Background
Strategy
training is an intervention that may reduce disability when delivered
in inpatient rehabilitation following stroke. However, shorter lengths
of stay and challenges with continuity of care following discharge
results in difficulties in achieving adequate intervention dosage and
carryover of training.
Objective
We
examined whether strategy training using a mobile health platform
(iADAPT) is feasible during inpatient stroke rehabilitation and
following discharge.
Methods
In
this RCT, participants were randomized to receive strategy training
using either the iADAPT application (n = 16) or a workbook (n = 15).
Participants in both groups received 7 in-person sessions during
inpatient rehabilitation and 3 remote sessions following discharge. We
calculated descriptive statistics to examine acceptance, attendance, and
adherence, and within-group effect sizes on satisfaction and
disability.
Results
Participants
in the iADAPT group attended fewer total intervention sessions
(n = 5.5, workbook n = 9.0) but attempted a similar number of goals
(n = 7.6, workbook n = 8.2). Both groups reported similar satisfaction
with in-person intervention (Treatment Expectancy: iADAPT d = 0.60, workbook d = 0.47; Patient Provider Connection: iADAPT d = 0.18, workbook d = 0.31), but the mobile health group reported greater satisfaction with remote intervention (Treatment Expectancy: iADAPT d = −0.91, workbook d = −0.97; Patient Provider Connection: iADAPT d = 0.85, workbook d = −1.80).
Conclusions
Considering
these promising feasibility metrics and the benefits of mobile health,
it is worth continuing to explore the efficacy of strategy training
using a mobile health platform.
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