Telerehabilitation in patients with stroke after discharge: the randomized controlled ACTIV trial

Takeaway

  • The Augmented Community Telerehabilitation Intervention (ACTIV) program using readily accessible technology may be a solution to extending stroke rehabilitation and halting patient’s decline immediately following discharge.

  • Effectiveness of ACTIV may depend on adherence to the intervention and ongoing participation.

Why this matters

  • International guidelines recommend that stroke rehabilitation should continue until all goals are reached and maintained; the increased demand for stroke rehabilitation imposes a burden on the limited public health budget.

  • Usually no further formal rehabilitation (i.e. standard care) is indicated following discharge from rehabilitation services in New Zealand.

  • ACTIV is a structured 6-month program using limited face-to-face sessions, telephone contact, and text messages to augment stroke rehabilitation and promote self-management.

  • This trial reports the potential of ACTIV in extending stroke rehabilitation after discharge.