Sex Differences in Enrolment, Adherence, and Satisfaction in Canadian Stroke Telerehabilitation Studies.

• Women with stroke are underrepresented in virtual rehabilitation trials. • Men and women with stroke have similar adherence and satisfaction to virtual rehabilitation programs with different areas of intervention foci including exercise and chronic disease self-management. • Greater emphasis shoul...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 107; no. 8; pp. 1895 - 1905
Autores principales: Wiley, Elise, Marwaha, Amanpreet, Sakakibara, Brodie M., Park, Sarah, Eng, Janice J., Tang, Ada
Formato: research Journal Article
Publicado: W B Saunders Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
      vid: 107
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        195995852
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        195995852
        10.1016/j.apmr.2025.12.006
        195995852
      ppf: 1895
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        atl: Sex Differences in Enrolment, Adherence, and Satisfaction in Canadian Stroke Telerehabilitation Studies.
      aug:
        au:
          Wiley, Elise
          Marwaha, Amanpreet
          Sakakibara, Brodie M.
          Park, Sarah
          Eng, Janice J.
          Tang, Ada
        affil: School of Rehabilitation Science, McMaster University, Hamilton, Ontario
      sug:
        subj:
          Sex Factors
          Research Subject Recruitment
          Patient Compliance
          Patient Satisfaction
          Therapeutic Exercise
          Telerehabilitation
          Stroke Rehabilitation
          Self-Management
          Community Living
          Human
          Cross Sectional Studies
          Male
          Female
          Stroke Patients
          Canada
          Descriptive Statistics
          Wilcoxon Rank Sum Test
          Male
          Female
      ab: • Women with stroke are underrepresented in virtual rehabilitation trials. • Men and women with stroke have similar adherence and satisfaction to virtual rehabilitation programs with different areas of intervention foci including exercise and chronic disease self-management. • Greater emphasis should be placed on promoting recruitment of women with stroke. To determine sex-based differences in: (1) enrolment, adherence, and satisfaction in telerehabilitation programs for individuals with stroke in Canada; (2) adherence and satisfaction outcomes in exercise and self-management intervention subgroups. Cross-sectional study. Telerehabilitation for community-dwelling individuals with stroke. Enrolment (n (%) men, women), adherence (# sessions completed/total # sessions), and program satisfaction (5-point Likert scale program satisfaction survey administered) were used from 3 telerehabilitation trials. Wilcoxon rank-sum tests were used to determine sex differences in exercise-based (participants included in analyses: n=57 adherence; n=54 satisfaction total participants included in analyses) or self-management (n=87 adherence; n=77 satisfaction) programs. Not applicable. Enrolment for men was more than 2-fold higher than that for woman across all studies (n=149 [67.4%] vs 72 [32.6%]). Adherence was similar between men and women with most participants completing 100% [interquartile range, 0] of sessions for the total sample (P =.13, Z =1.52), and for exercise (P =.16, Z =1.41) and self-management subgroups (P =.13, Z =1.52). Overall satisfaction with the telerehabilitation programs were similar between sexes for the total sample (P =.46, Z =0.75), and in exercise (P =.82, Z =0.23) and self-management (P =.49, Z =0.69) subgroups. Enrolment among men outnumbered women more than 2-fold, despite the similar number of stroke events between sexes. There were no sex differences for adherence or satisfaction across programs or with different areas of intervention foci. Emphasis should be placed on promoting recruitment of women with stroke. We provided potential strategies based on observations in the current study.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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