Evidence map›Paper›PMID 41173735›Full record

Trial reportDisability and health journal2026

Promoting community and social participation in chronic stroke: A pilot study of the ENGAGE intervention.

Elizabeth Skidmore, Carolyn Baum, Jessica Kersey, Emily Kringle, Kelsey Voltz-Poremba, Sular Gordon, Tina Harris, Heidi Fischer, Maureen Gecht, Michelle Furman and 1 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Disability and health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Elizabeth SkidmoreUniversity of Pittsburgh School of Health and Rehabilitation Sciences Department of Occupational Therapy, USA. Electronic address: skidmore@pitt.edu.
Carolyn BaumWashington University School of Medicine Program in Occupational Therapy, USA.
Jessica KerseyWashington University School of Medicine Program in Occupational Therapy, USA.
Emily KringleUniversity of Minnesota School of Kinesiology College of Education and Human Development, USA.
Kelsey Voltz-PorembaUniversity of Pittsburgh School of Health and Rehabilitation Sciences Department of Occupational Therapy, USA.
Sular GordonWashington University School of Medicine Program in Occupational Therapy, USA.
Tina HarrisUniversity of Pittsburgh School of Health and Rehabilitation Sciences Department of Occupational Therapy, USA.
Heidi FischerUniversity of Illinois Chicago College of Applied Health Sciences Department of Occupational Therapy, USA.
Maureen GechtUniversity of Illinois Chicago College of Applied Health Sciences Department of Occupational Therapy, USA.
Michelle FurmanWashington University School of Medicine Program in Occupational Therapy, USA.
Joy HammelUniversity of Illinois Chicago College of Applied Health Sciences Department of Occupational Therapy, USA.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
NCATS NIH HHS UL1 TR001857NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

backgroundSurvivors of stroke report low levels of community and social participation, even years after stroke. ENGAGE is a community-based intervention that merges social learning, guided problem solving, and supervised practice to collaboratively identify, generate, and apply solutions to challenges with community and social participation after stroke.

objectiveWe examined the feasibility, acceptability, and safety of ENGAGE and characterized within group changes in community and social participation outcomes.

methodsCommunity-dwelling survivors of stroke, occupational therapy providers, and occupational therapy scientists partnered to co-design the essential and structural elements of ENGAGE, as well as to evaluate ENGAGE using a multi-site single-arm community-based phase 2a clinical trial design. The 6-week ENGAGE program was co-facilitated by survivors of stroke acting as peer mentors and occupational therapy provider through in-person (Phase I, 12 sessions) or virtual web conference meetings (Phase II, 9 sessions). Feasibility was assessed through participant retention, engagement, acceptability, satisfaction, and safety. Within group change was assessed through the PROMIS Ability to Participation in Social Roles and Activities Scale.

resultsOf the 42 participants providing consent, 38 were eligible, and 30 started the intervention program. Retention in the ENGAGE program was 90 % (n = 27). Of these, 85 % engaged actively, 87 % indicated very high satisfaction, and 0 % reported injuries or injurious falls. Participants achieved a medium within group effect size of change in community and social participation (d = 0.38, 95 % CI = -0.11, 0.94).

conclusionsENGAGE appears to be a feasible and promising intervention to promote improvements in community and social participation in community-dwelling survivors of stroke.

Indexed as

Occupational TherapyPersons with DisabilitiesSocial ParticipationStrokeStroke RehabilitationSurvivorsAgedAged, 80 and overChronic DiseaseCommunity ParticipationFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsCommunity participationRehabilitationSelf-managementSocial learningStroke

Identifiers

PMID41173735
PMCPMC12643107

What OpenQuestion holds

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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.