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Published on: June 6, 2025
Study protocol: home-based telehealth stroke care: a randomized trial for veterans
Neale R Chumbler1, Dorian K Rose, Patricia Griffiths
1Department of Veterans Affairs Health Services Research & Development (HSR&D) Center of Excellence on Implementing Evidence-Based Practice (CIEBP), Richard L, Roudebush VA Medical Center, Indianapolis, Indiana, USA. neale.chumbler@va.gov
Telerehabilitation (TR) offers a promising approach to stroke recovery by providing home-based assessments and exercises. This intervention can supplement existing services and improve patient outcomes, especially for those in remote areas.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Health Services Research
Background:
- Stroke is a leading cause of adult disability and healthcare cost in the US.
- Intensive inpatient care benefits stroke patients, but reducing hospital stays is a priority.
- Effective home-based rehabilitation is crucial for early discharge but faces challenges due to limited home environment information.
Purpose of the Study:
- To examine a multifaceted telerehabilitation (TR) intervention for stroke patients.
- To assess the impact of TR on physical function, disability, and patient satisfaction.
- To evaluate the feasibility of using telehealth for home environment assessment and tailored rehabilitation.
Main Methods:
- A Phase II, 2-arm, 3-site randomized controlled trial (RCT) involving 50 stroke participants.
- Participants were assigned to either TR or Usual Care.
- The TR intervention included videotaped visits, telephone calls, and an in-home messaging device over 3 months.
Main Results:
- Telerehabilitation (TR) has the potential to supplement home health services for stroke recovery.
- TR can aid in the transition of patients back to their homes and increase rehabilitation efficiency.
- This approach is particularly beneficial for patients in remote locations, including veterans.
Conclusions:
- Telerehabilitation (TR) shows potential for effective home-based stroke rehabilitation.
- It can improve functional mobility and patient outcomes by providing tailored exercises and support.
- TR may enhance the efficiency and accessibility of post-stroke care, especially for underserved populations.
