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Randomized Controlled Trial
. 2023 Jul;30(5):512-521.
doi: 10.1080/10749357.2022.2077522. Epub 2022 May 18.

Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT)

Jessica Kersey  1 , Emily Kringle  2 , I Made Agus Setiawan  3 , Bambang Parmanto  3   4 , Elizabeth R Skidmore  1
Affiliations
Randomized Controlled Trial

Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT)

Jessica Kersey et al. Top Stroke Rehabil. 2023 Jul.

Abstract

Background: Strategy training is an intervention that may reduce disability when delivered in inpatient rehabilitation following stroke. However, shorter lengths of stay and challenges with continuity of care following discharge results in difficulties in achieving adequate intervention dosage and carryover of training.

Objective: We examined whether strategy training using a mobile health platform (iADAPT) is feasible during inpatient stroke rehabilitation and following discharge.

Methods: In this RCT, participants were randomized to receive strategy training using either the iADAPT application (n = 16) or a workbook (n = 15). Participants in both groups received 7 in-person sessions during inpatient rehabilitation and 3 remote sessions following discharge. We calculated descriptive statistics to examine acceptance, attendance, and adherence, and within-group effect sizes on satisfaction and disability.

Results: Participants in the iADAPT group attended fewer total intervention sessions (n = 5.5, workbook n = 9.0) but attempted a similar number of goals (n = 7.6, workbook n = 8.2). Both groups reported similar satisfaction with in-person intervention (Treatment Expectancy: iADAPT d = 0.60, workbook d = 0.47; Patient Provider Connection: iADAPT d = 0.18, workbook d = 0.31), but the mobile health group reported greater satisfaction with remote intervention (Treatment Expectancy: iADAPT d = -0.91, workbook d = -0.97; Patient Provider Connection: iADAPT d = 0.85, workbook d = -1.80). .

Conclusions: Considering these promising feasibility metrics and the benefits of mobile health, it is worth continuing to explore the efficacy of strategy training using a mobile health platform.

Keywords: Telemedicine; pilot projects; psychosocial intervention; stroke rehabilitation.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.
Mobile health platform
Figure 2.
Figure 2.
Recruitment and Retention
Figure 3.
Figure 3.
Functional Independence Measure Change Scores *Baseline to In-Person: Participant 18 missing discharge data **In-Person to Remote: Participants 5, 7, 12, 13, and 17 were lost to follow up. Participant 6 showed no change. Participant 18 missing data.
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References

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