iADAPT to Support Strategy Training After Stroke

iADAPT to Support Strategy Training After Stroke

Adherence to rehabilitation interventions is associated with functional outcomes (e.g. independence in daily activities, return of motor function) after stroke. Low adherence to rehabilitation home programs is common after stroke. Interventions delivered via mobile health applications demonstrated positive effects on adherence to health behaviors (e.g. medication routines, smoking cessation). The investigators developed the iADAPT mobile application to support adherence to Strategy Training. Strategy Training is an iterative rehabilitation intervention the promotes goal setting, planning, and self-monitoring after stroke. This study examines the effects of the iADAPT mobile health application relative to a workbook on adherence to Strategy Training after stroke.

Inclusion Criteria:

-Diagnosis of Stroke

Exclusion Criteria:

• prior exposure to Strategy Training
• vision impairment that impairs ability to read device screen or worksheet
• poor self-awareness (score of ≥2 on Self Awareness of Deficits Inventory item #1 or #2
• current major depressive, bipolar, or psychotic disorder (Patient Health Questionnaire-9, PRIME-MD)
• current alcohol or drug abuse (Mini International Neuropsychiatric Interview)
• severe aphasia (score ≤1 on Boston Diagnostic Aphasia Examination)
• current diagnosis of dementia, neurodegenerative disease, or cancer
• anticipated discharge to a skilled nursing facility