{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:29Z","timestamp":1790927669181,"version":"4.1.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Technology-based interventions may enhance self-directed or caregiver-assisted activity during inpatient stroke rehabilitation, yet effective implementation strategies for technology-based tools remain unclear. This scoping review synthesises existing evidence on acceptability, feasibility and effectiveness of technology-based interventions in inpatient stroke rehabilitation, and maps barriers and enablers to implementation through the Capability, Opportunity, Motivation and Behaviour model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Comprehensive searches of MEDLINE, Embase, CINAHL and Google Scholar were conducted through to December 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>Studies involving adult stroke survivors using self-directed technology-based interventions during inpatient rehabilitation were included. Arksey and O\u2019Malley's scoping review framework guided data extraction. Analysis focused on acceptability, feasibility, effectiveness and behaviour change strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighteen high-moderate quality studies (20 papers) from 13 countries, involving 1081 participants, were included (10 pilot randomised controlled trials, 6 feasibility studies, 1 non-randomised and 1 observational study). Interventions were upper limb exergaming or robotics devices (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094) and tablet\/smartphone applications with exercise videos (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200914). Acceptability, feasibility and effectiveness outcomes were reported in 12 studies (63%), with rates of recruitment, safety and retention being reported in eight (67%), eight (67%) and six (50%) studies, respectively. All studies reported on at least one construct relating to barriers or enablers. Key enablers were caregiver involvement and additional support for more impaired individuals. Common barriers were stroke-related impairments and reduced staffing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review offers an integrated overview of the acceptability, feasibility and effectiveness of technology-based interventions in inpatient stroke rehabilitation, with identified strategies to support clinicians with implementation. Further research is needed on long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155261428703","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:04:39Z","timestamp":1773252279000},"page":"1285-1314","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-directed and caregiver-assisted technology-based interventions in inpatient stroke rehabilitation: A scoping review"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0687-4062","authenticated-orcid":false,"given":"Dina","family":"Pogrebnoy","sequence":"first","affiliation":[{"name":"Western Health"},{"name":"Department of Physiotherapy, The University of Melbourne, Parkville, Australia"},{"name":"School of Health Sciences, University of Newcastle, Callaghan, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer RA","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, The University of Melbourne, Parkville, Australia"},{"name":"Austin Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahad","family":"Alsawaf","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, The University of Melbourne, Parkville, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, The University of Melbourne, Parkville, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pak Yin","family":"Lau","sequence":"additional","affiliation":[{"name":"Western Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8857-222X","authenticated-orcid":false,"given":"Kelly J","family":"Bower","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, The University of Melbourne, Parkville, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Statistics 2021: monitoring health for the SDGs sustainable development goals. 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