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Record W7117299125 · doi:10.1016/j.apmr.2025.12.006

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

2025· article· en· W7117299125 on OpenAlexafffundabout
Elise Wiley, Amanpreet Marwaha, Brodie M. Sakakibara, Sarah Park, Janice J Eng, Ada Tang

Bibliographic record

VenueArchives of Physical Medicine and Rehabilitation · 2025
Typearticle
Languageen
FieldMedicine
TopicStroke Rehabilitation and Recovery
Canadian institutionsVancouver Coastal HealthMcMaster UniversityUniversity of British ColumbiaMcMaster University Medical Centre
FundersMichael Smith Health Research BCCanadian Institutes of Health ResearchPhysiotherapy Foundation of CanadaCanadian Physiotherapy AssociationFondation Brain CanadaHeart and Stroke Foundation of Canada
KeywordsTelerehabilitationStroke (engine)Intervention (counseling)RehabilitationEpidemiology

Abstract

fetched live from OpenAlex

OBJECTIVE: 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. DESIGN: Cross-sectional study. SETTING: Telerehabilitation for community-dwelling individuals with stroke. PARTICIPANTS/MAIN OUTCOME MEASURES: 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. INTERVENTIONS: Not applicable. RESULTS: 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. CONCLUSIONS: 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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.018
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.055
Threshold uncertainty score0.110

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.018
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0020.007
Science and technology studies0.0030.001
Scholarly communication0.0020.001
Open science0.0020.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.319
Teacher spread0.304 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractno

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