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

Launched by THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER, HOUSTON · Aug 29, 2024

Keywords

ClinConnect Summary

This clinical trial is looking into a new way for stroke survivors in the Rio Grande Valley to receive rehabilitation care at home using a mobile app. The study aims to see if this at-home telerehabilitation service, along with support from community health workers, can help improve physical and mental health outcomes for patients after a stroke. Researchers will also identify challenges and helpful factors in using this program to make it available to more people in the community.

To take part in this study, participants need to live in the Brownsville, Texas area, have had their first stroke within the last three months, and be able to follow instructions. They should not have severe disabilities before the stroke, must be uninsured, and can speak either Spanish or English. Participants can expect to use the mobile app for rehabilitation exercises at home, with support from a community health worker to help them along the way. This trial is currently recruiting participants, and it offers a chance to access new rehabilitation services that could make a real difference in their recovery journey.

Gender

ALL

Eligibility criteria

• 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