Effect of a Novel Transition Program on Disability After Stroke: A Trial Protocol

Area of Science:

• Neurology
• Rehabilitation Medicine
• Occupational Therapy

Background:

• Stroke survivors face significant challenges transitioning from inpatient rehabilitation to home due to cognitive and sensorimotor deficits.
• Environmental barriers in the home can impede independence and community participation for stroke survivors.
• There is a critical gap in care at the transition point, impacting long-term recovery and quality of life.

Purpose of the Study:

• To investigate the efficacy and safety of the novel Community Participation Transition After Stroke (COMPASS) program.
• To reduce environmental barriers and improve daily activity performance and community participation among stroke survivors.
• To enhance the long-term morbidity outcomes for individuals following a stroke.

Main Methods:

• A phase 2b, single-blind, randomized clinical trial with 1:1 allocation.
• Participants stratified by Functional Independence Measure and age, assigned to either an attentional control or the COMPASS intervention.
• The COMPASS intervention combines home modifications and strategy training delivered in the home setting.

Main Results:

• The study is ongoing, with 99 participants recruited and 77 randomized to date.
• Preliminary data suggests the potential for improved community participation and daily activity performance.
• Results will provide crucial data on long-term community reintegration and environmental barrier management post-stroke.

Conclusions:

• The COMPASS program shows promise in addressing the critical gap in stroke survivor care during the transition to home.
• Effective management of environmental barriers and enhanced rehabilitation strategies can significantly improve community participation.
• Further results are anticipated to inform evidence-based practices for post-stroke recovery and long-term well-being.