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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

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

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.