ambient environment. It presents the functioning of the smart mirror. The project mainly focuses on providing an easy and interesting entity for dwelling a place. The introduced smart mirror is operated employing raspberry pi and will be coupled to the real world through the internet. It comprises of a raspberry Pi, led, monitor, Speaker, two way mirror, acrylic glass. It will foreground some fundamental amenities like date, weather, and time. Moreover it performs advanced functions like Google assistance, Google photos. Smart mirrors are widely used in North America and US countries to attract a large number of customers in retail shops and also in hospitals to display useful information, Further many applications can be implemented in Smart Mirror. Solar energy can also be used to power up raspberry Pi. Touch screen technology is added, and can attract more and more people towards its outstanding feature. The smart mirror is newfangled technology that helps users to access mirrors like a feature in mobile phones