{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:48:27Z","timestamp":1784040507897,"version":"3.55.0"},"reference-count":36,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T00:00:00Z","timestamp":1670284800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017959","name":"Health Commission of Hebei Province","doi-asserted-by":"publisher","award":["GZ2020096"],"award-info":[{"award-number":["GZ2020096"]}],"id":[{"id":"10.13039\/100017959","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this pilot study was to investigate the feasibility and effectiveness of a 3-month coaching-based teleoccupational guidance (CTG) programme for home-based stroke survivors and their family caregivers. An assessor-blind pilot randomised controlled study was conducted. Twenty-five participant dyads (each dyad consisted of one home-based stroke patient and their caregivers) were randomised to a control group (RTG, n = 12) or an experimental group (CTG, n = 13). Participant dyads in the RTG group received routine teleoccupational guidance. Participant dyads in the CTG group received a six-step procedure: coaching-based teleoccupational guidance over 3 months via WeChat. Participant dyad compliance, the difficulty and suitability of outcome measures, and adverse effects were used to assess feasibility. The Reintegration to Normal Living Index, the Lawton Instructive Activities of Daily Life (Lawton IADL) scale, the Intrinsic Motivation Inventory, the Fugl\u2013Meyer Assessment\u2014Upper Extremity scale, the 6 min walking test, and the Stroke-Specific Quality of Life Scale were used to assess effectiveness outcomes of home-based stroke survivors; the Caregiver Benefit Finding Scale and the Zarit Caregiver Burden Interview were used to assess the effectiveness outcomes of family caregivers. Feasibility measures were assessed at the end of the pilot trial, and effectiveness measures were evaluated pre-intervention and post-intervention (after 3 months). The CTG programme significantly improved home-based stroke survivors\u2019 participation in daily life, IADL score, and intrinsic motivation, and increased caregivers\u2019 perceived benefit, and tended (not significantly) to reduce care burden. CTG has the potential to promote better integration of home-based stroke patients into their families and society, improve their quality of life and family well-being, and provide a reference for home rehabilitation of other clinical chronic diseases. CTG is a safe, effective, and promising intervention for home-based stroke populations and their caregivers and warrants further investigation in a larger randomised controlled trial.<\/jats:p>","DOI":"10.3390\/ijerph192316355","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T02:18:48Z","timestamp":1670379528000},"page":"16355","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Effects of Coaching-Based Teleoccupational Guidance for Home-Based Stroke Survivors and Their Family Caregivers: A Pilot Randomised Controlled Trial"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2652-9538","authenticated-orcid":false,"given":"Li","family":"Zhang","sequence":"first","affiliation":[{"name":"Graduate School, Hebei Medical University, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5237-888X","authenticated-orcid":false,"given":"Yan-Ning","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeng-Xin","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4037-0578","authenticated-orcid":false,"given":"Dong-Rui","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-Wu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1110-8773","authenticated-orcid":false,"given":"Keh-Chung","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei 10617, Taiwan"},{"name":"Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei 10055, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin-Jing","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Lu","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/17474930211065917","article-title":"World Stroke Organization (WSO): Global stroke fact sheet 2022","volume":"17","author":"Feigin","year":"2022","journal-title":"Int. J. Stroke"},{"key":"ref_2","unstructured":"GBD 2019 Stroke Collaborators (2021). Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol., 20, 795\u2013820."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.cnc.2019.11.004","article-title":"Stroke rehabilitation","volume":"32","year":"2020","journal-title":"Crit. Care Nurs. Clin. North Am."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"104359","DOI":"10.1016\/j.jstrokecerebrovasdis.2019.104359","article-title":"Stroke-related knowledge and lifestyle behavior among stroke survivors","volume":"28","author":"Faiz","year":"2019","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"101455","DOI":"10.1016\/j.rehab.2020.03.018","article-title":"Adherence to physical activity and cardiovascular recommendations during the 2years after stroke rehabilitation discharge","volume":"64","author":"Fini","year":"2021","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"897","DOI":"10.2147\/PRBM.S273009","article-title":"The role of self-efficacy in the recovery process of stroke survivors","volume":"13","author":"Mazurek","year":"2020","journal-title":"Psychol. Res. Behav. Manag."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1001\/archinternmed.2011.508","article-title":"What is health coaching anyway?: Standards needed to enable rigorous research","volume":"171","author":"Wolever","year":"2011","journal-title":"Arch. Intern. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1037\/1076-8998.11.4.358","article-title":"Effect of motivational interviewing-based health coaching on employees\u2019 physical and mental health status","volume":"11","author":"Butterworth","year":"2006","journal-title":"J. Occup. Health Psychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/ajr.12588","article-title":"Heart disease, hospitalisation and referral: Coaching to Achieving Cardiovascular Health through cardiac rehabilitation in Queensland","volume":"28","author":"Field","year":"2020","journal-title":"Aust. J. Rural. Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e16665","DOI":"10.2196\/16665","article-title":"Nurse coaching and mobile health compared with usual care to improve diabetes self-efficacy for persons with type 2 diabetes: Randomized controlled","volume":"8","author":"Young","year":"2020","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"33480","DOI":"10.3402\/meo.v21.33480","article-title":"Coaching: A new model for academic and career achievement","volume":"21","author":"Deiorio","year":"2016","journal-title":"Med. Educ. Online"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1080\/09638288.2019.1666431","article-title":"Stroke self-management and the role of self-efficacy","volume":"43","author":"Nott","year":"2021","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/S1474-4422(15)00147-7","article-title":"Home-based constraint-induced movement therapy for patients with upper limb dysfunction after stroke (HOMECIMT): A cluster-randomised, controlled trial","volume":"14","author":"Barzel","year":"2015","journal-title":"Lancet Neurol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1177\/0308022620988471","article-title":"Occupational performance coaching for stroke survivors delivered via telerehabilitation using a single-case experimental design","volume":"84","author":"Kessler","year":"2021","journal-title":"Br. J. Occup. Ther."