A New At-home Telerehabilitation Care Service Delivery Model for Stroke Survivors in the Rio Grande Valley

The University of Texas System (UT)

Status

Begins enrollment this month

Conditions

Stroke

Treatments

Other: Usual Care

Device: CHW-supported telerehabilitation

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT06580548

1UM1TR004906 (U.S. NIH Grant/Contract)

HSC-SPH-24-0166

Details and patient eligibility

About

The purpose of this study is to investigate the feasibility of a mobile telerehabilitation software for post-acute stroke care for Rio Grande Valley (RGV) stroke survivors with community health worker (CHW) at-home support and to estimate the functional health, mental health (depression), and caregiver burden outcomes of this new CHW-supported, at-home rehabilitation service delivery model and to identify salient barriers to and facilitators of adopting and delivering the new rehabilitation delivery model to further disseminate the model in real-world communities.

Enrollment

30 estimated patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

A resident of the Brownsville, Texas (Cameron County) area
SINGLE and FIRST qualifying stroke event with the ability to enroll and begin study activities within 3 months of onset of stroke event
Pre-stroke modified Rankin score of ≤3 (less than moderate disability at baseline)
Currently uninsured
Spanish or English speaker
Able to follow instructions (without aphasia that interferes with following instructions)
Safe to perform basic strengthening rehabilitation exercises
Able to stand with or without assistance

Exclusion criteria

Aphasia or cognitive impairment (e.g., dementia) that interferes with following instructions or prevents following the study-related activities)
Pre-stroke motor deficits
Current psychiatric disorders, including substance use disorder
Underlying brain pathologies inclusive of brain malignancies, multiple sclerosis
Insured patients as insured patients are referred for standard-of-care clinical rehabilitation.
Medical instability to participate in basic strengthening rehabilitation exercises
Inability to access internet from home to access at-home rehabilitation software for intervention arm participants
Having received any outpatient rehabilitation services prior to study enrollment for intervention arm participants