Stroke causes major disability issues in Bangladesh and often leaves people unable to look after themselves, work, or participate in family and community life. Most stroke survivors in Bangladesh do not receive adequate rehabilitation, and existing services focus mainly on physical exercises, not on helping people return to meaningful activities.

The REAP programme is a new therapy approach that remediates skills through structured training, educates patients and families on stroke management, adapts tasks or environments to make daily activities easier, and promotes participation in meaningful roles and activities.

This study will test whether the REAP programme can be delivered successfully in a Bangladeshi rehabilitation centre, whether patients find it acceptable, and whether it helps people become more independent and improves quality of life.

Inclusion Criteria:

• Aged 18-64 years,
• Diagnosed with stroke (ischemic/hemorrhagic) 3-24 months prior,
• Medically stable and able to provide informed consent,
• MoCA score ≥18.

Exclusion Criteria:

• Severe receptive aphasia,
• Major psychiatric disorders,
• Unstable medical conditions