Telehealth Self-Management Support in Early Stroke Rehabilitation: A Feasibility Randomized Controlled Trial

Abstract

Background: Skills to manage the chronic effect of stroke are often not sufficiently addressed in early stroke rehabilitation. Objectives: The study evaluated the feasibility of conducting a trial testing the efficacy of telehealth self-management support early in stroke recovery. Methodology: Process, resources, and scientific feasibility was assessed for a randomized controlled trial comparing the effect of motivational interviewing and a group-based self-management program to treatment-as-usual with first-time stroke patients. Data were analyzed using descriptive statistics, effect sizes, and thematic analysis. Results: Fifteen stroke patients were enrolled, and 10 completed the study (intervention n = 6). 100% attendance was achieved with technical support, reminders, and schedule flexibility. Participants were satisfied with the intervention and reported emotional benefits and gain of new insights. Perceived recovery showed moderate effect ( r = 0.54). Conclusion: The findings support the feasibility of an efficacy trial as well as the potential benefit of integrating telehealth self-management support early in stroke rehabilitation.