Abstract

BackgroundRehabilitation after stroke seldom focuses on needs related to an active everyday life and the process of change that people must undergo to adapt to an altered capacity and life situation. In particular, occupational therapy in the late phase needs to support clients in adopting sustainable self-initiated management strategies to regain daily activities and an active everyday life. To improve access to rehabilitation, the use of digital solutions has been suggested. This study aims to evaluate the feasibility of the Internet-based occupational therapy intervention “Strategies for Empowering activities in Everyday life” (SEE, version 1.0). We will investigate the feasibility of the intervention process in terms of acceptability and adherence as well as the most suitable outcome measures to evaluate SEE and improve the knowledge about the potential changes and outcomes of SEE for clients with stroke.MethodsThis feasibility study is based on a pretest posttest design without a control group. Quantitative and qualitative data will be collected from clients and staff concurrently embedded in a mixed-method design during the entire study.DiscussionThe project is a first test of a novel Internet-based occupational therapy intervention, and the research will contribute to the continued development and evaluation of the SEE programme. SEE can provide people with strategies in daily activities that can support them to live an active everyday life despite changed capacity and to improve access to rehabilitation interventions.Trial registrationNCT04588116. Name of the registry: Strategies Empowering Activities in Everyday Life (SEE 1.0). A Web-based Occupational Therapy Intervention. URL of trial registry record. Date of registry: Trial first posted: October 19, 2020; first submitted: October 2, 2020

Highlights

  • DiscussionThe project is a first test of a novel Internet-based occupational therapy intervention, and the research will contribute to the continued development and evaluation of the SEE programme

  • Introduction moduleThe foundation, aim, design of the web-programme, modules and content.Listen to the module presentation1

  • If the results confirm intervention feasibility and show that the potential outcomes contribute to positive changes of daily activities for clients with stroke, the intention is to continue to refine and evaluate the intervention

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Summary

Discussion

This study will provide important knowledge about SEE that can add to the continued development of the programme. If the results confirm intervention feasibility and show that the potential outcomes contribute to positive changes of daily activities for clients with stroke, the intention is to continue to refine and evaluate the intervention. This evaluation will be performed first in a pilot RCT study and, later, in large-scale studies. SEE has the potential to provide people with tools, in the form of self-reflection and self-initiated management strategies in daily activities that can support them sustainably to live an active everyday life, even if individual capacity or environmental aspects change over time. The results of this study can inform future Internet-based occupational therapy interventions and the clinical research of people with needs related to an active everyday life

Background
Objectives
Methods/design
Rehabilitation methodology
Value and meaning of daily activi‐ ties
Activity pattern
Strategies that support daily activi‐ ties
Prioritise and make changes in daily activities to support an active life
Findings
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