Virtually Assisted Home Rehabilitation After Stroke for Underserved Texas Communities
The University of Texas Health Science Center, Houston
Summary
The purpose of this study is to evaluate the clinical effectiveness of Virtually Assisted Home Rehabilitation After Acute STroke (VAST) + post-acute stroke usual care (PASUC) compared to PASUC alone and examine how social determinants of health (SDOH) influence access to and utilization of PASUC rehabilitation.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Hospital admission with primary ICD-10 discharge diagnosis of Acute Ischemic Stroke (AIS) or Intracerebral Hemorrhage (ICH) o those being referred from the community settings must be within 60 days of post-acute discharge. * Post-stroke functional deficits warranting PASUC rehabilitation * Clinically stable and appropriate for discharge per acute care facility * Completion of a rehabilitation evaluation within the acute setting * Planned discharge to home (with or without Home Health (HH)/Outpatient Rehabilitation (OPR), Inpatient Rehabilitation Facility (IRF), or Ski…
Interventions
- BehavioralVAST
Participants will receive a planned 4-week, home-based telerehabilitation (TR) intervention that integrates discipline-specific rehabilitation therapy with embedded self management health coaching
- BehavioralPASUC alone
Participants will receive physical therapy, occupational therapy, speech and language therapy, and medical/nursing care aimed at improving functional mobility, activities of daily living, communication, and overall independence. Rehabilitation is individualized based on patient needs and delivered in a supervised clinical setting.
Location
- The University of Texas Health Science Center at HoustonHouston, Texas