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Adapting a Poststroke Sedentary Behavior Intervention for Remote Delivery: Lessons from a Formative Descriptive Case
Emily Kringle1, Karli Jahnke1, Amos Badu1
1School of Kinesiology, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota, USA.
Telemedicine Reports
|August 1, 2026
Summary
Remote delivery of the Activating Behavior for Lasting Engagement (ABLE) intervention, called teleABLE, appears feasible for stroke survivors. This approach may improve sedentary time, activity engagement, and mental well-being.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Digital Health
Background:
- Stroke survivors often experience prolonged sedentary time, impacting recovery and quality of life.
- Remote interventions can address access barriers to rehabilitation services.
- Adapting in-person programs for remote delivery is crucial for engagement and safety.
Purpose of the Study:
- To explore the feasibility of delivering the Activating Behavior for Lasting Engagement (ABLE) intervention remotely (teleABLE) via synchronous videoconferencing.
- To assess participant engagement, safety, and satisfaction with the teleABLE intervention.
Main Methods:
- A descriptive case series involving 11 community-dwelling ambulatory stroke survivors.
- 12 teleABLE sessions delivered via videoconferencing.
- Pre- and post-intervention assessments of sedentary time, activity engagement, and quality of life, alongside semi-structured interviews.
Main Results:
- High retention rate (90.9%) and met feasibility benchmarks for safety and participant satisfaction.
- Some participants showed improvements in sedentary time, activity engagement, and quality of life.
- Qualitative data indicated teleABLE was perceived as a useful planning tool for re-engagement and improved mental health.
Conclusions:
- Remote delivery of the ABLE intervention (teleABLE) is feasible and potentially beneficial for stroke survivors.
- Intervention adaptations successfully supported engagement and safety in a remote setting.
- Further research is needed to establish the efficacy of teleABLE for improving clinical outcomes.