Telehealth Self-Management Support in Early Stroke Rehabilitation: A Feasibility Randomized Controlled Trial.

BACKGROUND

Skills to manage the chronic effect of stroke are often not sufficiently addressed in early stroke rehabilitation.

OBJECTIVES

The study evaluated the feasibility of conducting a trial testing the efficacy of telehealth self-management support early in stroke recovery.

METHODOLOGY

Process, resources, and scientific feasibility was assessed for a randomized controlled trial comparing the effect of motivational interviewing and a group-based self-management program to treatment-as-usual with first-time stroke patients. Data were analyzed using descriptive statistics, effect sizes, and thematic analysis.

RESULTS

Fifteen stroke patients were enrolled, and 10 completed the study (intervention = 6). 100% attendance was achieved with technical support, reminders, and schedule flexibility. Participants were satisfied with the intervention and reported emotional benefits and gain of new insights. Perceived recovery showed moderate effect ( = 0.54).

CONCLUSION

The findings support the feasibility of an efficacy trial as well as the potential benefit of integrating telehealth self-management support early in stroke rehabilitation.