Description of an App-Based Telerehabilitation Platform After Stroke in India (ATTEND-2) Using the Template for...

Stroke rehabilitation in India is challenged by shortages of rehabilitation professionals and limited access to structured post-discharge care, particularly in rural settings. Although family-led rehabilitation approaches have demonstrated feasibility in increasing therapy engagement, there remains a need for scalable systems that support continuity, monitoring, and accessibility of rehabilitation services. ATTEND-2 was developed as a culturally contextualized, app-based telerehabilitation platform to support post-stroke upper limb rehabilitation in resource-constrained settings. This study aimed to describe the ATTEND-2 intervention using the Template for Intervention Description and Replication (TIDieR) checklist. The intervention was systematically developed through stakeholder engagement involving stroke survivors, caregivers, physiotherapists, neurologists, and software developers. The updated Consolidated Framework for Implementation Research (CFIR) domains were applied to characterize implementation determinants influencing adoption and scalability within the Indian health system. The resulting intervention supports remote supervision, structured exercise prescription, and adherence monitoring within Indian home environments. CFIR-guided analysis identified key facilitators for scalability, including adaptability across urban and rural settings, compatibility with task-sharing approaches, and alignment with India's evolving digital health ecosystem. ATTEND-2 represents an evidence-informed telerehabilitation intervention designed to strengthen access to post-stroke upper limb rehabilitation. Structured reporting using TIDieR-telehealth and CFIR enhances transparency, reproducibility, and future feasibility and effectiveness evaluation.