{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:55:12Z","timestamp":1781852112152,"version":"3.54.5"},"reference-count":54,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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":["Telemedicine Reports"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      Telerehabilitation (TR) can be as effective as in-clinic therapy; however, the implementation of barriers and facilitators to TR is unknown, especially in the underserved and rural population. In addition to TR, self-management support (SMS) interventions have been successful in improving outcomes for stroke survivors using telehealth. We explored the following:\n                      <jats:italic toggle=\"yes\">(1) Is an intensive multidisciplinary TR intervention combined with SMS feasible to deliver virtual postacute stroke care? (2) Does an intensive TR intervention combined with SMS lead to improvements in level of impairment, functional outcomes, and quality of life? (3) Does an intensive TR intervention combined with SMS impact patient goal attainment? (4) What barriers and facilitators to TR are perceived by stroke survivors?<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Virtually assisted home rehabilitation after acute stroke-2 offered two sessions of rehabilitation therapy, 3 days a week, for 4 weeks, consisting of two of the following disciplines: occupational therapy, physical therapy, or speech therapy. SMS was offered during the first and last session each week. Quantitative outcomes were completed at baseline assessment (week 1), postintervention assessment (week 6), and final assessment (week 10). Following grounded theory, semi-structured qualitative interviews were completed to identify barriers and facilitators of TR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 15 participants were consented into the program. When excluding the 3 participants who withdrew within or before week 1 of intervention, the average weekly number of therapy sessions completed by the remaining 12 participants was 5.6 (standard deviation [SD] 0.79), 5.6 (SD 0.90), 5.2 (SD 2.19), and 4.9 (SD 1.98) for weeks 2\u20135, respectively. Posterior probability (PP) results indicated very strong (PP &gt;97%) to extreme (PP &gt;99%) support in favor of change over time across most outcomes, including decreased modified Rankin Scale (marginal improvement of \u22120.731) and Patient Health Questionnaire scores (\u22123.606) and increased Montreal Cognitive Assessment (+4.178). Nine participants took part in the semi-structured interviews, and two major themes emerged: 1\u2014\u201cPerceived Access\/Delivery\u201d and 2\u2014\u201cPerceived Therapy Advantages.\u201d In regard to the goal attainment, low sample sizes limited precision for analyses, thus these were not included in analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TR after acute stroke is feasible, though barriers still exist. This study proved to be a safe and attainable option for underserved populations of stroke survivors, demonstrating high attendance, improved outcomes, and no intervention-related adverse events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26924366251383807","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:19:56Z","timestamp":1759479596000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of Intensive Multidisciplinary Telerehabilitation Combined with Health Coaching for Underserved Stroke Survivors: A Pilot Study"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4401-0298","authenticated-orcid":false,"given":"Emily A.","family":"Stevens","sequence":"first","affiliation":[{"name":"Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA."},{"name":"McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Suchting","sequence":"additional","affiliation":[{"name":"Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School at UTHealth Houston, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane A.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Neurology, Baylor College of Medicine and Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Houston, Texas, USA."},{"name":"Michael E. DeBakey Veterans Medical Center, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2496-0439","authenticated-orcid":false,"given":"Barbara","family":"Kimmel","sequence":"additional","affiliation":[{"name":"Department of Neurology, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anette","family":"Ovalle","sequence":"additional","affiliation":[{"name":"Department of Neurology, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anette","family":"Walder","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey Veterans Medical Center, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chethan P.","family":"Venkatasubba Rao","sequence":"additional","affiliation":[{"name":"Department of Neurology, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Muraly","sequence":"additional","affiliation":[{"name":"McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn P.","family":"Da Silva","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, Texas Woman\u2019s University, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aylen","family":"Sosa","sequence":"additional","affiliation":[{"name":"Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allyson","family":"Seals Richard","sequence":"additional","affiliation":[{"name":"Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvador","family":"Cruz-Flores","sequence":"additional","affiliation":[{"name":"Department of Neurology, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Neurology and Medicine, UT Health Science Center at San Antonio, San Antonio, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DaiWai","family":"Olson","sequence":"additional","affiliation":[{"name":"Neuroscience Nursing Research Center, The University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Zapata","sequence":"additional","affiliation":[{"name":"Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E.","family":"Russell","sequence":"additional","affiliation":[{"name":"Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA."},{"name":"McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA."},{"name":"Department of Physical Medicine and Rehabilitation, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean I.","family":"Savitz","sequence":"additional","affiliation":[{"name":"Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA."},{"name":"McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(24)00369-7"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/15459683231159660"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-210330"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000559"},{"issue":"1","key":"e_1_3_4_6_2","first-page":"175","article-title":"Using mobile video-teleconferencing to deliver secondary stroke prevention interventions: A pilot study","volume":"3","author":"Anderson JA","year":"2022","unstructured":"Anderson JA, , Kimmel B, , Sansgiry S, et al. 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