Stroke rehabilitation in urban and rural settings in the Philippines: Protocol for an interview and visual elicitation study

Authors

Sarah Ann Buckingham, Faculty of Health
Alyssa Marie Dar Juan, De La Salle University
Sara Demain, University of Southampton
Sara Demain, University of Southampton
June Ann De Vera, De La Salle Medical and Health Sciences Institute
Myrna Estrada, De La Salle Medical and Health Sciences Institute
Lorraine Hermosura-Faeldon, De La Salle University
Lorraine Hermosura-Faeldon, De La Salle University
Bridie Kent, Faculty of Health
Maria Teresa Sharon Linog, Xavier University - Ateneo de Cagayan
Maria Teresa Sharon Linog, Xavier University - Ateneo de Cagayan
Roy Francis Navea, De La Salle University
Roy Francis Navea, De La Salle University
Fiona Jones, St George’s, University of London
Bridie Kent, University of Plymouth
Rowena Abellija, Xavier University - Ateneo de Cagayan
Elda Grace Anota, Cebu Institute of Medicine
Marie Cieli Aragon, De La Salle University
Scott Ballard-Ridley, Bridges Self-Management Ltd
Maria Mercedes Barba, Northern Mindanao Medical Center
Jessica Basila, De La Salle University
Vergil Boac, Xavier University - Ateneo de Cagayan
Sarah Buckingham, University of Plymouth
Alyssa Marie Dar Juan, De La Salle University
Lancelot Lyle de Jesus, De La Salle University
June Ann De Vera, De La Salle University
Myrna Estrada, De La Salle University
Michelle Joy Ganoran, De La Salle University
Fiona Jones, St George’s, University of London
Angie Logan, Royal Devon University Healthcare NHS Foundation Trust
Jonathan Marsden, De La Salle University
Aira Ong, University of Plymouth
Paula Otter, Bridges Self-Management Ltd

Publication Date

8-1-2024

Document Type

Article

Publication Title

PLoS ONE

Abstract

Introduction There is a lack of community-based rehabilitation for stroke in the Philippines, and research on this topic is limited. Different challenges may be encountered in urban and rural settings. The aim of the Tulong, Ugnayan ng Lingap At gabaY (TULAY) project is to develop a context-appropriate, community-based stroke support programme, consisting of self-management and training resources to augment the rehabilitation and recovery process. An important stage in the development of this programme is to qualitatively explore the experiences and needs of all stakeholders. Materials and methods Using co-designed and evidence-based topic guides, in-depth semi-structured interviews will be conducted with people living with stroke, household carers and care providers. We will aim to gain a representation of different regions (within Luzon, Visayas, and Northern Mindanao), socioeconomic levels, and urban and rural locations. For people with stroke and household carers, interviews will be supplemented by auto-photography and visual elicitation to widen access for those that prefer to share their experiences visually or have communication problems. An interpretivist paradigm will be applied across all interview data and the consolidated criteria for reporting qualitative research (COREQ) will be followed. Thematic analysis will be undertaken using guidance by Braun and Clarke. Discussion To our knowledge, this study is the first of its kind in the Philippines. It has several methodological strengths, including the capture of perspectives from multiple stakeholders in diverse settings, the inclusion of people with communication difficulties, use of visual methods, and analysis in the native language. The findings will have various applications, including the potential to influence policy, practice and guidelines, and to inform the development of the TULAY stroke support programme.

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