Protocol for a remote home-based upper extremity self-training program for community-dwelling individuals after
Grace J Kim1, Amanda Gahlot1, Camille Magsombol2
1Department of Occupational Therapy, NYU Steinhardt School of Culture, Education, and Human Development, 82 Washington Square E, New York, NY, 10003, USA.
Contemporary Clinical Trials Communications
|April 28, 2023
Summary
This study protocol outlines a remote, home-based upper extremity (UE) self-training program for stroke survivors with hemiparesis. It uses motivational interviewing and ecological momentary assessments to improve engagement and adherence in UE rehabilitation.
Area of Science:
- Neurorehabilitation
- Stroke Recovery
- Digital Health
Background:
- Stroke survivors often experience chronic upper extremity (UE) hemiparesis, impacting daily function.
- Remote rehabilitation offers a promising avenue to extend clinical gains and promote home-based UE use.
- This protocol details a novel remote, home-based UE self-training program.
Purpose of the Study:
- To describe the study protocol for a remote, home-based UE self-training program for stroke survivors.
- To investigate the feasibility of using motivational interviewing (MI) and ecological momentary assessments (EMA) to enhance engagement and adherence.
- To assess the impact of the program on UE function and recovery in community-dwelling individuals.
Main Methods:
- A convergent mixed methods feasibility study involving 15 community-dwelling individuals with UE hemiparesis post-stroke.
- A 4-week personalized UE self-training program incorporating MI and EMA.
- Phases included interventionist training in MI, shared decision-making for customized plans, and the 4-week self-training period.
Main Results:
- Feasibility will be evaluated by summarizing recruitment, retention, intervention delivery, acceptance, adherence, and safety.
- Quantitative outcomes include changes in UE status measured by Fugl-Meyer Assessment, Motor Activity Log, and others.
- Qualitative data from semi-structured interviews will explore participant experiences, facilitators, and barriers to adherence.
Conclusions:
- This research will advance knowledge on using MI and EMA to improve adherence in remote UE self-training for stroke survivors.
- The findings aim to enhance UE recovery for individuals transitioning back into the community.
- The study protocol provides a framework for developing effective remote rehabilitation strategies.
