{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:51:17Z","timestamp":1791589877021,"version":"4.3.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"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":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Social participation is frequently impaired after stroke. Therapeutic patient education (TPE) may promote self-management and community reintegration, but evidence regarding home-based programs delivered by Community Stroke Rehabilitation Teams (CSRTs) remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the association between participation in a home-based TPE program, including physical activity (PA) workshops, and changes in social participation after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective comparative cohort study included 163 stroke survivors managed by a CSRT between 2019 and 2020. Among them, 110 participated in a home-based TPE program and 53 received standard CSRT care. Within the TPE group, 52 patients attended PA workshops. Social participation was assessed using the Frenchay Activities Index (FAI) at admission and discharge. Changes in FAI scores were compared using Mann\u2013Whitney tests and adjusted analyses of covariance controlling for baseline FAI score, age, Barthel Index, time since stroke, duration of care, and lockdown status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients receiving TPE showed greater improvement in FAI scores than those receiving standard care (mean change: 6.02\u2009\u00b1\u20098.22 vs. 1.62\u2009\u00b1\u20093.98;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among TPE participants, those attending PA workshops demonstrated greater improvement than those receiving TPE without PA workshops (7.87\u2009\u00b1\u20098.37 vs. 4.36\u2009\u00b1\u20097.78;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.006). These associations remained significant after adjustment for potential confounders and were confirmed by bootstrap sensitivity analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Home-based TPE delivered by a CSRT was associated with greater improvement in social participation after stroke, particularly when combined with PA workshops. Prospective controlled studies are needed to determine the effectiveness of this approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261473298","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:21:36Z","timestamp":1789557696000},"page":"463-472","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Therapeutic Education Delivered by a Community Post-Stroke Rehabilitation Team and Improvement in the Frenchay Activities Index: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"59","author":[{"given":"Fasan","family":"Olivia","sequence":"first","affiliation":[{"name":"CHU Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4365-1204","authenticated-orcid":false,"given":"Guediri","family":"Amine","sequence":"additional","affiliation":[{"name":"Univ. Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2072-3022","authenticated-orcid":false,"given":"Mandigout","family":"St\u00e9phane","sequence":"additional","affiliation":[{"name":"Univ. Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernikier","family":"David","sequence":"additional","affiliation":[{"name":"CHU Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salle","family":"Jean-Yves","sequence":"additional","affiliation":[{"name":"CHU Limoges"},{"name":"Univ. Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5952-3557","authenticated-orcid":false,"given":"Daviet","family":"Jean-Christophe","sequence":"additional","affiliation":[{"name":"CHU Limoges"},{"name":"Univ. Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0188-8043","authenticated-orcid":false,"given":"Compagnant","family":"Maxence","sequence":"additional","affiliation":[{"name":"CHU Limoges"},{"name":"Univ. Limoges"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31821ece12"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/HCQ.0000000000000025"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurol.2015.07.013"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-020-01956-1"},{"issue":"1","key":"e_1_3_2_6_1","first-page":"72","article-title":"Effectiveness of adaptive physical activity combined with therapeutic patient education in stroke survivors at twelve months: A non-randomized parallel group study","volume":"52","author":"Calugi S.","year":"2016","unstructured":"Calugi S., Taricco M., Rucci P., Fugazzaro S., Stuart M., Dallolio L., Pillastrini P., Fantini M. P., & EFG\/2009 investigators. (2016). Effectiveness of adaptive physical activity combined with therapeutic patient education in stroke survivors at twelve months: A non-randomized parallel group study. European Journal of Physical and Rehabilitation Medicine, 52(1), 72\u201380.","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-028137"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2012.08.011"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2022.26"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7448.1099"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.234.281"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2017.1375222"},{"key":"e_1_3_2_13_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.rehab.2017.07.031","article-title":"Therapeutic patient education and post-stroke cognitive-behavioral disorders: Inputs for patients, caregivers and professionals in rehabilitation units","volume":"60","author":"Levy J.","year":"2017","unstructured":"Levy J. (2017). Therapeutic patient education and post-stroke cognitive-behavioral disorders: Inputs for patients, caregivers and professionals in rehabilitation units. Annals of Physical and Rehabilitation Medicine, 60(Suppl), e7. https:\/\/doi.org\/10.1016\/j.rehab.2017.07.031","journal-title":"Annals of Physical and Rehabilitation Medicine"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000170698.20376.2e"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.01.015"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.2001057"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.12.2585"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-12-56"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2018.42.5.660"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/096382899297477"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968314523837"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/03790798509165991"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.887796"}],"container-title":["NeuroRehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261473298","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538135261473298","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261473298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:19:03Z","timestamp":1791587943000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538135261473298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/10538135261473298"],"URL":"https:\/\/doi.org\/10.1177\/10538135261473298","relation":{},"ISSN":["1053-8135","1878-6448"],"issn-type":[{"value":"1053-8135","type":"print"},{"value":"1878-6448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]}}}