Evidence map›Paper›PMID 41143119›Full record

ArticleTelemedicine reports2025

Feasibility of Intensive Multidisciplinary Telerehabilitation Combined with Health Coaching for Underserved Stroke Survivors: A Pilot Study.

Emily A Stevens, Robert Suchting, Jane A Anderson, Barbara Kimmel, Anette Ovalle, Anette Walder, Chethan P Venkatasubba Rao, Neha Muraly, Carolyn P Da Silva, Aylen Sosa and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Telemedicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Emily A StevensInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID https://orcid.org/0009-0009-4401-0298
Robert SuchtingFaillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School at UTHealth Houston, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Jane A AndersonDepartment of Neurology, Baylor College of Medicine and Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Houston, Texas, USA.
Barbara KimmelDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-2496-0439
Anette OvalleDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Anette WalderMichael E. DeBakey Veterans Medical Center, Houston, Texas, USA.
Chethan P Venkatasubba RaoDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Neha MuralyMcGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Carolyn P Da SilvaSchool of Physical Therapy, Texas Woman's University, Houston, Texas, USA.
Aylen SosaInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Allyson Seals RichardInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Salvador Cruz-FloresDepartment of Neurology, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA.
Mark P GoldbergDepartment of Neurology and Medicine, UT Health Science Center at San Antonio, San Antonio, Texas, USA.
DaiWai OlsonNeuroscience Nursing Research Center, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Ashley ZapataInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Mary E RussellInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Sean I SavitzInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center at Houston, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Telerehabilitation (TR) can be as effective as in-clinic therapy; however, the implementation of barriers and facilitators to TR is unknown, especially in the underserved and rural population. In addition to TR, self-management support (SMS) interventions have been successful in improving outcomes for stroke survivors using telehealth. We explored the following: Methods: Virtually assisted home rehabilitation after acute stroke-2 offered two sessions of rehabilitation therapy, 3 days a week, for 4 weeks, consisting of two of the following disciplines: occupational therapy, physical therapy, or speech therapy. SMS was offered during the first and last session each week. Quantitative outcomes were completed at baseline assessment (week 1), postintervention assessment (week 6), and final assessment (week 10). Following grounded theory, semi-structured qualitative interviews were completed to identify barriers and facilitators of TR. Results: A total of Conclusion: TR after acute stroke is feasible, though barriers still exist. This study proved to be a safe and attainable option for underserved populations of stroke survivors, demonstrating high attendance, improved outcomes, and no intervention-related adverse events.

Indexed as

rehabilitation accessstrokestroke recoverystroke rehabilitationtelerehabilitationunderserved stroke

Identifiers

PMID41143119
PMCPMC12549167

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.