The goal of this clinical trial is to learn whether the PEERHOMEcare intervention is a feasible and acceptable methodology that may have the potential to improve recovery for adults who are recovering from stroke and receiving rehabilitation at home. PEERHOMEcare adapts research on enriched environments to support brain recovery by creating stimulating and supportive home rehabilitation settings and by involving healthcare professionals and family members. The main questions it aims to answer are whether the PEERHOMEcare approach is feasible to implement in home-based stroke rehabilitation in Norway, Sweden, and Latvia, and whether it improves patient engagement and participation in rehabilitation during the first six months after stroke. Researchers will assess the delivery of the PEERHOMEcare approach to see if the intervention is feasible and acceptable and if the educational material can be used to improve engagement and recovery. Participants will receive home-based stroke rehabilitation, work with project therapists and family members to adapt their home environment to support rehabilitation activities, and complete assessments and follow-up visits to measure engagement, upper limb motor recovery, and feasibility of the intervention.
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Screened Participants
Timeframe: Post-acute recruitment phase through hospital stay (up to 6 months)
Number of Invited/Number of Accepted Participants
Timeframe: Post-acute recruitment phase through hospital stay (up to 6 months)
Number of Eligible Participants
Timeframe: Post-acute recruitment phase through hospital stay (up to 6 months)
Recruitment Rate
Timeframe: From enrolment to the start of participation in Week 1 (Preparation)
Retention Rate
Timeframe: 3 months after the intervention period (Weeks 2-6)
Completion of first-week study tasks and data collection
Timeframe: At the end of Week 1 (Preparation)
Completion and delivery of intervention
Timeframe: At the end of the Week 6 (Intervention)
Acceptability Questionnaire (Stroke Survivor and Family Member)
Timeframe: At the end of treatment (Week 6)
Collection and Interpretation of Sensor Data
Timeframe: From Week 2 to the end of treatment (Week 6).
Use of educational resources
Timeframe: From enrolment through until the 3 month follow-up.
Fidelity to the intervention protocol by project therapists
Timeframe: During the preparation (Week 1) and intervention period (Weeks 2-6), reviewed at least twice during the project period.
Participant adherence to intervention activities
Timeframe: During the intervention period (weeks 2-6 of study participation).
Acceptability Questionnaire (Therapist)
Timeframe: At the end of treatment (Week 6)
Action Research Arm Test (ARAT)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
Fugl-Meyer Assessment Upper Extremity (FMA-UE)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
Abilhand
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
The Stroke Self-Efficacy Questionnaire (SSEQ)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
Stroke Impact Scale (SIS)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
Barthel Index (BI)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
Patient Health Questionnaire - 9 (PHQ-9)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)
General Anxiety Disorder - 7 (GAD-7)
Timeframe: Baseline/Preparation (Week 1) and end of treatment (Week 6)