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

Purpose

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.

Condition

  • Stroke

Eligibility

Eligible Ages
Between 18 Years and 80 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
CHW-supported telerehabilitation
  • Device: CHW-supported telerehabilitation
    Participants will receive the Mobile Rehab mobile software, which allows participants to be prescribed personalized rehabilitation strengthening video regimens electronically based on respondent-indicated mobility and activities of daily living functionality
Active Comparator
Usual care
  • Other: Usual Care
    Participants will be provide a list of local social services resources, including mental health, that participants can use . A callback number will be provided if they have any questions about the services.

Recruiting Locations

The University of Texas Health Science Center at Houston
Houston, Texas 77030
Contact:
Fadi Musfee, MD
956-755-0630
Fadi.I.Musfee@uth.tmc.edu

More Details

Status
Recruiting
Sponsor
The University of Texas Health Science Center, Houston

Study Contact

Fadi Musfee, MD
(956) 755-0630
Fadi.I.Musfee@uth.tmc.edu