Larsson-Lund, Maria (M);Barcheus, Ida-Maria (IM);Ranner, Maria (M);Vikman, Irene (I);Jacobsson, Lars (L);Lexell, Eva Månsson (EM);

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BMC Health Serv Res.2025 Mar 04;25(1):330.doi:10.1186/s12913-025-12456-8

Abstract

BACKGROUND: To enable people with stroke to achieve an active everyday life under altered conditions, the development of self-management programs is essential to facilitate the process of change that individuals must undergo. To improve access to self-management, internet-based solutions have been proposed. The aim of this study was to evaluate the feasibility of a novel internet-based intervention, "Strategies for Empowering activities in Everyday Life" (SEE, version 1.0), for clients with stroke.

METHODS: This feasibility study had a preposttest design without a control group and utilized a mixed-method approach. Data were collected through study-specific forms, outcome assessments, interviews, and field notes. Descriptive statistics and content analysis were subsequently applied.

RESULTS: The study involved fifteen clients and staff at clinics in a hospital-based open-care rehabilitation setting. The results indicate that SEE is feasible for clients with stroke. When adopted as expected, SEE has the potential to empower self-management and enhance engagement, balance, and values in everyday activities. The study also indicates that SEE is feasible in terms of adherent delivery of dosage, acceptability, and value, as perceived by clients, occupational therapists, and clinic managers. However, adjustments are needed in the study design, in terms of recruitment strategies, the selection of assessor-based outcome assessment, and the evaluation of adherence. Additionally, the educational program for professionals should be enhanced to better support the implementation of SEE.

CONCLUSION: After the study design, intervention, and educational program are refined, SEE can be prepared for a pilot randomized controlled trial.

TRIAL REGISTRATION: clinicaltrails.gov NCT04588116, date of registration: 8th October 2020.