Adherence to rehabilitation interventions is associated with functional outcomes (e.g. independence in daily activities, return of motor function) after stroke. Low adherence to rehabilitation home programs is common after stroke. Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g. medication routines, smoking cessation). The investigators developed the iADAPTS mobile application to support adherence to Strategy Training. Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke. This study examines the effects of the iADAPTS mobile health application relative to a workbook on adherence to Strategy Training after stroke.
- Strategy Training Behavioral
Intervention Desc: Strategy training is a form of meta-cognitive instruction that trains individuals with stroke-related cognitive impairments to identify and prioritize problematic daily activities, identify the barriers impeding performance, generate and evaluate their own strategies to address barriers, and apply these skills through iterative practice. ARM 1: Kind: Experimental Label: Strategy Training: iADAPTS Application Description: Participants will use the iADAPTS mobile health application to supplement to in-person and remote intervention sessions. ARM 2: Kind: Experimental Label: Strategy Training: Workbook Description: Participants will use a printed workbook to supplement to in-person and remote (by telephone) intervention sessions.
|Type||Measure||Time Frame||Safety Issue|
|Primary||Adherence: Observed client behavior||Baseline to 3 months|
|Primary||Adherence: Client-reported progress on goals.||Baseline and 3 months|
|Secondary||Adherence: Client perspectives on treatment environment||Baseline and 3 months|