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ijsu.2011.10.001","article-title":"Consort 2010 explanation and elaboration: Updated guidelines for reporting parallel group randomised trials","volume":"10","author":"Moher","year":"2012","journal-title":"Int. J. Surg."},{"key":"ref_16","first-page":"9123498","article-title":"Coaching-Based teleoccupational guidance for home-based stroke survivors and their family caregivers: Study protocol for a superior randomized controlled trial","volume":"2022","author":"Zhang","year":"2022","journal-title":"Evid. -Based Complement. Altern. Med."},{"key":"ref_17","first-page":"243","article-title":"Development and validation of the Chinese version of the Reintegration to Normal Living Index for use with stroke patients","volume":"43","author":"Pang","year":"2011","journal-title":"J. Rehabil. Med. Off. J. UEMS Eur. Board Phys. Rehabil. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"6675680","DOI":"10.1155\/2021\/6675680","article-title":"Predictors of instrumental activities of daily living performance in patients with stroke","volume":"2021","author":"Ghaffari","year":"2021","journal-title":"Occup. Ther. Int."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1093\/schbul\/sbp030","article-title":"Intrinsic motivation inventory: An adapted measure for schizophrenia research","volume":"36","author":"Choi","year":"2010","journal-title":"Schizophr. Bull."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1016\/j.apmr.2007.12.041","article-title":"Longitudinal stability of the Fugl-Meyer Assessment of the upper extremity","volume":"89","author":"Woodbury","year":"2008","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.01.017","article-title":"Safety and feasibility of the 6-minute walk test in patients with acute stroke","volume":"27","author":"Kubo","year":"2018","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1080\/09638288.2016.1178348","article-title":"Establishing equivalence of a Chinese version of the stroke specific quality of life measure for stroke survivors","volume":"39","author":"Lo","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"734","DOI":"10.3389\/fpsyt.2020.00734","article-title":"Creating a caregiver benefit finding scale of family caregivers of stroke survivors: Development and psychometric evaluation","volume":"11","author":"Mei","year":"2020","journal-title":"Front. Psychiatry"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1097\/JGP.0b013e318167ae5b","article-title":"Chinese version of the Zarit caregiver burden interview: A validation study","volume":"16","author":"Ko","year":"2008","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1177\/0962280215588241","article-title":"Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable","volume":"25","author":"Whitehead","year":"2016","journal-title":"Stat. Methods Med. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"7204190020p1","DOI":"10.5014\/ajot.2018.030627","article-title":"Occupational therapy interventions supporting social participation and leisure engagement for community-dwelling older adults: A systematic review","volume":"72","author":"Smallfield","year":"2018","journal-title":"Am. J. Occup. Ther."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1177\/1545968311414204","article-title":"Factors associated with health-related quality of life after stroke: A 1-year prospective cohort study","volume":"26","author":"Fridlund","year":"2012","journal-title":"Neurorehabilit. Neural Repair"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.rehab.2017.12.004","article-title":"Use and psychometric properties of the reintegration to normal living index in rehabilitation: A systematic review","volume":"61","author":"Bourget","year":"2018","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1080\/09638280701625534","article-title":"What does participation mean? An insider perspective from people with disabilities","volume":"30","author":"Hammel","year":"2008","journal-title":"Disabil. Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"7103190020p1","DOI":"10.5014\/ajot.2017.024216","article-title":"Occupational performance coaching for stroke survivors: A pilot randomized controlled trial","volume":"71","author":"Kessler","year":"2017","journal-title":"Am. J. Occup. Ther."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1080\/09638280500534796","article-title":"Recovery plateau following stroke: Fact or fiction?","volume":"28","author":"Demain","year":"2006","journal-title":"Disabil. Rehabil."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1097\/WCO.0000000000000153","article-title":"Predicting and accelerating motor recovery after stroke","volume":"27","author":"Stinear","year":"2014","journal-title":"Curr. Opin. Neurol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/j.apmr.2003.12.031","article-title":"Reconsidering the motor recovery plateau in stroke rehabilitation","volume":"85","author":"Page","year":"2004","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1037\/0022-006X.74.5.797","article-title":"A meta-analytic review of benefit finding and growth","volume":"74","author":"Helgeson","year":"2006","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1111\/hsc.12895","article-title":"\u201cCaregiving is a full-time job\u201d impacting stroke caregivers\u2019 health and well-being: A qualitative meta-synthesis","volume":"28","author":"Kokorelias","year":"2020","journal-title":"Health Soc. Care Community"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1080\/07317115.2020.1765062","article-title":"Effects of a benefit-finding intervention in stroke caregivers in communities","volume":"45","author":"Fu","year":"2022","journal-title":"Clin. Gerontol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/23\/16355\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:35:06Z","timestamp":1760146506000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/23\/16355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,6]]},"references-count":36,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["ijerph192316355"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192316355","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,6]]}}}