Enhancing Resilience Among Patients With Stroke: Implementation of High Intensity Home-based Rehabilitation

Launched by DUKE UNIVERSITY · Jul 25, 2025

Keywords

ClinConnect Summary

This study is looking at a new way to help people recover after a stroke by providing high-intensity rehabilitation services at home, instead of sending them to a rehab facility. The researchers want to see if patients who get this home-based therapy recover their abilities just as well as those who go to an inpatient rehab center. This study will include patients who have had a stroke, are between 65 and 74 years old, and are being discharged from Duke University Hospital to their home in Durham County.

To join the study, patients need to be able to read and understand English, have a certain level of stroke severity and mobility, need rehab care from at least two types of therapy, and have enough support from caregivers at home to be safe. Participants won’t be assigned to different groups; instead, those who choose home rehab will be followed to see how they do compared to others who go to a rehab facility. This study is not yet recruiting, but it aims to help doctors understand if home-based rehab can be a good option for stroke recovery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Ability to read and understand English.
• • Admitted to Duke University Hospital stroke medical service
• • Confirmed diagnosis of stroke (per documentation in medical record)
• * At time of hospital discharge:
• • a) Home address in Durham County b) NIH Stroke Scale Score = 4-13 c) AM-PAC 6-Clicks basic mobility score \>/=13 d) Documented need for post-acute rehabilitation from 2 disciplines e) No contraindications to safe medical management at home (ongoing cancer treatment, dialysis-dependent ESRD, complex wounds, others as determined by the attending medical team) g) Clinically judged to have adequate caregiver support at home
• Exclusion Criteria:
• • Those with acute psychosis or an inability to provide legal and effective consent will be excluded from participation.
• • Those with medical contraindications as determined by the hospital attending neurology team